City & State New York 101518 by City & State

THE REDEMPTION OF CY VANCE

THE LOST DOCTORS IN NYC Facing staffing shortages, public hospitals look south.

LEGALIZE POT? ITâ&#x20AC;&#x2122;S NOT SO SIMPLE.

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October 15, 2018

SUMMIT - OCTOBER 17, 2018 M U S E U M O F J E W I S H H E R I TA G E City & State’s Rebuilding New York Summit will feature discussions that dissect the biggest infrastructure issues, including funding for repairs, policy recommendations, and where the city and state has seen its biggest successes and shortcomings.

PANEL TOPICS: FINANCING NEW YORK’S INFRASTRUCTURE NEEDS BUILDING NEW YORK INTO THE 21STCENTURY GROWING ANCHOR INSTITUTIONS IN NEW YORK IMPROVING NEW YORK’S CRITICAL TRANSPORTATION INFRASTRUCTURE

FEATURED SPEAKERS:

PAT FOYE President, MTA

Assemblywoman NICOLE MALLIOTAKIS

Councilman ROBERT E. CORNEGY, JR.

Councilman YDANIS RODRIGUEZ

GALE BREWER Manhattan Borough President

RSVP at CityAndStateNY.com/Events For more information on programming and sponsorship opportunities, please contact Lissa Blake at lblake@cityandstateny.com

THANK YOU TO OUR SPONSORS:

MELINDA KATZ Queens Borough President

October 15, 2018

City & State New York

EDITOR’S NOTE

JON LENTZ Editor-in-chief

THE

WITH ELECTION DAY a few weeks away, one big question is whether Democrats can win the House of Representatives. Some key congressional races are here in New York, but the state has another set of toss-up races – in the state Senate – that are no less consequential. Indeed, while the national elections could give Democrats a seat at the table in Republican-controlled Washington, the state Senate races will determine whether the GOP keeps its only foothold in state government. As voters tune in, the policy implications of a Democratic-controlled state government are coming into focus – not least of all in health care. One major shift could be legalizing recreational marijuana. An even bigger one would be passing the New York Health Act, a single-payer health care proposal that would provide comprehensive coverage. State Sen. Gustavo Rivera, a Democrat eyeing the Health Committee chairmanship, is the sponsor. But the current chairman, state Sen. Kemp Hannon of Long Island, isn’t sold. As one of the Republican incumbents targeted this year, Hannon has more than his own political future at stake – a loss by the longtime lawmaker could mark a major pivot in the direction of New York health care policy.

HEALTH

ISSUE

CONTENTS CY VANCE … 6

The redemption of the Manhattan DA

FINDING PHYSICIANS … 12

A unique solution to NYC’s doctor shortage RECREATIONAL THERAPY … 16

How recreational and medical marijuana might coexist

CELESTE SLOMAN; JOSH YETMAN

CVS-AETNA MERGER … 22 The battle over for-profit health care

WINNERS & LOSERS … 30 Who was up and who was down last week

CityAndStateNY.com

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October 15, 2018

Latest

BLOOMBERG’S BLUE AGAIN Former New York City Mayor Michael Bloomberg has taken the first step toward running for president in 2020 – by switching parties. He re-registered as a Democrat, rejoining his old party for the first time in nearly two decades. Bloomberg became a Republican in 2001 at the start of his political career and was elected mayor as a member of that party. During his time as mayor, Bloomberg became an independent. In an Instagram post of his registration form, Bloomberg wrote: “We need Democrats to provide the checks and balance our nation so badly needs.”

AVELLA VS. LIU, ROUND 3 He may have lost his Democratic primary, but that has not stopped state Sen. Tony Avella from continuing to seek re-election. The Queens lawmaker is running on the Independence Party and Women’s Equality Party lines against John Liu, the former New York City comptroller who lost to Avella in 2014 but won the primary last month. Avella is the first and, so far, the only former Independent Democratic Conference member to continue campaigning after losing in the primary. Of the remaining five, three have conceded while the other two – state Sens. Jeff Klein and Jesse Hamilton – still have not made public statements about their intentions.

Back & Forth

A Q&A with Bird’s

Paul Steely White The

A limousine crash on Oct. 6 in the upstate town of Schoharie left 20 people dead, making it the deadliest transportation accident in the U.S. since 2009. According to Gov. Andrew Cuomo, the limo that crashed had failed inspection in September and the driver, who was among the dead, did not have a proper license. The operator of the limo company, Nauman Hussain, was arrested and charged with criminally negligent homicide. The crash highlighted lax safety standards for stretch limousines, which are subject to different rules than most other vehicles.

Why did you decide to join Bird? Did they approach you or vice versa? It was somewhat mutual, I think. I was ready for something new and then intrigued by the fast-growing small vehicle space, which really seems like an exciting new front line in the battle against the car. I think too, I just feel so excited about being a meaningful contributor to how this is shaped. Some in the industry and the base are saying, “Well, we have to make sure that we don’t compromise the walking or the bicycle environment as it exists now,” and, “We have to be mindful of not infringing on pedestrian space or bicyclers’ space,” and I absolutely disagree with that. I think that it has to be something that enhances the biking and walking experience. Biking and walking will always be my first love, full stop. What I think that means is making sure that

Kicker

“What is the child victims … what are you talking about?” — State Sen. MARTIN GOLDEN, claiming to have no knowledge of the hotly debated Child Victims Act, via Gothamist Get the kicker every morning in CITY & STATE’S FIRST READ email. Sign up at cityandstateny.com.

e-scooters and the like aren’t just filling up sidewalk, but that we’re also forming new coalitions that ultimately recoup a lot of car space and turn it into people space. What are the barriers to preventing e-scooters from becoming legal? There’s definitely legitimate concerns, and those have to do with making sure that the primacy of the pedestrian is protected. Making sure that sidewalk clutter is not something that becomes an issue, and we’ve been working on that for some time at (Transportation Alternatives) and I think really the ultimate solution to that – or the smart solution to that – is to designate certain car parking spaces and flip those into two-wheel parking, not just for e-scooters, but really for all manner of small vehicles – shared mopeds, even motorcycles, should have copious on-street parking.

STATE SENATE; ANTHONY CLUNE; MIKE GROLL; HANS PENNINK/AP, SHAWN THEW/EPA/SHUTTERSTOCK

The

DEADLY LIMO CRASH

ODDESTBALLOT

THE October 15, 2018

City & State New York

LINES

HEARDOF

YOU’VE NEVER

“TAX REVOLT PARTY,” “IN MAIO WE TRUST” AND MORE PARTY DESIGNATIONS YOU WON’T RECOGNIZE.

Though most people tend to think of U.S. politics as a two-party system, that isn’t the whole story. Anyone can create a new party through the independent nomination process – as long as enough people sign on. In November, New York ballots will include party lines like the Libertarian Party and the Serve America Movement, which has former Syracuse Mayor Stephanie Miner as its candidate for governor. But there are even stranger party designations that have crossed the ballot both this year and in recent elections. These are a few of the most interesting third parties.

In 2009, Republican Edward Mangano added some extra ammo to his successful challenge against Nassau County’s incumbent county executive by running on a ballot of his own making – the TAX REVOLT PARTY. This fall, three state candidates, plus Rep. Pete King, plan to run on the TRP line, proving that the party – and Nassau County’s revolt against taxes – is still going strong.

It’s not unusual for challengers to campaign by speaking out against incumbent politicians and their policies. It’s a little unusual to name a party after that very purpose, though. The STOP DE BLASIO PARTY will put forth a long shot candidate for the 28th state Senate District this fall. Peter Holmberg, a Manhattanite who is also running on the Republican, Independence and Reform Party ballot lines, has a platform of state tax relief, tort reform and, quite clearly, opposing the mayor.

BY ANNIE MCDONOUGH

Like Diane Neal, state Assembly hopeful DANNIEL MAIO has the rare honor of having a party named after himself this fall. Unlike Neal, however, Maio has added establishment support from the Republican and Reform parties. What’s unclear is if the ballot line is a tongue-incheek reference to Chairman Mao – or perhaps mayonnaise – or simply the candidate himself.

LT O V E R X TA O I S A L B STOP de IN MAIOUST WE TR S B O J E T A UPST F O S D N E FRI NEAL DIANE

The UPSTATE JOBS PARTY built its ideals around Martin Babinec, the unsuccessful challenger for New York’s 22nd Congressional District seat in 2016. With the narrow though complicated goal of creating innovative, sustainable private sector jobs, the UJP is taking a second shot this year with Onondaga County Comptroller Robert Antonacci II, who is cross-endorsed in the 50th state Senate District race by the Republican, Conservative and Independence parties.

No man is an island, but this actress-turnedpolitical-candidate is slated to appear on her own ballot line this November. DIANE NEAL, a mainstay on TV shows such as “Law & Order: Special Victims Unit” and “NCIS,” is running in New York’s 19th Congressional District, but a series of court rulings on whether or not she had sufficient signatures for an independent ballot line has left some doubt over whether she’ll actually appear on the ballot – though the most recent ruling affirmed her candidacy. The upside of Neal’s ballot line? There’s little chance her supporters will vote for the wrong person when “Diane Neal” is both the party and the candidate.

RED PTION OF 6

CityAndStateNY.com

October 15, 2018

OR A PROSECUTOR , Manhattan District Attorney Cyrus Vance Jr. has been playing a lot of defense lately. Since the #MeToo movement began, he has been slammed by women’s rights advocates for not pursuing a 2015 groping accusation against Hollywood mogul Harvey Weinstein. Vance was exposed last year for telling his staffers in 2012 to drop a felony fraud case against Ivanka Trump and Donald Trump Jr. after meeting with a Trump family lawyer – one of Vance’s largest political donors. Separate from the scrutiny on his treatment of A-listers, Vance was panned in the press this year for bail practices

that are unusually punitive toward poor and minority defendants. This month, sexual assault survivor and victims advocate Marissa Hoechstetter, who had previously complained the DA’s office mishandled her and other women’s allegations against a Columbia University gynecologist, said Vance’s office “has a pervasive culture of discounting survivors.” So, is this the beginning of the end for the three-term incumbent, who is up for re-election in 2021? Or will he change his ways – especially if he wants to fend off a potential progressive challenge? In a sit-down interview with City & State, Vance said he plans to run, but the way he leads the office will not be influenced by a need

DON POLLARD/OFFICE OF THE GOVERNOR

THE

DEMPTI October 15, 2018

City & State New York

THE MANHATTAN DA IS MAKING SOME REFORMS, BUT WILL IT BE ENOUGH TO WIN OVER HIS CRITICS? BY A NDR E W K E SHNE R

CY VANCE to shore up support from Manhattan’s left-leaning Democratic primary voters. “I’m not going to run this office worried about losing,” he said. But Vance is still offering some olive branches to liberals and criminal justice reformers. During the interview, he emphasized that he is prosecuting far fewer cases than he used to, thanks in part to his directives not to press charges in some minor cases. Vance also cited funding from approximately $2 billion in forfeiture dollars that he has poured into progressive priorities. The DA’s office has spent $38 million to fund the review of previously untested rape kits across the country and

put up $7 million for the state’s initiative to offer college courses to prisoners. Regarding bail reform, Vance said in January that his office adopted a policy of not requesting bail and allowing defendants to be released in most misdemeanor and violation cases. The new policy doesn’t apply to defendants accused of violent crimes, or those with lengthy rap sheets or those on parole or probation. The result has been a 33.5 percent decrease in bail requests since January. Manhattan prosecutors arraigned more than 100,000 cases in 2009. Last year, they arraigned more than 66,000 and Vance said the number would drop even further due to his new policy.

CityAndStateNY.com

The DA contended, however, that the criticism he has endured played no role in any of his policy shifts. Rather, he attributed it to a “peace dividend.” With crime having steadily decreased for more than two decades, prosecutors don’t need to be as overbearing, Vance concluded. “None of this we’re doing because we’ve been chased into the position,” he said. Vance knows there’s an intense spotlight on the office. The 2015 WeinVance declined to stein case was not the first time Vance, prosecute produc64, declined to prosecute a powerer Harvey Weinful man accused of sexual assault. In stein, left, and the 2011, Vance’s office dropped sexuIMF’s Dominique al assault charges against Dominique Strauss-Kahn, for sexual assault. Strauss-Kahn, the International Monetary Fund’s former managing director, when prosecutors became unsure about the veracity of the accuser’s claims. Of course, Vance is going after Weinstein now. While Weinstein’s alleged serial sex offenses occurred all over the globe, he is facing rape, criminal sex act and predatory sexual assault charges in Manhattan. Weinstein didn’t have to wait around for 18 hours like an average arrestee, though: He got out swiftly on a pre-arranged $1 million bail. Vance may have other opportunities to prosecute wealthy white men who have been accused of sexual misconduct by multiple women, as many of the high-profile incidents allegedly occurred in Manhattan. Whether Vance will prosecute any of those cases – which are often difficult to prove in court – is unclear. One woman alleged in 2005 she had a glass of wine with celebrity chef Mario Batali at a Manhattan restaurant and later woke up on the floor feeling that she had been drugged and sexually assaulted. Police were reportedly looking into the claims, which Batali denied. Meanwhile, disgraced former NBC “Today” host Matt Lauer allegedly sexually assaulted a producer in 2001, inside his Rockefeller Center office. Vance told City & State he couldn’t discuss particular investigations. “We have made the decision to prosecute individuals that no one else has prosecuted,” he said. “We prosecute very difficult sex crime cases all the time. You just don’t write about them.” His initial decision on Weinstein was based on the particulars of the case, informed by his sex crimes chief, Vance said. Pointing to the $38 million his office has put toward the review of some 60,000 rape kits in 20 states, Vance added, “I don’t know how you would confuse the effort that went into that to say this is an office that doesn’t focus on sex crime.” As for the fizzled Trump case, Vance said he had to contend with a related civil settlement where condo buyers said they were not victimized and would only cooperate under subpoena. “You have to decide what resources you’re going to continue to invest in what cases. This was five years ago. It was not foreseen that Trump would be president in 2016, so I think evaluation of that case was perhaps looking in the rearview mirror.” Though defense attorneys contributing to prosecutors’ campaigns are normal and legal, Vance vowed in January to follow self-imposed limits and restrictions on defense lawyer donations. “Is there any

October 15, 2018

other DA who has agreed to these restrictions? I think the answer is no,” Vance told City & State. Will all of those measures mollify Manhattan’s liberal Democratic primary electorate? It could be a tough case for Vance to make. Gabriel Sayegh, co-founder and co-executive director of the Katal Center for Health,

Equity, and Justice, said efforts like rape kit analysis funding or new bail request policies – if the bail requests do actually change in practice – are good, but they do not make up for other “counter reforms” or inaction that let the status quo hum along “like fine-tuned machinery.” He said, “It’s like setting up a park and getting touted for it, and meanwhile letting a couple buildings across the street burn down.” Under Vance, the Manhattan District Attorney’s Office didn’t operate with “an ethic of reform,” but seemed to be “trying to manage the politics of it,” according to Sayegh. John Pfaff, a Fordham University School of Law professor, said many self-described progressive prosecutors, like Vance, are faulted for the perceived divide between their rhetoric and courtroom results – often in real time on social media, by public defenders and court watchers. “If the (assistant district attorney) actions change, that will become known,” said Pfaff, the author of “Locked In: The True Causes of Mass Incarceration and How to Achieve Real Reform.” Scaling down the prosecution of low-level cases was a start, Pfaff said, but he added, “We’ve been at that starting point in the country for 10 years now.” Harder questions surrounding different approaches to violent crime are still unanswered, he said. If, for example, Vance pushed for leniency in cases where domestic violence

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October 15, 2018

City & State New York

Vance opposed bills to reform the statute and Cuomo twice vetoed legislation that would have changed the so-called gravity knife law. Vance’s objection was “outrageous,” Sayegh said. According to one Democratic strategist who didn’t want to antagonize Vance, Assemblyman Dan Quart has his eyes on Vance’s job. Quart sponsored the gravity knife reform bills and has clashed with Vance over the statute. “Several people have stated Assemblyman Quart is seriously considering (running),” said defense attorney Arthur Aidala, who has spoken to Quart’s friends and advisers about the politician’s possible career plans. “The one thing is this,” he later added. “I never got the impression (Quart) was going to run against Vance and more like when the time comes, in terms of Mr. Vance leaving.” Quart’s chief of staff Amanda Wallwin didn’t shoot down the idea of a district attorney run, but said, “2021 is a while away.” Wallwin added, “Certainly we’ve been focused on criminal justice issues and we found (Vance’s) performance to be lacking. But right now, the focus is on re-election.” Quart still sees small-time pot and turnstile jumping cases come to court, with many disposed at arraignment, according to Wallwin. “The biggest thing we’ve seen is a lot what of he’s doing is more PR than policy,” she said. Vance countered that he has the data to show his office isn’t just giving lip service to reform: A 23-page March report from the DA’s office laid out all sorts of diversion programs and policies meant to curb criminal cases. New York City legal and political insiders have speculated that Vance may not seek re-election. Vance said, rather cautiously, that his current plan is to run. “I, by no means, have decided not to run. And if the voters continue to support me, my present intent is to run, and I think there is much left to do.” State campaign finance records manhattan district attorney show Vance has about $220,000 in his coffers as of July. Beating an incumbent district attorney in the primacy vance ries is usually extremely difficult. Vance’s predecessor Robert Morgenthau served for nine terms. But Vance may be especially vulnerable, as evidenced by a chalpressing the Weinstein case and she praised Vance’s office for not prosecuting loitering for the purpose of prostitution, while other lenger’s last-minute write-in campaign that racked up votes. Former boroughs make cases on the law, which she called vague and dis- Brooklyn prosecutor Marc Fliedner announced a general election criminatory. “As far as prosecutors offices go, I think they are on challenge as a write-in candidate in October 2017 in the wake of reporting on Vance’s initial pass on the Weinstein case. Fliedner was the right track in many ways,” Broudo said. There are still other ways, though, in which Vance continues to fresh off a Democratic primary loss for Brooklyn district attorney frustrate advocates for black and Latino youths. The office has been and had no funding, name recognition or campaign infrastructure, a stickler enforcing a 1958 statute meant to bar switchblade-like but he still won about 10 percent of the vote for Manhattan DA. Though Morgenthau might have been around One Hogan Place knives. Advocates said police can deem just about any common folding knife as a forbidden blade and Manhattan prosecutors press the seemingly forever, Vance doesn’t hold illusions about his own political permanence. cases like no one else. “No officeholder should think that he or she is indispensable to The real victims are law-abiding minority men saddled with arrests and convictions for carrying tools sold openly at hardware the running of their agency,” Vance said. “I serve here obviously at stores and frequently used for common household repairs or various the pleasure of the voters. I think I need to have the data and information to earn their vote. And, thus far, I think I have.” blue-collar jobs, according to advocates. victims commit violent crimes against their abusers, that would be much bigger step forward, Pfaff argued. Some criminal justice reform activists are impressed by Vance’s record. Melissa Sontag Broudo, the co-founder and co-executive director of the SOAR Institute, an advocacy and policy organization for sex workers and sex trafficking victims, credited Vance for

“I, by no means, have decided not to run. And if the voters continue to support me, my present intent is to run, and I think there is much left to do.” –

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CityAndStateNY.com

October 15, 2018

COSTS OF HEALTH CARE

RICARDO REITMEYER/SHUTTERSTOCK

HE BATTLE OVER Obamacare has mostly faded away, but other health care policy debates are still raging. Ahead of the midterm elections, some progressives are demanding an expansion of Medicare to all Americans. In New York, elected officials are paving the way to legalize recreational marijuana. And for low-income patients in New York City, getting adequate care from the city’s beleaguered public hospital system remains a struggle. Each of these hot-button issues has fundamental fiscal questions that are often overlooked or underreported – as does the health care system as a whole. In this special section on health care, we explore some of these factors in greater detail, including the fight between nonprofit and for-profit entities in providing health care, a unique effort to incentivize doctors to work in underserved areas and the inconsistencies that would likely arise between the state’s medical marijuana program and a new market for recreational marijuana.

City & State New York

JOSH YETMAN

October 15, 2018

CityAndStateNY.com

October 15, 2018

FINDING PH

October 15, 2018

City & State New York

HYSICIANS FACING A DOCTOR SHORTAGE, NYC’S STRUGGLING PUBLIC HOSPITALS LOOK TO A CONTROVERSIAL MED SCHOOL IN THE CARIBBEAN

RIC BEHAR WAS AN aspiring doctor with a master’s degree in neurobiology under his belt when he saw the subway ad that would save him $62,000. The eye-catching advertisement was for CityDoctors, a partnership between New York City’s public hospital system and St. George’s University School of Medicine, which is based in the Caribbean island nation of Grenada. New York City residents pursuing a medical career can have their tuition covered at SGU if they pledge to work a certain number of years as a primary care doctor at New York City Health + Hospitals, the city’s struggling public hospital system. “Why not?” Behar thought after seeing the ad. “There’s no better place to give back, and I’m from here, and I want to stay here.” He returned to New York after completing his studies at SGU in 2017, working as a resident psychiatrist at Metropolitan Hospital Center close to where Over 2,000 miles he grew up on Manhattan’s Upper East Side. from New York He received a two-year scholarship, so he’ll City, St. George’s owe the city two years of employment once University in he completes his residency and becomes an Grenada trains the attending physician. city’s next generation of doctors. The problem is that there are not enough doctors like Behar. New York City’s public hospitals, which form a critical safety net for many low-income residents, are facing a shortage of doctors who work in primary care, the day-to-day physicians with whom patients make first contact, such as those in family practice, pediatrics and internal medicine. There is no shortage of primary care doctors in the state as a whole, according to a 2018 report from the Center for Health Workforce Studies at the University at Albany. But New York’s doctors are poorly distributed, with almost a third of the state’s population

JOSH YETMAN

BY J E FF C O LT IN

CityAndStateNY.com

living in a federally designated health pro‑ fessional shortage area – including many in poorer areas of New York City, such as East New York, Brownsville and Washing‑ ton Heights. New York City Health + Hospitals, which has been beset for years by budget deficits and declining physical infrastructure, launched a recruiting campaign earlier this year called Docs4NYC to find more primary care doc‑ tors to staff facilities in high‑need areas around the city. The system aims to hire 75 doctors, and expects to have hired 30 by the end of October, but the shortage is unlikely to be solved by one recruitment drive. Doctors, on the whole, are an older bunch. Many are approaching retirement age, and many more are well past it. Meanwhile, the city is trying new strategies to increase outpatient visits, putting an even greater emphasis on primary care doctors. One major way New York City is try‑ ing to address this deficit of primary care physicians: a partnership with a for‑prof‑ it school in a foreign country more than 2,000 miles away. THE ARRANGEMENT WITH St. George’s has raised questions, however, since New York already has more than a dozen tradi‑ tional nonprofit medical schools. But no‑ body is more eager to answer questions than Dr. G. Richard Olds, the university’s president and CEO. “I know it may seem like we’re not a New York school,” he told City & State. But he argued that when fac‑ toring in the share of New Yorkers among the school’s nearly 8,000 students and the number of graduates that end up in the five boroughs, the university is “every bit as much of a New York medical school as all those New York‑based medical schools.” New York colleges like Stony Brook Uni‑ versity, New York University and Bing‑ hamton University are among the biggest undergraduate feeder schools to SGU, and Olds estimated that 4 percent of all doctors in New York are St. George’s graduates. “I would argue we’re actually New York state’s biggest medical school,” he said. “It’s just, we happen to be based in Grenada.” Olds seemed accustomed to defending his university’s reputation. St. George’s and other Caribbean schools have a tough time shedding their label as “second‑chance med schools,” gobbling up students who couldn’t earn one of the ultra‑competitive slots at U.S.‑based graduate medical programs each year. There’s no doubt the schools are re‑ sponding to demand – each year, more than 50,000 students apply for just 21,000 spots at American medical schools, meaning more than half have to give up or look abroad. St. George’s, which opened in 1977, is one

October 15, 2018

of dozens of offshore medi‑ cal schools catering mostly to American students. But the reputation of recruit‑ ing a lower tier of students is shared among all of them. St. George’s has a page on its website dedicated to “de‑ bunking the myths” of Ca‑ ribbean medical schools, including a denial that they will “take your money and abandon you.” That’s a criticism ap‑ plied not only to Carib‑ bean schools, but to other for‑profit colleges, a growing subset that has a long histo‑ ry of poor management and disappointing student out‑ comes. For‑profit schools are often thought to be less rig‑ orous than their more com‑ mon nonprofit competitors, but Olds was quick to de‑ fend SGU’s standards. The school is accredited by the New York State Education Department, and its stu‑ dents have to pass the same St. George’s Presexam as their counterparts ident and CEO in American schools if they Dr. G. Richard want to practice in the U.S. Olds speaking at a CityDoctors Olds attributed the criti‑ scholarship eight years into the deal, New cism from American medical event. York City Health + Hospitals schools to a decadelong, ongoing had received just $37 million – financial dispute. “The reason but that’s a multimillion‑dollar they don’t like us is we actual‑ ly share our tuition with the hospitals that revenue stream that the system wouldn’t train our students,” he argued. St. George’s have had otherwise. The deal spurred immediate backlash and other similar offshore medical schools pay hospitals for rotation spots, ensuring from American universities, who claimed that their students will get valuable hands‑on their students were being pushed out by training in New York City. American medi‑ their Caribbean counterparts. Those com‑ cal schools generally don’t pay, arguing that plaints seem to have fallen on deaf ears – the student doctors’ labor – and the affilia‑ New York City Health + Hospitals renewed the contract in 2017, with St. George’s ex‑ tion with the school – is payment enough. “It’s immoral,” New York Medical Col‑ pected to pay more than $12 million a year lege Chancellor Edward Halperin told The for up to seven years. Dr. Machelle Allen, New York City Wall Street Journal in 2016. “I don’t think human illness is a commodity to be sold in Health + Hospitals’ senior vice president and chief medical officer, denied that St. the marketplace.” But the willingness of St. George’s to pay George’s students were taking spots from New York City Health + Hospitals to host students at American schools, saying that its students was too good of an offer for the schools like NYU and Columbia Univer‑ sity continue to send the same number of cash‑strapped public hospital system. So it signed an agreement in 2007 to students for clinical rotations as always. “I make St. George’s the only international think it’s more of a fear or a perception than medical school whose students the public a reality,” she told City & State. Allen also praised St. George’s as “an en‑ hospital system would accept for rotations. St. George’s was expected to pay the city up thusiastic partner” with a great track record to $100 million over 10 years for the slots. for educating doctors. “When they come That seems to have been an overly generous back to H+H as residents or providers, they estimate – Politico New York reported that really are as competitive as those who are

ST. GEORGE’S UNIVERSITY

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City & State New York

trained in the United States and are looked upon favorably by their colleagues,” she said. The city’s relationship with St. George’s is about more than just cash. St. George’s is prodigious at providing primary care doctors. Only about 10 of the roughly 380 St. George’s students doing rotations in New York get the CityDoctors scholarship each year. But many students who don’t make a pledge to be a primary care physician at New York’s public hospitals do so anyway, thanks to the local connections they build. St. George’s said its students are more racially and economically diverse than at many other medical schools, which New York City Health + Hospitals said it particularly appreciated in serving its diverse patient base. And St. George’s graduates were also about twice as likely as graduates of other New York-based schools to go into primary care, the area where new doctors are most needed. St. George’s said 76 percent of its graduates work in primary care, compared to 33 percent from Columbia and 42 percent from the University at Buffalo, according to U.S. News & World Report. NYU, where 36 percent of graduates enter primary care fields, announced earlier this year that it would offer full tuition scholarships for all

of its students, partly to discourage students from pursuing high-paying specialties out of financial necessity. Experts point to student debt as one of the main reasons why a majority of graduates begin their careers as specialists, despite a shift toward primary care to keep people healthy. PROPOSED FIXES FOR the national doctor shortage are common. U.S. Sen. Charles Schumer announced legislation earlier this year to add new federally funded residency training slots for doctors. New York state funds a program called Doctors Across New York that will repay the student loans of doctors who practice in areas of the state where there are shortages. And while the the city’s public hospital system is trying to increase the supply of doctors, the New York City Department of Health and Mental Hygiene is simultaneously trying to reduce the demand for primary care doctors. “Patients only are with a provider a limited time of their life. They’re in the community most of their lives,” Dr. Sonia Angell, the department’s deputy commissioner of prevention and primary care, told City & State. “So if where they spend most of their lives is unhealthy, it doesn’t matter how

Our Perspective Amazon Needs to Improve Much More Than Just Wages By Stuart Appelbaum, President, Retail, Wholesale and Department Store Union, RWDSU, UFCW

mazon generated some positive headlines for itself recently by announcing a wage hike to $15 per hour for all of its hourly employees. There are many questions, however, about changes to the company’s bonus and stock grant programs that accompanied the wage hikes that have many employees fearing they’ll actually lose money. And, the problems faced by Amazon workers go far beyond the issue of wages, with workers dealing with numerous hardships and hazards on the job each and every day. Amazon warehouse workers face outrageous work quotas and cruel working conditions that have left many with illnesses and injuries. Contracted workers, such as those making “last mile” deliveries, have described inhumane working conditions and demands. These couriers say they cannot take bathroom breaks and often feel compelled to drive dangerously to satisfy the stringent demands of Amazon.

In the United Kingdom alone, there have been 600 ambulance calls to the online retailer’s warehouses in the past three years, and, according to a study by the GMB union, roughly 80 percent of workers experience pain on the job. The pressure is so high at Amazon’s warehouses in Germany that workers say, both physically and psychologically, they are getting sick. In fact, the very day these raises were announced, German Amazon workers in six of the country’s “fulfillment centers” were striking for the right to have a union contract. This simple demand, to have a real say in working conditions and the security of a collective agreement, is not just being denied to employees in Germany. None of Amazon’s roughly 600,000 employees around the world have a comprehensive labor agreement. For years, workers have held strikes and other workplace actions in Spain, Italy, Poland, and the United Kingdom; yet Amazon has

many doctors they have visits with. It’s not going to promote population or community health at large.” Angell said her department is more focused on keeping more New Yorkers healthy so they have to visit those doctors less, citing examples like banning trans fats in restaurants, and even increasing enrollment in pre-kindergarten, which has been shown to have positive health outcomes for children. Further fixes are important, since Health + Hospitals is still short on doctors after more than a decade partnering with St. George’s. But that relationship has its successes, like Behar, who gets to practice psychiatry at Metropolitan Hospital Center in his hometown, serving Spanish speakers like himself. “The resources are short, the facilities are not that pretty at all,” he said. “But that makes you a better doctor.” Down in Grenada, Olds knows New York will always need new doctors, and he’s more eager than ever to send back fully trained physicians like Behar. He just wishes New Yorkers gave his school more respect. “We actually contribute to the success of your biggest hospital system,” he said. “I’m not asking for thanks, but maybe you should throw a few less stones.”

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aggressively squashed workers’ efforts to gain a union contract anywhere. In the U.S., at Amazon-owned Whole Foods, employees are forced to watch a vicious and misleading antiunion training video, which was leaked just before the wage increases were announced. The world’s largest internet retail company, owned by the richest man in the world, should be able to do more than just pay a decent hourly wage. Amazon can afford to improve working conditions and protect workers’ health and safety. And, Amazon can afford to listen to employees’ concerns and work with them to make their jobs – and their lives – better. Instead, Amazon has gone to great lengths to do the exact opposite. Amazon proclaimed itself “a leader” when it announced the wage increases, but a true leader in raising worker standards doesn’t actively try to silence workers or deny their right to join unions and negotiate collectively. Jeff Bezos must now do more than listen; he must actively change the culture of Amazon from one that exploits its workers to one that treats them fairly and humanely. It will take much more than just wage increases to make Amazon a truly decent employer.

www.rwdsu.org

RECREA TIONAL THERAPY 16

CityAndStateNY.com

October 15, 2018

HOW WOULD LEGALIZED MARIJUANA COEXIST WITH NEW YORK’S MEDICAL MARIJUANA PROGRAM?

N A RAINY NIGHT in September, hundreds of people packed into the Kumble Theater at Long Island University Brooklyn to talk about pot. The event was one of 15 listening sessions Gov. Andrew Cuomo set up around the state for input to draft legislation that would legalize and regulate recreational marijuana. Each attendee had two minutes to speak, and many spoke passionately about the medical benefits of the drug. New Yorker Tom Hilgardner argued that the distinction between medical and recreational cannabis should no longer exist. “It’s really of no use,” he said. “All use, even self-medication – people think they’re using it recreationally. It’s probably the

body telling you there’s a medical benefit.” Shortly afterward, Michael Zaytsev, a cannabis entrepreneur and founder of the Meetup group High NY, offered a different take. “I won’t go too far into the medical program, or my criticism, but we need to regulate that separately from adult use, I believe,” he said. The remarks sum up a key question regarding the future of New York’s existing medical marijuana program: What impact would a recreational market have on the current medical one? One key factor is price. Dr. Kenneth Weinberg with Cannabis Doctors of New York, a group of doctors who certify patients and offer consultations, said he hopes

that legalizing recreational marijuana will bring down the cost of medical marijuana – presumably by expanding the supply. Marijuana and medicines derived from it are not covered by any insurer, private or public, because the federal government still recognizes marijuana as a Schedule I drug, which means the government considers it extremely dangerous and without any medical purpose. So patients still need to pay for it out of pocket, even with a certified medical marijuana card. “One of the major roadblocks is that people can’t get the cannabis,” Weinberg said. “I have a number of patients who I will certify and then will call back and they’ll say … ‘I went in and it was so expensive, I couldn’t keep doing it.’”

DAVID DERMER/AP/REX/ SHUTTERSTOCK

BY R E B E C C A C . L E W I S

October 15, 2018

But for many patients, recreational marijuana would not be a replacement. Weinberg said that many patients would still benefit from consultations with doctors who can recommend the best course of action for people, many of whom have exhausted other treatment options. Most of the patients he sees have no interest in the recreational products they could buy if New York legalizes recreational marijuana. “The majority of the people who come in specifically ask me – they want to make sure they don’t get high,” Weinberg said. Then there are the potential inconsistencies that could arise. Other states have faced challenges in reconciling recreational marijuana with medical marijuana programs in

City & State New York

recent years, and may serve as a cautionary tale. Over the summer, Vermont became the most recent state to legalize cannabis, and it did not make changes to its medical marijuana program, leading to confusion about the two conflicting sets of regulations. There were questions about how much cannabis one can legally carry, how many plants one can grow and how much can be harvested from homegrown plants. Different rules apply for those with medical cards and those who obtain the newly legalized substance for recreational purposes. Under the New York state’s existing medical marijuana program, patients are not allowed to grow their own cannabis, but new regulations could still come into

conflict with existing ones. Perhaps the most immediate issue would be the type of cannabis one can buy and use. Medical marijuana is limited to nonflowering cannabis – that is, it cannot be smoked. Patients must consume it through vaporization, oil, pills or other nonsmoking methods. Under legislation previously introduced in the state Legislature to legalize and tax cannabis, there would be no restrictions on the method of use. Plus, the governor has not drafted the legislation he plans to introduce. Currently, patients as young as 18 can use medical marijuana if they are certified. Most proposals for recreational marijuana set the age floor at 21,

CityAndStateNY.com

October 15, 2018

the same as with alcohol. This raises the question about the legality of 18- to 20-year-olds who possess medical marijuana, and which law would apply – an issue that arose in Vermont. Of course, the introduction of a recreational marijuana market alongside the medical marijuana program can go smoothly. Colorado established its medical marijuana program in 2000 and legalized recreational use in 2014. According to Michael Van Dyke, who oversees the marijuana programs at the Colorado Department of Public Health and Environment, the state did not make any changes to its medical marijuana program in 2014, largely because it was created through a constitutional amendment and changes could not be made easily. (New York’s medical marijuana program was created through state legislation.) Van Dyke said the new recreational market had little effect on the medical marijuana program, and the state did not see a significant drop in medical marijuana cardholders. Those certified with the program were able to continue buying their products, which are set at a lower tax rate than recreational products. Although New York is looking to other states for guidance, no one knows yet whether the medical program will be changed in any way if recreational marijuana becomes legal. Assemblyman Richard Gottfried, who sponsored the bill that created the state’s medical marijuana program in 2014, said that he has had conversations with the governor’s office about the issue, but that they have not come to any conclusions. “Several of us in the Legislature are in close consultation with the governor’s people,” said Gottfried, who chairs the Assembly Health Committee. “So how we do that, I don’t know yet. But I know there is a lot of concern and brainpower being focused on it.” Gottfried said while there is still no clear picture about how the medical marijuana program may evolve, he hopes the state can make it less restrictive. Currently, patients only qualify for medical marijuana if they have one of about a dozen qualifying conditions. Gottfried has been advocating

to expand the list of qualifying conditions independently from the recreational marijuana debate, but he hopes those changes come about in tandem with legalizing recreational marijuana. Although other states have navigated this issue, each state has its own rules and regulations that were introduced in different ways at different times. Legalization is happening piecemeal across the country rather than uniformly at the national level. More broadly, regulating both medical and recreational marijuana poses a novel policy question. There is little precedent for a substance approved for medical use that may also be widely used recreationally in a legal setting, while still being a controlled substance at the federal level. Yet Gottfried did draw an analogy to foods with positive health benefits that people consume on a daily basis. He said that the problem lies in that fact that marijuana is not actually viewed this way in general. “The things that we consume that are very healthy for us, like oranges and milk, you would never think of them being pharmaceutical,” Gottfried said. “But if you extract the vitamin C from it, or produce it artificially, then the (U.S. Food and Drug Administration) supervises the production it. The FDA doesn’t supervise the production of oranges.” This suggests that the future of medical marijuana may lie in the extraction of individual compounds found within cannabis that have medical benefits, which can be regulated separately from the growth of the plant itself. However, that largely depends on the federal government’s categorization of cannabis as a Schedule I substance. As it stands, the question of legalizing recreational marijuana in New York still largely relies on the outcome of the November election. Even as the governor holds his listening sessions and convenes policymakers and experts to craft legislation, legalizing recreational marijuana may largely depend on Democrats winning control of the state Senate. Without that, the questions about the future of the medical marijuana program in the new environment could become moot.

The future of medical marijuana may lie in extracting compounds found in cannabis, which can be regulated separately.

RICHARD GOTTFRIED CHAIRMAN, ASSEMBLY HEALTH COMMITTEE

THE THREAT TO PRIMARY CARE HOW ARE WE FAILING ON PROVIDING PRIMARY CARE? Almost everything going on in health care and health care economics conspires, seemingly, against primary care. Once upon a time, physicians all worked in small practices. The cost of technology, the challenge of dealing with large, third-party payers, began a trend toward providers banding together in larger and larger economic entities. They then began vertically combining, so you have hospitals owning physician practices. The same thing is happening on the payer side, with fewer and fewer, larger and larger insurance companies. THERE ARE ALSO RETAIL CLINICS, SUCH AS AT CVS AND WALGREENS. Here in New York at the moment, they’re quickie drop-in clinics, but nationally, you’re having situations where Walmart is opening full-blown practices in its stores. That’s going to come to New York; there’s no legal bar to it. The ability of a primary care practitioner to survive against that kind of competition is pretty much nil. DOES THE STATE NEED TO DO SOMETHING TO HELP PRIMARY CARE PHYSICIANS SURVIVE AGAINST THESE RETAIL CLINICS? Yes. I think one thing we need to do is define these retail establishments, and to statutorily – I think the horse is too far out of the barn to outlaw them – but I think we need to at least limit them to truly episodic, drop-in care, or else I think health care, in a very short period of time, is going to look very different in a way that we’re not going to like.

ASSEMBLY

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KEMP HANNON CHAIRMAN, STATE SENATE HEALTH COMMITTEE

EXPANDING MARIJUANA LEGALIZATION GOV. ANDREW CUOMO RECENTLY SIGNED LEGISLATION THAT EXPANDS THE STATE’S MEDICAL MARIJUANA PROGRAM TO

October 15, 2018

COVER TREATING OPIOID ADDICTIONS. WHAT ARE YOUR THOUGHTS ON EXPANDING NEW YORK’S MEDICAL MARIJUANA PROGRAM? Well, we are just coming into the cycle where some of the actual research is being done and reported on … as to the efficacy of medical marijuana. And it has proven it can be used in cases of pediatric epilepsy. And I think more of that will be coming. So there has been a very careful, some would say too cautious, introduction of medical marijuana in the state. There is some legitimate concern that the people who need it under a recommendation of a physician are not able to be in a geographical location where it’s available. We’re starting to get real complaints about the high cost of medical marijuana. And while people who are using it for pain feel it’s effective, they just can’t afford it. IS ALBANY MOVING TO-

WARD LEGALIZING RECREATIONAL MARIJUANA? The governor has appointed a task force of so-called experts. What will happen? I don’t know. New York’s not a state where you can do this by referendum. In a large number of states where there’s been a referendum, it’s passed. I tend to look at it with a very suspicious, not approving view. One of the major preoccupations in terms of policy creation and funding has been the problems of the opioid crisis, which has morphed into and includes now opioids and heroin, dealing with people dying from that. So the whole community where we’re trying to stop people getting addicted, that whole community, I believe, feels totally suspicious of recreational use. That being said, I am not ignorant of the fact that neighboring states and nations – Canada will soon have it, though we have a pretty secure border, but Massachusetts has approved it.

Right there, there’s a border state and part of the problem people have with recreational use is the effect on drivers, and we’ll be facing that soon because there’s no borders really between New York and Massachusetts. CAN THE STATE BLOCK NEW YORK CITY FROM LEGALIZING SAFE INJECTION SITES? You’re asking me a question on a day when the governor of California has vetoed injection sites. Can the state stop it? I don’t know that the state will stop it. They need permission I believe to change state laws. So that’s not stopping anything. The second part of it is I would think you would have to break into the policy debate the stance of the federal government – which when New Jersey said we’re thinking of doing this, the federal government said we do not approve of it and we will take action against you because it’s illegal.

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STATE SENATE

October 15, 2018

City & State New York

GUSTAVO RIVERA

THE COMMITTEE’S NEXT CHAIRMAN? Absolutely. Let’s be clear. A few things need to happen. Obviously we need to pick up enough seats to be in the majority in November, and then the leader has to appoint who the chairpeople will be. So you expect nothing, but I’m hoping that based on the fact that over the last six years I’ve done work as the ranking member, and in all honesty I’ve prepared for this role. Hopefully I will appointed chair of the health committee – that is my hope, and I’m willing to work to make sure that’s the case.

RANKING MEMBER, STATE SENATE HEALTH COMMITTEE

ALI GARBER

TOP HEALTH PRIORITIES UNDER A DEMOCRATIC MAJORITY AS THE RANKING MEMBER OF THE STATE SENATE HEALTH COMMITTEE, ARE YOU HOPING TO BECOME

ARE YOU OPTIMISTIC THAT DEMOCRATS WILL WIN A MAJORITY? Absolutely, yes. IF THE DEMOCRATS WERE TO WIN THE MAJORITY, WHAT WOULD BE YOUR TOP PRIORITIES?

There are a lot of them. The most important legislative priority, and this is I think true for everyone in the Democratic conference regardless of what committee we might potentially lead, is that we all recognize that the most important thing we can do next year is, that we must do next year, is govern effectively. This is not 2009, no matter how many times Republicans want to say it. We are a different group of people. We are prepared for the responsibility, we want the responsibility, and we want to govern effectively. Now, some of the things I think are incredibly important: the New York Health Act is a bill to create a health care for all system in the state of New York. That is my bill. I picked it up last year. I have been gaining support on it since then. I have been working along with my colleague in the

Assembly, Dick Gottfried, and with all stakeholders. Because look, up until this point, there are many people who have engaged – there’s a reason it has become a centerpiece of a lot of political discussions. But there’s a lot of folks who haven’t really engaged because it was always going to pass in the Assembly but it wasn’t going to move in the Senate. Now we’re talking about a different situation. We are engaging in real conversations with all stakeholders, including the Second Floor. We’re going to be introducing a different bill in January. It’s going to be tweaked in some ways, and we’re going to continue to work because we want to make sure that we have a bill that is workable, that the governor is going to sign, that we can afford, and that’s actually going to help us address the concerns of providing health care for everybody.

NEW YORK! SAVE YOUR WALLET FROM THE HEALTHCARE MOB! As I was rushed to NYU Medical Center on May 13th 2014, the worst news was not that I had an incurable grapefruit-sized cancer in my head, but that Oxford had canceled my insurance. That happened again in 2016. And with that, I was labeled not only “high-risk” but a “pre-existing condition” twice-over. I had to laugh, twice. Here’s the problem: Being human is a preexisting condition. We will ALL get sick, many of us, VERY sick. And who banks on that? Health insurers. Much like the mob, their monthly “protection” is limited and expensive and doublesdown the sicker we get, (read: the more we need it, the less we have it). We pay the premiums, but in our darkest hour, are punished for terminal illness. Insurers are truly sick. Conservatives refer to Medicare and Medicaid as “entitlements”, as if healthcare were a charitable gift. But Congress declared healthcare a right in 1986 when it passed the Emergency Medical Treatment and Active Labor Act (EMTALA), an unfunded mandate signed by Reagan ensuring EVERYONE, regardless of income, status or citizenship, received care at federally funded hospitals (nearly all of them). See? We already pay

the bill. So why not pay a smarter, more fiscally sound bill that actually covers our pre-existing human condition, and that of our aging lovedones? In fact, single-payer is the most fiscally conservative healthcare plan. We already pay more than any other country, and experts warn it could become a 5th of our economy. So trust me, we pay for universal healthcare; we just don’t get it. So, when Bernie championed “Medicare For All” and skeptics yelled: Too expensive! Fiscally irresponsible! Hospitals and business will suffer! Care will decline! I was intrigued. The New York Health Act, a single-payer plan to be introduced in the next State legislative session, promises even more comprehensive coverage than Medicare for all New Yorkers by including mental and long-term care. Most importantly, it takes insurers out of the transaction – a profound savings for individuals, business and the state. A recent study by the Rand Corporation declared it would provide universal coverage, billions in net healthcare savings and around 200,000 new jobs.

“The RAND study makes it clear that the New York Health Act is not only feasible, but the most fiscally responsible option for our State,” said State Senator Gustavo Rivera, Ranking Member of the State Senate Health Committee and bill co-sponsor. “This is an important validation of the New York Health Act by one of the most prestigious analytical firms in the country,” said Assemblyman and Health Committee Chair Richard Gottfried, another legislative sponsor. “RAND shows we can make sure every New Yorker gets the care they need…save billions every year by cutting administrative costs, insurance company profit, and outrageous drug prices; and pay for it all more fairly.” So, what should YOU do? Tell your state representatives you want healthcare for all New Yorkers! Get the facts at the Campaign for New York Health https://www.nyhcampaign.org.

CityAndStateNY.com

October 15, 2018

CORPORAT I

N NEW YORK, state law puts limits on how involved corporations can be in providing health care to patients. But CVS Health Corp.’s recent $69 billion merger with Aetna Inc. has heightened concerns about the future of for-profit health care in the state. Those concerns became even more urgent on Oct. 10 when the U.S. Justice Department approved the deal with the stipulation that Aetna divest its individual prescription drug plan business. Aetna has agreed to the condition. Under New York’s corporate practice of medicine law, business corporations are prohibited from offering the services of licensed professionals or authorized professional organizations, making decisions about the delivery of professional services or

sharing profits with licensed professionals. The law includes medical practitioners. Some health organizations and state legislators believe that the CVS-Aetna merger will undercut state law by allowing a corporation to directly influence patient care. The Medical Society of the State of New York, along with American Medical Association, has opposed the merger on the grounds that it would give the combined companies too large of a market share, increase prices and ultimately reduce options available to consumers by threatening local pharmacies and physicians. Despite the fears about fewer options, CVS is aiming to increase the number of CVS retail clinics known as MinuteClinics. Those clinics, which are typically located inside of their stores, address illnesses

and ailments that are less serious than those treated in hospitals or urgent care clinics. Nationally, CVS had 1,134 MinuteClinics at the end of 2017, but if the merger should occur, new retail clinics might open in more of CVS’ 9,700 stores. “The premise behind this consolidation is that CVS – using their retail clinics and their stores – is going to make health care more accessible,” Dr. Thomas Madejski, president of the Medical Society of the State of New York, told City & State. However, he said, “There’s really not that much data to support that. They may be able to make it more accessible, but that really has not translated to any improvement in outcomes nor to better patient care. And, actually, there are some studies that show that retail clinics actually cost more without any improvement.”

October 15, 2018

City & State New York

Assemblyman Kevin Cahill, who is the chairman of the Assembly Insurance Committee, is opposed to retail clinics and is against the CVS-Aetna merger. He has been calling on the state Department of Health and the state Department With the merger of Financial Services to scrutinize between CVS and Aetna moving forCVS’ plan to merge with Aetna since ward, more CVS it was first announced in December stores could serve 2017. When both departments chose as retail clinics for not to attend a June public hearing on local residents. the matter, the assemblyman voiced his disappointment. “The lack of involvement in this process by the state Departments of Health and Financial Services are of serious concern,” he said. “They have regulatory jurisdiction and responsibility over significant aspects of this plan. Their failure to attend today’s hearing leads to the conclusion that either they lack respect for the legislative branch or are asleep at the switch.” According to Cahill, one of the purposes of the hearing was to determine what

TUPUNGATO/SHUTTERSTOCK

ATE CARE Not everyone agrees. Gov. Andrew Cuomo came out in support of retail clinics in his 2019 executive budget proposal earlier this year. “Studies have shown that retail clinics are 40-80 percent less expensive than alternate sites of care while providing commensurate quality,” his briefing book stated. “Retail practices offer extended hours with no appointment needed, increasing access to primary care services and providing an alternative to emergency room care.” State Senate Health Committee Chairman Kemp Hannon said in January that he supported Cuomo’s plan. Madejski noted that although more retail clinics would increase the number of health care options, patients could end up being subjected to overtreatment and have fragmentation of care.

legislation, if any, would be appropriate given the concerns about the merger. However, without the agencies in attendance, the Assembly was not able to get their input. “One thing we will be doing independent of whatever happens in Washington with CVS and Aetna is looking heavily into the regulation of pharmacy benefit management companies,” he told City & State prior to the federal approval of the merger. “They have been allowed to carry on a great deal of what we previously held insurance companies responsible for, and there’s some sense that their activities are shielded from the regulatory view and that therefore consumers are not adequately protected.” In addition to being the largest retail pharmacy chain and specialty pharma-

cy in the United States, CVS is also one of the country’s two largest pharmacy benefit managers. Pharmacy benefit managers seek to negotiate lower drug costs for insurers and insurance companies. “If one insurance company owns a pharmacy benefit manager that was providing services to 40 percent of the insured population,” Cahill said, “that would be a very large potential conflict.” Lawmakers are also considering whether to further regulate contracting between insurance companies and their providers. “We have operated on the assumption – and I think rightfully so – that the relationship between providers and the insurers is an arm’s-length relationship. Once they are owned by the same company, that’s not true anymore,” Cahill said. Ahead of an early October hearing in Connecticut about the merger, New York State Department of Financial Services Superintendent Maria Vullo outlined a number of concerns regarding the merger, including the possibility of negative effects

WILL THE CVS-AETNA MERGER EXPAND — OR LIMIT — HEALTH CARE ACCESS IN NEW YORK? BY CHR IS T IN A S A IN T L OU IS

on competition, increased premiums, drug prices and data privacy issues as well as over the debt the company will take on to finance the transaction. “The proposed acquisition of Aetna by CVS will affect millions of consumers in Connecticut and New York, as well as the rest of the country,” she wrote in a letter to Connecticut Insurance Commissioner Katharine L. Wade. Nonetheless, CVS is confident that acquiring Aetna will be a benefit to its customers. “Together, we will help address the challenges our health care system is facing, and we’ll be able to offer better care and convenience at a lower cost for patients and payors,” CVS Health President and CEO Larry J. Merlo said in a statement following the DOJ approval. With the DOJ behind it, the merger is expected to close by the end of 2018.

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CityAndStateNY.com

October 15, 2018

VISITS TO PRIMARY CARE PROVIDERS ARE DOWN. WHAT WOULD NEW YORK POLICYMAKERS DO TO REVITALIZE PRIMARY HEALTH CARE? BY A NNIE M CDON O U G H

PRIMARY CARE physician is your go-to clinician, the doctor you’ve developed a yearslong relationship with, who knows your history, treats your family, and who, ideally, makes you feel safe and comfortable. But according to some experts, New York is some ways away from being able to call itself a “primary care town.” At City & State’s New York Health & Wellness Summit on Oct. 2, a panel of policymakers and community health providers discussed the challenges facing the state’s primary care system, and some of the efforts being made to restore the primacy of primary care. “Being a primary care town is where we really enable primary care to do everything it’s capable of doing,” said Theodore Long, vice president for ambulatory care at New York City Health + Hospitals. “Is that our current state in New York state and New York City? I think we have a little ways to go to get there.” Between 2012 and 2016, visits to primary care doctors in the U.S. declined 18 percent, according to a 2016 study by the Health Care Cost Institute, while visits to specialists increased. Primary care provides benefits that visits to specialists and emergency care can’t,

including long-term disease prevention. “If you cut a person up into his various diseases and send him off to the specialists, you’re really not able to see the whole picture,” said Louise Cohen, CEO of the nonprofit Primary Care Development Corp., during the panel discussion. Some argue that the rise of urgent care and walk-in clinics set up by retailers like CVS Health Corp. and Walmart Inc. also pose a threat to primary care. Assemblyman and Health Committee Chairman Richard Gottfried argued that, eventually, people will stop going to primary care providers for annual checkups when they can address all of their health needs at drop-in clinics, and advocated for restrictions on these clinics. “I think the horse is too far out of the barn to outlaw them, but I think we need to at least limit them to truly episodic, drop-in care, or else I think health care, in a very short period of time, is going to look very different in a way that we’re not going to like,” said Gottfried, a Democrat. State Sen. Kemp Hannon disagreed, saying that if these clinics had adversely affected primary care providers, those primary care providers would have complained about it.

“No one has said these urgent care centers are cutting in on their primary care practices,” said Hannon, the Republican chairman of the state Senate Health Committee. Another impediment to primary care visits is the fact that the system has not always appreciated the social determinants of health in minority and underserved communities. These social determinants include conditions like access to safe housing, quality education and affordable day care. Health care that doesn’t address these factors can result in a lack of patient trust in doctors. “If we’re going to improve the health of those individuals in the long term, it’s a failing approach if we don’t recognize how important it is to invest in what we now call the social determinants of health, or the context in which people live that actually creates health,” said Sonia Angell, deputy commissioner of prevention and primary care at the New York City Department of Health and Mental Hygiene. Gottfried pointed to the state Department of Health’s Doctors Across New York program, which provides loan relief for doctors working in underserved communities. “People relate better to a provider who they sense shares their background,” he said. The high cost of medical school can also deter doctors from entering a primary care practice, as student debt can be more quickly repaid when doctors choose more lucrative specialties. This summer, New York University announced a new free tuition policy for medical students – a move some hope will encourage graduates to pursue practices like primary care that are not as lucrative, but sorely needed. Whether or not it will work is yet to be seen. “It’s measurable,” Cohen said. “Today, according to the report that I have, NYU graduates 36 percent of its residents into primary care. Let’s see if that goes up. That’d be great.”

ALI GARBER

MAKING NEW YORK CITY A PRIMARY CARE TOWN

New York City Councilman Barry Grodenchik talks on a City & State panel, which focused on getting more exercise.

October 15, 2018

OXIRIS BARBOT ACTING COMMISSIONER, NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE

HEALTH CARE IN THE TRUMP ERA ON THE SOCIAL DETERMINANTS OF HEALTH … Recent studies from our agency have demonstrated how where

City & State New York

we live impacts health outcomes. And how certain drivers tend to cluster systematically disadvantaged groups together in neighborhoods. And these drivers include economic factors like minimum wage, neighborhood disinvestment and discriminatory lending; infrastructural factors like access to green space, heat vulnerability and residential crowding; societal and community networks, which are often ruptured by housing insecurity, public safety and community trauma; chronic disease burden, which often forces patients to choose between paying rent or paying for prescriptions; and access to wraparound services like case management, transportation and the like. Sadly, this is not an exhaustive list. ON HOW HEALTH CARE IN NEW YORK CITY HAS CHANGED DURING THE TRUMP ADMINISTRATION … I don’t think any of us would ever have imagined being in

the current context that we’re in now. We have developed a monitoring and surveillance system looking at the health impacts in New York City of threatened federal legislation, of rumors, specifically around access to care, reproductive health, environmental health, food insecurity and crosscutting immigrant health. It’s taken us a while to retool our surveillance efforts and re-examine the frequency with which we look at data in a way that can help create the equivalent of an early warning system in terms of the impacts that are coming down from the feds. What we’re finding is that we’re not really seeing any inflections in the data just yet. I think that has to do because of the tremendous safety net that we have here in New York City, as well as across the state. ON THE OPIOID CRISIS ... We in this city are still in the midst of an epidemic because of opioids. Just recently, we

released data that shows we’re still in this epidemic though the rate of rise is not as steep. But what we’re seeing is a change in the demographics of mortality related to opioid overdoses. For the first time in decades, African-Americans are now suffering the greatest rates of premature mortality from opioid overdoses. As a country, we have finally transitioned from a punitive response to addiction to one of more compassion and support. We as a health department, and as a city, are evermore focused on ensuring that that compassion and that support doesn’t change as the demographics of those affected changes. ON MEETING PUBLIC HEALTH NEEDS ... Public health and health care delivery in New York City have an opportunity to model what it looks like to work synergistically, as opposed to working, at best, in parallel, and at worst, at odds.

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CityAndStateNY.com / PUBLIC and LEGAL NOTICES

October 15, 2018 For more info. 212-268-0442 Ext.2039

legalnotices@cityandstateny.com Notice of formation of Evolution Locksmith, LLC a domestic Limited Liability Company (LLC). Articles of Organization filed with the Secretary of State of NY on August 08, 2018. The Office of this LLC is located in Westchester County. Secretary of state is designated as agent of the LLC upon whom process against it may be served. Secretary of State shall mail a copy of any process against the LLC to 90 Stratford Ave., White Plains, NY 10605. The purpose of the LLC is to engage in any lawful act or activity.

Notice of Qualification of BLOCK72 US LLC Appl. for Auth. filed with Secy. of State of NY (SSNY) on 08/28/18. Office location: NY County. LLC formed in Delaware (DE) on 08/14/18. SSNY designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to c/o Corporation Service Co., 80 State St., Albany, NY 12207-2543. DE addr. of LLC: 251 Little Falls Dr., Wilmington, DE 19808. Cert. of Form. filed with Secy. of State, 401 Federal St., Dover, DE 19901. Purpose: Any lawful activity.

Notice of Formation of JMNY Consulting LLC filed with SSNY on July 17, 2018. Office: Kings County. SSNY designated agent of LLC upon whom process against it may be served. SSNY shall mail copy of process to LLC: 774 55th Street, Suite S1, Brooklyn, NY 11220. Purpose: any lawful act or activity.

Chef Abyssinia LLC, Arts. Of Org. filed with SSNY 07/25/2018. Office loc: Westchester County. SSNY has been designated as agent upon whom process against LLC may be served. SSNY shall mail process to: The LLC, Attn: Abyssinia Campbell, 441 locust st, mount Vernon, NY 10552. Purpose: Any Lawful Purpose.

My tinker app, LLC, Arts. of Org. filed with SSNY 9/5/2018. Office loc: Westchester County. SSNY has been designated as agent upon whom process against LLC may be served. SSNY shall mail process to: The LLC, Attn: Alvaro Rodriguez, 100 Livingston ave. Apt#2C, Yonkers, NY 10705. Purpose: Any Lawful Purpose. Notice of Formation of 88-92 Atlantic Avenue Investors LLC. Arts. of Org. filed with Secy. of State of NY (SSNY) on 08/22/18. Office location: NY County. SSNY designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 20 West 22nd St., Ste. 1601, NY, NY 10010. Purpose: any lawful activities.

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NOTICE OF FORMATION of Agus 3629 Holdings LLC. Art. of Org. filed with the Secy of State of NY (SSNY) on 8/8/18. Off. Loc.: New York County. SSNY has been desig. as agent upon whom process against it may be served. SSNY shall mail copy of process to: 111 8TH AVENUE NY, NY 10011. Reg. Agent: National Registered Agents, Inc., 111 8th Ave, NY, NY 10011.. Purpose: any lawful purpose.

October 15, 2018 Notice of formation of SITA International USA LLC. Art of Org. filed with Secretary of State of NY (SSNY) on 8/20/2018. Office loc.: County of NY. SSNY has been designated as agent of the LLC upon whom process against it may be served. SSNY shall mail process to: c/o United States Corporation Agents Inc., 7014 13th Avenue Suite 202, Brooklyn, NY 11228. Purpose: any lawful act. HEY MAMA KITCHEN, LLC. Articles of Organization filed with SSNY on 6/11/2018. Office location: WESTCHESTER County. SSNY has been designated as agent upon whom process against LLC may be served. SSNY shall mail process to LLC: 7 Columbus Ave#450, Tuckahoe NY 10707. Purpose: any lawful act or activity. Notice of formation of limited liability company (LLC). Name: MARCATO SOLUTIONS LLC. Articles of Organization filed with Secretary of State of New York (SSNY) on 8/1/2018. NY office location: Kings County. SSNY has been designated as agent of the LLC upon whom process against it may be served. The post office address to which the SSNY shall mail a copy of any process against the LLC served upon him/her is Marcato Solutions LLC, 204 West 140th St Apt 3D, New York City, NY, 10030. Purpose/character of LLC: Any Lawful Purpose. EVERYDAY AI, LLC, Arts. of Org. filed with SSNY 6/29/2018. Office loc: Kings County. SSNY has been designated as agent upon whom process against LLC may be served. SSNY shall mail copy of process to LLC: 257 Gold St, 7C, Brooklyn, NY 11201. Purpose: any lawful act or activity. Notice of Formation of MAIN STREET FILMS 2 LLC, name amended to: TV Nation LLC. Arts. of Org. filed with Secy. of State of NY (SSNY) on 05/22/17. Office location: NY County. SSNY designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 1700 Broadway, 17th Fl., NY, NY 10019. Purpose: any lawful activities.

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Notice of Formation of DPM NYC LLC. Arts of Org. filed with New York Secy of S t a t e (SSNY) on 6/14/18. O f f i c e location: New York County. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 223 W. 138th St, Ground Fl., NY, NY 10030. Purpose: any lawful activity. Notice of Formation of BROADWAY THE GOLDEN AGE AND BEYOND LLC. Arts. of Org. filed with Secy. of State of NY (SSNY) on 06/25/18. Office location: NY County. SSNY designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: the Company, c/o Jamie deRoy, 180 West 58 St., Ste. 10D, NY, NY 10019. Purpose: any lawful activities.

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NOTICE OF QUAL. of Meushar 34th Street Developer LLC Auth. filed Sec’y of State (SSNY) 6/6/18. Off. Loc: NY Co. LLC org. in DE 6/5/18. SSNY desig. as agent of LLC upon whom proc. against it may be served. SSNY shall mail copy of proc. to NRAI, 111 Eighth Ave, NY, NY 10011, the Reg. Agt upon whom proc. may be served. DE off. Addr.: 160 Greentree Dr., Ste 101, Dover, DE 19904. Cert of Form. on file: SSDE, Townsend Bldg., Dover, DE 19901. Purpose: any lawful activity. Notice of Qualification of GG TWA, LLC. Authority filed with Secy. of State of NY (SSNY) on 06/22/18. Office location: NY County. LLC formed in Delaware (DE) on 03/02/18. SSNY designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: GG TWA, LLC, c/o After Midnight Company, LLC, 145 East 57th St., 12th Fl., NY, NY 10022. Address to be maintained in DE: National Registered Agents, Inc., 160 Greentree Dr., Ste. 101, Dover, DE 19904. Arts of Org. filed with the Secy. of State of DE, 401 Federal St., Ste. 4, Dover, DE 19901. Purpose: any lawful activities. HUMBLE HOUSING LLC, Arts. of Org. filed with the SSNY on 06/25/2018. Office loc: NY County. SSNY has been designated as agent upon whom process against the LLC may be served. SSNY shall mail process to: Paulson Eliancy, 65 Seminole Street, Selden, NY 11784. Purpose: Any Lawful Purpose.

Notice of Qual. of ASSETS CAPITAL PARTNERS LLC, Authority filed with the SSNY on 09/11/2018. Office loc: NY County. LLC formed in DE on 06/29/2018. SSNY is designated as agent upon whom process against the LLC may be served. SSNY shall mail process to: C/O Patrick De Lisi 1460 Broadway - Office 16-045, NY, NY 10036. Address required to be maintained in DE: Registered Agents Inc., 8 the Green, Ste. R, Dover, DE 19901. Cert of Formation filed with DE Div. of Corps, 401 Federal St., Ste 4, Dover, DE 19901. Purpose: Any Lawful Purpose. Notice of Qualification of 192 Lexington Avenue LLC. Authority filed with NY Secy of State (SSNY) on 9/6/18. Office location: New York County. LLC formed in Delaware (DE) on 8/1/18. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 8 W. 40th St, Fl. 3, NY, NY 10018. DE address of LLC: 1013 Centre Rd, Ste 403-B, Wilmington, DE 19805. Cert. of Formation filed with DE Secy of State, 401 Federal St, Ste 4, Dover, DE 19901. Purpose: any lawful activity. Notice of Qualification of Bloomfield Capital Holdings, LLC. Authority filed with NY Secy of State (SSNY) on 8/17/18. Office location: New York County. LLC formed in Michigan (MI) on 11/16/11. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 25 Robert Pitt Dr., Ste 204, Monsey, NY 10952. address of LLC: 280 N. Old Woodward, Ste 104, Birmingham, MI 48009. Cert. of Formation filed with MI Secy of State, Ottowa Bldg, 611 W. Ottowa, POB 30004, Lansing, MI 48909. Purpose: any lawful activity.

LEGALNOTICES@ CITYANDSTATENY.COM Notice of Formation of WF Industrial II LLC. Arts. of Org. filed with NY Dept. of State on 9/13/18. Office location: NY County. Princ. bus. addr.: 80 8th Ave., Ste. 1602, NY, NY 10011. Sec. of State designated agent of LLC upon whom process against it may be served and shall mail process to: Cogency Global Inc., 10 E. 40th St., 10th Fl., NY, NY 10016. Purpose: any lawful activity. Notice of Formation of 7208 Management LLC. Arts of Org filed with SSNY on 8/16/2018. Office: NY County. SSNY designated agent of LLC upon whom process may be served and shall mail copy of process against LLC to 8016 Narrows Ave, Brooklyn, NY 11209. Purpose: any lawful act or activity.

LEGAL NOTICE Notice of formation of Limited Partnership (“L.P”). Name: BG Betances L.P. Certificate of Limited Partnership filed with the Secretary of State of the State of New York (“SSNY”) on September 13, 2018. N.Y. office location: New York County. The SSNY has been designated as agent of the L.P. upon whom process against it may be served. The SSNY shall mail a copy of any process to BG Betances L.P., c/o Breaking Ground II Housing Development Fund Corporation, 505 Eighth Avenue, 5th Floor, New York, New York 10018. The latest date upon which the L.P. shall dissolve is December 31, 2128 unless sooner dissolved by mutual consent of the partners or by operation of the law. Name/ address of each general partner available from SSNY. Purpose: any lawful activity.

Notice of formation of 141 DARTMOUTH LOOP LLC. Arts of Org. filed with the Secretary of State of New York SSNY on 9/14/2018. Office location: Richmond. SSNY design. agent of LLC upon whom process may be served and shall mail copy to 141 DARTMOUTH LOOP, STATEN ISLAND, NY 10306. Purpose: any lawful activity. Notice of formation of 82 DARTMOUTH LOOP LLC. Arts of Org. filed with the Secretary of State of New York SSNY on 9/13/2018. Office location: Richmond. SSNY design. agent of LLC upon whom process may be served and shall mail copy to 82 DARTMOUTH LOOP, STATEN ISLAND, NY 10306. Purpose: any lawful activity. Notice of Qualification of 101 WEST END REIT, LLC. Authority filed with NY Secy of State (SSNY) on 8/14/18. Office location: New York County. LLC formed in Delaware (DE) on 5/22/18. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 729 7th Ave, Fl. 15, NY, NY 10019. DE address of LLC: 1209 Orange St, Wilmington, DE 19801. Cert. of Formation filed with DE Secy of State, 401 Federal St, Ste 4, Dover, DE 19901. Purpose: any lawful activity.

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October 15, 2018 LEGAL NOTICE Notice of formation of Limited Liability Company (“LLC”). Name: BG Betances Housing LLC. Articles of Organization filed with the Secretary of State of the State of New York (“SSNY”) on September 12, 2018. N.Y. office location: New York County. The SSNY has been designated as agent of the LLC upon whom process against it may be served. The SSNY shall mail a copy of any process to BG Betances Housing LLC, c/o Breaking Ground II Housing Development Fund Corporation, 505 Eighth Avenue, 5th Floor, New York, New York 10018.

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Notice of Formation of MELCAP ADVISORS LLC. Arts of Org. filed with New York Secy of State (SSNY) on 4/24/18. Office location: New York County. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 11 Riverside Dr., Apt 16JE, NY, NY 10023. Purpose: any lawful activity. Notice of Qualification of The TWA Hotel Collection LLC. Authority filed with NY Dept. of State on 9/13/18. Office location: NY County. LLC formed in DE on 9/7/18. NY Sec. of State designated agent of LLC upon whom process against it may be served and shall mail process to: Cogency Global Inc., 10 E. 40th St., 10th Fl., NY, NY 10016. DE address of LLC: 850 New Burton Rd., Ste. 201, Dover, DE 19904. Cert. of Form. filed with DE Sec. of State, 401 Federal St., Dover, DE 19901. Purpose: all lawful purposes. LAWRENCE LEGAL ASSISTANCE GROUP, LLC, Arts. of Org. filed with SSNY 02/15/2018. Office loc: NY County. SSNY has been designated as agent upon whom process against LLC may be served. SSNY shall mail process to: The LLC, 435 East 118th Street, 3rd Floor, New York, NY 10035. Purpose: Any Lawful Purpose M31 ENTERTAINMENT, LLC, Arts. of Org. filed with SSNY 1/05/2018. Office loc: Westchester County. SSNY designated as agent upon whom process against LLC may be served. SSNY shall mail copy of process to: US Corp Agents, INC. 7014 13th Ave, Ste 202 Brooklyn, NY 11228. Purpose: Any lawful activity.

NOTICE is hereby given that Soleil Consults (US) LLC’s Articles of Organization were filed with the NYS Dept. of State on 09/06/18 to provide Business Support Services. The business is located in Mount Vernon, Westchester County, NY. The Secretary of State has been designated as agent of the LLC upon whom process against it may be served. Notice of Formation of L & Co Acquisitions LLC. Arts of Org. filed with New York Secy of State (SSNY) on 9/10/18. Office location: New York County. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 105 Mulberry St, Ste 202, NY, NY 10013. Purpose: any lawful activity. Notice of Qual. of WAYPOINT PARTNERS LLC FICT NAME: WAYPOINT PARTNERS (US) LLC, Authority filed with the SSNY on 09/17/2018. Office loc: NY County. LLC formed in DE on 09/06/2018. SSNY is designated as agent upon whom process against the LLC may be served. SSNY shall mail process to: The LLC, C/O Raich Ende Malter & Co., LLP, 1375 Broadway, 6th FL, NY, NY 10018. Address required to be maintained in DE: 310 Alder Rd, Dover, DE 19904. Cert of Formation filed with DE Div. of Corps, 401 Federal St., Ste 4, Dover, DE 19901. Purpose: Any Lawful Purpose. Notice of Formation of SEABRING HOTEL INVESTORS LLC Arts. of Org. filed with Secy. of State of NY (SSNY) on 09/17/18. Office location: NY County. SSNY designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to Kit A. McQuiston, PO Box 20366, Greeley Sq. Station, 4 E. 27th St., NY, NY 10001, regd. agent upon whom and at which process may be served. Purpose: Any lawful activity. Ocal Services, LLC Art. Of Org. Filed Sec. of State of NY 5/30/18. Off. Loc.: Richmond Co. Legal Zoom designated as agent upon whom process against it may be served. SSNY to mail copy of process to The LLC, 145 Laredo Avenue, Staten Island, NY 10312. Purpose: Any lawful act or activity. Notice of Formation of Brafin Technical Consulting LLC. Arts of Org. filed with New York Secy of State (SSNY) on 8/3/18. Office location: New York County. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 7 Times Sq., Ste 2900, NY, NY 10036. Purpose: any lawful activity.

SUPREME COURT OF THE STATE OF NEW YORK – COUNTY OF RICHMOND INDEX # 135896/2016 SUPPLEMENTAL SUMMONS AND NOTICE Plaintiff designates Richmond County as the place of trial. Venue is based upon the County in which the mortgage premise is situated. DEUTSCHE BANK NATIONAL TRUST COMPANY, AS TRUSTEE FOR SECURITIZED ASSET BACKED RECEIVABLES LLC TRUST 2007-NC1, MORTGAGE PASS-THROUGH CERTIFICATES, SERIES 2007-NC1, Plaintiff, against VICTORY ADONIYA LEDGERWOOD A/K/A GAIL LEDGERWOOD, any possible unknown heirs at law of VICOTRY ADONIYA LEDERWOOD F/K/A GAIL LEDGERWOOD, if living, and if any be dead, their respective heirs-at-law, next of kin, distributes, executors, administrators, trustees, devisees, legatees, assignees, lienors, creditors and successors in interest, and generally all persons having or claiming under, by or through said defendants who may be deceased, by purchase, inheritance, lien or otherwise, any right, title or interest in and to the premises described in the complaint herein; JIM L WILLIAMS III, MORTGAGE ELECTRONIC REGISTRATION SYSTEMS, INC. AS NOMINEE FOR NEW CENTURY MORTGAGE CORPORATION, NEW YORK STATE DEPARTMENT OF TAXATION AND FINANCE, “JOHN DOE #1” through “JOHN DOE #12,” the last twelve names being fictitious and unknown to plaintiff, the persons or parties intended being the tenants, occupants, persons or corporations, if any, having or claiming an interest in or lien upon the premises, described in the complaint, Defendant(s). TO THE ABOVE NAMED DEFENDANTS: NOTICE YOU ARE IN DANGER OF LOSING YOUR HOME IF YOU DO NOT RESPOND TO THIS SUMMONS AND COMPLAINT BY SERVING A COPY OF THE ANSWER ON THE ATTORNEYS FOR THE MORTGAGE COMPANY WHO FILED THIS FORECLOSURE PROCEEDING AGAINST YOU AND FILING THE ANSWER WITH THE COURT, A DEFAULT JUDGMENT MAY BE ENTERED AND YOU CAN LOSE YOUR HOME. SPEAK TO AN ATTORNEY OR GO TO THE COURT WHERE YOU CASE IS PENDING FOR FURTHER INFORMATION ON HOW TO ANSWER THE SUMMONS AND PROTECT YOUR PROPERTY. SENDING A PAYMENT TO YOUR MORTGAGE COMPANY WILL NOT STOP THIS FORECLOSURE ACTION. YOU MUST RESPOND BY SERVING A COPY OF THE ANSWER ON THE ATTORNEY FOR THE PLAINTIFF (MORTGAGE COMPANY) AND FILING THE ANSWER WITH THE COURT. YOU ARE HEREBY SUMMONED to answer the complaint in this action and to serve a copy of your answer, or, if the complaint is not served with this summons, to serve a notice of appearance on the Plaintiff’s attorney within 20 days after the service of this summons, exclusive of the day of service (or within 30 days after the service is complete if this summons is not personally delivered to you within the State of New York); The United States of America, if designated as a Defendant in this action, may appear within (60) days of service thereof and in case of your failure to appear or answer, judgment will be taken against you by default for the relief demanded in the complaint. NOTICE OF NATURE OF ACTION AND RELIEF SOUGHT: THE OBJECT of the above captioned action is to foreclose on a mortgage dated September 14, 2006, executed by VICTORY ADONIYA LEDGERWOOD F/K/A GAIL LEDGERWOOD AND JIM L WILLIAMS III to MORTGAGE ELECTRONIC REGISTRATION SYSTEMS, INC., SOLELY AS NOMINEE FOR NEW CENTURY MORTGAGE CORPORATION, ITS SUCCESSORS AND/OR ASSIGNS to secure the sum of $293,600.00 and recorded in Official Records Document 155779, in the Office of the CLERK of the County of RICHMOND on October 11, 2006, which mortgage was thereafter modified. Said mortgage was assigned to DEUTSCHE BANK NATIONAL TRUST COMPANY, AS TRUSTEE FOR SECURITIZED ASSET BACKED RECEIVABLES LLC TRUST 2007-NC1, MORTGAGE PASS-THROUGH CERTIFICATES, SERIES 2007-NC1, by an assignment of mortgage executed on July 25, 2014, covering premises known as 39 Osgood Avenue, Staten Island, NY 10304 (Block 564, Lot 10). The relief sought in the within action is a final judgment directing the sale of the premises described above to satisfy the debt described above. To the above named Defendants: The foregoing summons is served upon you by publication pursuant to an order of the Supreme Court of the State of New York, and filed along with the supporting papers in the office of the Clerk of the County of Richmond. This is an action to foreclose on a mortgage. ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the County of Richmond, Borough of Staten Island, City and State of New York, Block 564, Lot 10, said premises known as 39 Osgood Avenue, Staten Island, NY 10304. YOU ARE HEREBY PUT ON NOTICE THAT WE ARE ATTEMPTING TO COLLECT A DEBT AND ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. There is now due and owing from the Borrower to the Plaintiff, the principal sum of $293,241.41 plus interest thereon from March 1, 2013, in addition to those accumulated late charges and those recoverable monies advanced by the Plaintiff and/ or Plaintiff’s predecessor-in-interest on behalf of VICTORY ADONIYA LEDGERWOOD F/K/A GAIL LEDGERWOOD AND JIM L WILLIAMS III together with all costs, including but not limited to, attorneys’ fees, disbursements, and further allowances provided pursuant to the underlying loan documents and applicable law in bringing any action to protect the Mortgagee’s interest in the Subject Property. UNLESS YOU DISPUTE THE VALIDITY OF THE DEBT, OR ANY PORTION THEREOF, WITHIN THIRTY (30) DAYS AFTER YOUR RECEIPT HEREOF THAT THE DEBT, OR ANY PORTION THEREOF, IS DISPUTED, THE DEBTOR JUDGMENT AGAINST YOU AND A COPY OF SUCH VERIFICATION OR JUDGMENT WILL BE MAILED TO YOU BY THE HEREIN DEBT COLLECTOR. IF APPLICABLE, UPON YOUR WRITTEN REQUEST, WITHIN SAID THIRTY (30) DAY PERIOD, THE HEREIN DEBT COLLECTOR WILL PROVIDE YOU WITH THE NAME AND ADDRESS OF THE ORIGINAL CREDITOR. IF YOU HAVE RECEIVED A DISCHARGE FROM THE UNITED STATES BANKRUPTCY COURT, YOU ARE NOT PERSONALLY LIABLE FOR THE UNDERLYING INDEBTEDNESS OWED TO PLAINTIFF/CREDITOR AND THIS NOTICE/DISCLOSURE IS FOR COMPLIANCE AND INFORMATIONAL PURPOSES ONLY. HELP FOR HOMEOWNERS IN FORECLOSURE New York State requires that we send you this notice about the foreclosure process. Please read it carefully. SUMMONS AND COMPLAINT You are in danger of losing your home. If you fail to respond to the summons and complaint in this foreclosure action, you may lose your home. Please read the summons and complaint carefully. You should immediately contact an attorney or your local legal aid office to obtain advice on how to protect yourself. SOURCES OF INFORMATION AND ASSISTANCE The State encourages you to become informed about your options in foreclosure. In addition to seeking assistance from an attorney or legal aid, there are government agencies, and non-profit organizations that you may contact for information about possible options, including trying to work with your lender during this process. To locate an entity near you, you may call the toll-free helpline maintained by New York State Department of Financial Services’ at 1-800-269-0990 or visit the Department’s website at http://www.dfs.ny.gov FORECLOSURE RESCUE SCAMS Be careful of people who approach you with offers to “save” your home. There are individuals who watch for notices of foreclosure actions in order to unfairly profit from a homeowner’s distress. You should be extremely careful about any such promises and any suggestions that you pay them a fee or sign over your deed. State law requires anyone offering such services for profit to enter into a contract which fully describes the services they will perform and fees they will charge, and which prohibits them from taking any money from you until they have completed all such promised services. Section 1303 NOTICE YOU ARE IN DANGER OF LOSING YOUR HOME If you do not respond to this summons and complaint by serving the copy of the answer on the attorney for the mortgage company who filed this foreclosure proceeding against you and filing the answer with the court, a default judgment may be entered and you may lose your home. Speak to an attorney or go to the court where your case is pending for further information on how to answer the summons and protect your property. Sending a payment to your mortgage company will not stop this foreclosure action. YOU MUST RESPOND BY SERVING A COPY OF THE ANSWER ON THE ATTORNEY FOR THE PLAINTIFF (MORTGAGE COMPANY) AND FILING AN ANSWER WITH THE COURT. Leopold & Associates, PLLC, 80 Business Park Drive, Suite 301, Armonk, NY 10504.

The American Gold Cup, LLC, Arts. of Org. filed with SSNY 09/24/2018. Office loc: Westchester County. SSNY has been designated as agent upon whom process against LLC may be served. SSNY shall mail process to The LLC, Attn: Adam Brodsky, 3 W 57th Street, 7th Floor, New York, NY 10019. Purpose: Any Lawful Purpose.

Notice of Formation of Telem Consulting Concepts LLC. Arts of Org. filed with New York Secy of State (SSNY) on 8/3/18. Office location: New York County. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 7 Times Sq., Ste 2900, NY, NY 10036. Purpose: any lawful activity.

TT 4U 52, LLC, filed with SSNY 06/27/2018. Office loc: NY County. SSNY has been designated as agent upon whom process against LLC may be served. SSNY shall mail process to: United States Corp Agents 7014 13th Ave suite 202 Brookyn, NY 11228 Purpose: Any Lawful Purpose.

JENNINGS CONSULTING, LLC, Arts. of Org. filed with SSNY 05/02/2018. Office loc: Westchester Cty. SSNY has been designated as agent upon whom process against LLC may be served. SSNY shall mail process to: The LLC, Attn: T Jennings, 225 N Broadway #1S, Sleepy Hollow, NY 10591. Purpose: Any Lawful Purpose.

CityAndStateNY.com / PUBLIC and LEGAL NOTICES

Notice of Qualification of STAGE 3 NYC 335 E 27TH LLC Appl. for Auth. filed with Secy. of State of NY (SSNY) on 09/14/18. Office location: NY County. LLC formed in Delaware (DE) on 11/30/15. Princ. office of LLC: 450 Park Ave. South, 5th Fl., NY, NY 10016. SSNY designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to c/o Corporation Service Co., 80 State St., Albany, NY 12207-2543. DE addr. of LLC: 251 Little Falls Dr., Wilmington, DE 19808. Cert. of Form. filed with Secy. of State, John G. Townsend Bldg., 401 Federal St., Ste. 4, Dover, DE 19901. Purpose: Real estate management. THE ANNUAL RETURN of Jacques & Natasha Gelman Foundation for the fiscal year ended November 30, 2017 is available at its principal office located at 260 Madison Avenue, 18th Floor, New York, NY 10016 for inspection during regular business hours by any citizen who requests it within 180 days hereof. Principal Manager of the Foundation is Janet C. Neschis. Notice of Formation of OSB Contracting LLC. Arts. of Org. filed with SSNY on 03/30/2018. Office location: Westchester County. SSNY designated as agent of LLC upon whom process may be served. SSNY shall mail process to Mikhail Gordon 531 East Lincoln Avenue Ste. 2F, Mount Vernon, NY 10552. Purpose: any lawful act or activity. WESTCHESTER MAID SERVICES, LLC, Arts. of Org. filed with SSNY 07/25/2018. Office loc: NY County. SSNY has been designated as agent upon whom process against LLC may be served. SSNY shall mail process to LLC: 20 Water Grant St, 204, Yonkers, NY 10701. Purpose: Any Lawful Purpose. Notice of Qualification of BoldStart Ventures Management LLC. Authority filed with NY Dept. of State on 9/19/18. Office location: NY County. LLC formed in DE on 11/19/12. NY Sec. of State designated agent of LLC upon whom process against it may be served and shall mail process to: BoldStart Ventures, 1250 Broadway, 34th Fl., NY, NY 10001, principal business address. DE address of LLC: c/o Cogency Global Inc., 850 New Burton Rd., Ste. 201, Dover, DE 19904. Cert. of Form. filed with DE Sec. of State, 401 Federal St., Dover, DE 19901. Purpose: any lawful activity.

Notice of Formation of Ellen Broen Coaching, LLC filed with SSNY on June 20, 2018. Office: NY County. SSNY designated agent of LLC upon whom process against it may be served. SSNY shall mail copy of process to LLC: Ellen Broen, 75 McKinley Ave, B2-8, White Plains, NY 10606. Purpose: Any Lawful Purpose. 183-185 SCHAEFER STREET LLC, Arts. of Org. filed with the SSNY on 09/25/2018. Office loc: NY County. SSNY has been designated as agent upon whom process against the LLC may be served. SSNY shall mail process to: The LLC, 777 Third Ave, 27th Fl, NY, NY 10017. Purpose: Any Lawful Purpose. PUBLIC NOTICE New York City Dept. of Consumer Affairs Notice of Public Hearing Notice is hereby given, pursuant to law, that the NYC Department of Consumer Affairs will hold a public hearing on WEDNESDAY, OCTOBER 31, 2018 AT 2:00 P.M. at 42 Broadway, 5th floor, on a petition for CAFÉ TALLULAH, LLC to ESTABLISH, MAINTAIN, AND OPERATE an unenclosed sidewalk cafe at 240 COLUMBUS AVE IN THE BOROUGH OF MANHATTAN FOR A TERM OF TWO YEARS. REQUEST FOR COPIES OF THE REVOCABLE CONSENT AGREEMENT MAY BE ADDRESSED TO: DEPT. OF CONSUMER AFFAIRS, 42 BROADWAY, NEW YORK, NY 10004 ATTN: FOIL OFFICER Notice of Formation of KE Villa Trace Owner, LLC. Arts of Org. filed with New York Secy of State (SSNY) on 6/11/18. Office location: New York County. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 1270 Broadway, Ste 709, NY, NY 10001. Purpose: any lawful activity. Notice of Qualification of KMA Gems LLC. Authority filed with NY Dept. of State on 9/20/18. Office location: NY County. Princ. bus. addr.: 31 W. 27th St., 11th Fl., NY, NY 10001. LLC formed in DE on 5/3/18. NY Sec. of State designated agent of LLC upon whom process against it may be served and shall mail process to: Cogency Global Inc., 10 E. 40th St., 10th Fl., NY, NY 10016. DE addr. of LLC: 850 New Burton Rd., Ste. 201, Dover, DE 19904. Cert. of Form. filed with DE Sec. of State, 401 Federal St., Dover, DE 19901. Purpose: any lawful activity.

October 15, 2018 NOTICE IS HEREBY GIVEN THAT A LICENSE, SERIAL # 1313656 FOR LIQUOR, WINE, & BEER HAS BEEN APPLIED FOR BY THE UNDERSIGNED TO SELL LIQUOR, WINE, & BEER AT RETAIL UNDER THE ALCOHOLIC BEVERAGE CONTROL LAW AT 715 SAW MILL RIVER RD YORKTOWN HEIGHTS, NY 10598. WESTCHESTER COUNTY, FOR ON PREMISE CONSUMPTION.

NOTICE OF FORMATION of 249 Times Square LLC. Art. of Org. filed with t h e Secy of State of NY (SSNY) on 9/12/18. Off. Loc.: New York County. SSNY has been desig. as agent upon whom process against it may be served. The address to which the SSNY shall mail a copy to is: Kriss & Feuerstein, 360 Lexington Ave., Ste. 1200, New York, NY 10017. Purpose: Any lawful act .

WIEN 2017 INC.

Notice of Formation of INSURI.COM LLC. Arts of Org. filed with New York Secy of State (SSNY) on 9/17/18. Office location: New York County. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 45 Great Jones St, NY, NY 10012. The name and address of the Reg. Agent is United States Corporation Agents, Inc., 7014 13th Ave Ste 202, Brooklyn, NY 11228. Purpose: any lawful activity.

RollingTides LLC. Arts. of Org. filed with the SSNY on 10/01/18. Office: New York County. SSNY designated as agent of the LLC upon whom process against it may be served. SSNY shall mail copy of process to the LLC, 400 East 67th Street, Unit 8A & 8B, New York, NY 10065. Purpose: Any lawful purpose. Notice of Formation of MASS18 Pty LLC. Arts of Org. filed with New York Secy of State (SSNY) on 9/26/18. Office location: New York County. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 377 5th Ave, Fl. 6, NY, NY 10016. Purpose: any lawful activity. Notice of Formation of PAR West LLC. Arts of Org. filed with New York Secy of State (SSNY) on 10/12/04. Office location: New York County. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 96 Greenwich St, Fl. 5, NY, NY 10006. Purpose: any lawful activity. Notice of Formation of AdvantageCare Physicians IPA, LLC. Arts. of Org. filed with NY Dept. of State on 8/14/18. Office location: NY County. Sec. of State designated agent of LLC upon whom process against it may be served and shall mail process to: 55 Water St., 13th Fl., NY, NY 10041, principal business address. Purpose: as specifically set forth in the Arts. of Org. Notice of Formation of KE VILLA TRACE MEMBER LLC. Arts of Org. filed with New York Secy of State (SSNY) on 9/12/18. Office location: New York County. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 1270 Broadway, Ste 709, NY, NY 10001. Purpose: any lawful activity.

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Formation of ER 237 West 4th LLC filed with the Secy. of State of NY (SSNY) on 9/14/18. Office loc.: NY County. SSNY designated as agent of LLC upon whom process against it may be served. The address SSNY shall mail process to Essex Equity – General Counsel, 7 Columbia Tpk., #201, Florham Park, NJ 07932. The LLC is to be managed by one or more managers. Purpose: Any lawful activity. Notice of Qualification of KIP101 LLC Appl. for Auth. filed with Secy. of State of NY (SSNY) on 9/18/18. Office location: Westchester County. LLC formed in Delaware (DE) on 8/7/17. SSNY designated as agent of LLC upon whom process may be served. SSNY shall mail process to 16192 Coastal Highway, Lewes, Delaware 19958. Cert. of Form. filed with Secy. of State of the State of DE, Div. of Corps., 401 Federal St, Ste. 4, Dover, DE 19901. Purpose: Any lawful activity Fuku Hudson Yards, LLC filed Arts. of Org. with the SSNY on 8/9/18. Office: New York County. SSNY has been designated as agent of the LLC upon whom process against it may be served and shall mail process to: Celia Zhang, 60 E. 11th St., 5th Fl., NY, NY 10003. Purpose: any lawful act. Notice of Formation of Howtal Axe LLC. Articles of Organization filed with Secretary of State (SSNY) on August 8, 2018. Office location: - Kings County. SSNY designated agent of LLC upon whom process against it may be served. SSNY shall mail copy of any process to: c/o US Corp Agents INC., 7014 13th Ave Suite 202 Brooklyn, NY 11228. Purpose: any lawful act of activities.

PUBLIC NOTICE AT&T proposes to collocate antennas (tip heights 171’ & 199’) on the building at 12 E. 86th St, New York, NY (20181700). Interested parties may contact Scott Horn (856-809-1202) (1012 Industrial Dr., West Berlin, NJ 08091) with comments regarding potential effects on historic properties. Notice of Formation of Victory One Preservation NY LLC. Arts. of Org. filed with NY Dept. of State on 9/27/18. Office location: NY County. Sec. of State designated agent of LLC upon whom process against it may be served and shall mail process to: c/o Harlem Congregations for Community Improvement, Inc., 256 W. 153rd St., NY, NY 10039, principal business address. Purpose: all lawful purposes. Notice of Formation of UWS GI LLC. Arts. of Org. filed with NY Dept. of State on 9/12/18. Office location: NY County. Princ. bus. addr.: Mount Sinai, c/o Bruce E. Sands, MD, MS, 1468 Madison Ave., Box 1069, NY, NY 10029-6574. Sec. of State designated agent of LLC upon whom process against it may be served and shall mail process to: Cogency Global Inc., 10 E. 40th St., NY, NY 10016. Purpose: any lawful activity.

LEGALNOTICES@ CITYANDSTATENY.COM Notice of Formation of Lofton LLC filed with SSNY on August 23, 2018. Office: Richmond County designated agent of LLC upon whom process it may be served. SSNY shall mail copy of process to LLC: 7014 13th ave Suite 202 Brooklyn, NY 11228: Purpose: any lawful activity.

TAYLOR BALLANTYNE LLC filed with SSNY 05/24/2018. Office loc: NY County. SSNY has been designated as agent upon whom process against LLC may be served. SSNY shall mail process to: The LLC, Attn: Taylor Ballantyne LLC, 232 East 26th Street #6, New York, NY 10010. Purpose: Any Lawful Purpose. Hastings Sewing Studio LLC, Arts. of Org. filed with SSNY 09/28/2018. Office loc: Westchester County. SSNY has been designated as agent upon whom process against LLC may be served. SSNY shall mail process to: The LLC, United States Corporation Agents, Inc. 7014 13th avenue, suite 202 Brooklyn, NY 11228 Purpose: Any Lawful Purpose. Notice of Formation of 195197 FRANKLIN STREET LLC. Arts of Org. filed with New York Secy of State (SSNY) on 5/22/18. Office location: New York County. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 135 E. 57TH ST, Fl. 14, New York, NY 10022. Purpose: any lawful activity. Notice of Qualification of BlockTower Capital Advisors LP. Authority filed with NY Secy of State (SSNY) on 8/1/18. Office location: New York County. LP formed in Delaware (DE) on 8/18/17. SSNY is designated as agent of LP upon whom process against it may be served. SSNY shall mail process to: 65 High Ridge Rd, Ste 318, Stamford, CT 09605. DE address of LP: 1013 Centre Rd, Ste 403-B, Wilmington, DE 19805. List of names and addresses of all general partners available from SSNY. Cert. of Limited Partnership filed with DE Secy of State, 401 Federal St, Ste 4, Dover, DE 19901. Purpose: any lawful activity.

E M P O W E R M E N T ADVISORY, LLC, Arts. of Org. filed with the SSNY on 09/27/2018. Office loc: NY County. SSNY has been designated as agent upon whom process against the LLC may be served. SSNY shall mail process to: The LLC, 1325 Avenue of the Americas Floor 28, NY, NY 10019. Purpose: Any Lawful Purpose.

Notice of Formation of CONTROLOGY, PLEASE ! LLC. Arts of Org. filed with New York Secy of State (SSNY) on 7/12/18. Office location: New York County. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 103 W. 105th St, Apt 3B, NY, NY 10025. Purpose: any lawful activity.

Notice of Formation of XHAKLI FAMILY LLC Arts. of Org. filed with Secy. of State of NY (SSNY) on 10/04/18. Office location: NY County. SSNY designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to Philip J. Michaels, c/o Norton Rose Fulbright US LLP, 1301 Ave. of the Americas, NY, NY 10019. Purpose: Any lawful activity.

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PUBLIC and LEGAL NOTICES / CityAndStateNY.com

October 15, 2018 FAMILY COURT OF THE STATE OF NEW YORK CITY OF NEW YORK: COUNTY OF QUEENS SUMMONS - Docket No.: B-12452/18 ---------------------------------X In the Matter of Commitment of Guardianship and Custody of JAYDEN AMIR WILLIAMS also known as JAYDEN WILLIAMS A Child under the Age of Eighteen Years ---------------------------------X In the Name of the People of the State of New York TO: RONALD BRYANT ADDRESS: UNKNOWN A Petition having been duly filed in this Court, alleging that the above-named child in the care of THE NEW YORK FOUNDLING HOSPITAL, should be committed to the guardianship and custody of THE NEW YORK FOUNDLING HOSPITAL; a copy of said Petition being annexed hereto; 151-20 Jamaica Avenue, Jamaica, New York, Part 10, in front of the Hon. Diane Costanzo on November 20, 2018 at 10:00 a.m. to Show Cause why the Court should not enter an Order committing the guardianship and custody of said child to the petitioning agency as required by law. PLEASE TAKE NOTICE that if the guardianship and custody of said child are committed to the petitioning agency, THE NEW YORK FOUNDLING HOSPITAL, said child may be adopted with consent of the petitioning agency without your consent or further notice to you. PLEASE TAKE FURTHER NOTICE that you have the right to be represented by a lawyer, and, if the Court finds that you are unable to pay for a lawyer, you have the right to have a lawyer assigned by the Court. PLEASE TAKE FURTHER NOTICE that upon failure of the person summoned to appear, all of his or her parental rights to the child may be terminated, and PLEASE TAKE FURTHER NOTICE that his or her failure to appear shall constitute a denial of his or her interest in the child which denial may result, without further notice, in the transfer or commitment of the child’s care, custody or guardianship or in the child’s adoption in this or any subsequent proceeding in which such care, custody or guardianship or adoption be at issue. Dated: Queens, New York October 2, 2018 By Order of the Court /S/ Clerk of the Family Court

Notice of Qualification of Nuage Productions LLC. Authority filed with NY Secy of State (SSNY) on 7/5/18. Office location: New York County. LLC formed in Delaware (DE) on 6/27/18. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 20 W. 86th St, NY, NY 10024. DE address of LLC: 1013 Centre Rd, Ste 403-B, Wilmington, DE 19805. Cert. of Formation filed with DE Secy of State, 401 Federal St, Ste 4, Dover, DE 19901. Purpose: any lawful activity. Notice of Formation of LG CHELSEA LLC. Arts of Org. filed with New York Secy of State (SSNY) on 2/16/17. Office location: New York County. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 202 Centre St, Fl. 6, NY, NY 10013. Purpose: any lawful activity.

Notice of Formation of Herban Cura, LLC. Arts of Org. filed with New York Secy of State (SSNY) on 9/27/18. Office location: New York County. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 124 Washington Pl., NY, NY 10014. The name and address of the Reg. Agent is Ana Ratner, 124 Washington Pl., NY, NY 10014. Purpose: any lawful activity. Notice of Formation of RELATED ROCKAWAY SOUTH, LLC Arts. of Org. filed with Secy. of State of NY (SSNY) on 10/10/18. Office location: NY County. Princ. office of LLC: 60 Columbus Circle, NY, NY 10023. SSNY designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to Corporation Service Co., 80 State St., Albany, NY 12207-2543. Purpose: Any lawful activity.

Notice of Formation of ROCKAWAY SOUTH, L.P. Arts. of Org. filed with Secy. of State of NY (SSNY) on 10/10/18. Office location: NY County. Princ. office of LLC: 60 Columbus Circle, NY, NY 10023. Latest date on which the LLC may dissolve is 12/31/2117. SSNY designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to Corporation Service Co., 80 State St., Albany, NY 12207-2543. Purpose: Any lawful activity. Notice of Formation of THIRD AVENUE 162, LLC. Arts of Org. filed with New York Secy of State (SSNY) on 5/31/18. Office location: New York County. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 225 W. 35th St, NY, NY 10001. Purpose: any lawful activity. Notice of Formation of 958 MADISON LLC. Arts of Org. filed with New York Secy of State (SSNY) on 4/13/18. Office location: New York County. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 1015 Madison Ave, Ste 501, NY, NY 10075. Purpose: any lawful activity. Notice of Formation of 4211 REALTY LLC. Arts of Org. filed with New York Secy of State (SSNY) on 8/6/18. Office location: New York County. SSNY is designated as agent of LLC upon whom process against it may be served. SSNY shall mail process to: 1353 Bay Ridge Ave, Brooklyn, NY 11219. Purpose: any lawful activity. PUBLIC NOTICE AT&T proposes to replace remote radio heads (height 93’) on the building at 921 Main St, Buffalo, NY (20180999). Interested parties may contact Scott Horn (856-809-1202) (1012 Industrial Dr., West Berlin, NJ 08091) with comments regarding potential effects on historic properties. PUBLIC NOTICE AT&T proposes to collocate antennas (tip heights 177’) on the building at 189 Van Rensselaer St, Buffalo NY (20180967). Interested parties may contact Scott Horn (856-809-1202) (1012 Industrial Dr., West Berlin, NJ 08091) with comments regarding potential effects on historic properties.

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CityAndStateNY.com

October 15, 2018

CITY & STATE NEW YORK MANAGEMENT & PUBLISHING CEO Steve Farbman, President & Publisher Tom Allon tallon@cityandstateny.com, Comptroller David Pirozzi dpirozzi@cityandstateny.com, Business & Operations Manager Patrea Patterson

Who was up and who was down last week

LOSERS

ADVERTISING Vice President of Advertising Jim Katocin jkatocin@ cityandstateny.com, Account/Business Development Executive Scott Augustine saugustine@cityandstateny.com, Event Sponsorship Strategist Danielle Koza dkoza@ cityandstateny.com, Sales Associate Cydney McQuillanGrace cydney@cityandstateny.com, Junior Sales Executive Caitlin Dorman, Junior Sales Executive Shakirah Gittens

JOSEPH ERRIGO Add Assemblyman Joseph Errigo’s name to the long list of Albany politicians charged with corruption. The GOP lawmaker has been charged with accepting bribes to help a local development project. Errigo did get out of Albany in 2010 scandal-free. But he returned in 2016 as a last-minute replacement for the late William Nojay, who killed himself rather than face embezzlement charges. With that death looming over his election, Errigo seems to have decided it was time for him to cash in, too.

THE BEST OF THE REST

THE REST OF THE WORST

NATHYLIN FLOWERS ADESEGUN

DAVID HANSELL

Don’t disturb a dude’s workout! Unless it’s de Blasio, and it’s about homelessness.

CHRISTOPHER COLUMBUS

He’s less popular lately, but a state historic board made sure his statue stays put.

MICHAEL MULGREW

The Administration for Children’s Services commish is struggling to “Raise the Age.”

NAUMAN HUSSAIN

His company’s limo crashed and killed 20 people, so he’s facing homicide charges.

EVENTS events@cityandstateny.com Sales Director Lissa Blake, Events Manager Sharon Nazarzadeh, Senior Events Coordinator Alexis Arsenault, Marketing & Events Coordinator Jamie Servidio, Director of Events Research & Development Bryan Terry

Vol. 7 Issue 38 October 15, 2018 THE REDEMPTION OF CY VANCE

THE LOST DOCTORS IN NYC Facing staffing shortages, public hospitals look south.

LEGALIZE POT? IT’S NOT SO SIMPLE.

CIT YANDSTATENY.COM

@CIT YANDSTATENY

October 15, 2018

Cover design Andrew Horton

JOHN LIU

The UFT president secured a nice new contract with pay hikes over three years.

The ex-city comptroller had completed his comeback last month. Then state Sen. Tony Avella decided to keep running.

OLIVIA NUZZI

ETIENNE UZAC

The New York mag correspondent got a personal presser with Trump & Friends.

PRODUCTION creativedepartment@cityandstateny.com Art Director Andrew Horton, Senior Graphic Designer Alex Law, Junior Graphic Designer Aaron Aniton, Digital Content Coordinator Michael Filippi

The former Newsweek exec was indicted on fraud and money laundering charges.

WINNERS & LOSERS is published every Friday morning in City & State’s First Read email. Sign up for the email, cast your vote and see who won at cityandstateny.com.

CITY & STATE NEW YORK (ISSN 2474-4107) is published weekly, 48 times a year except for the four weeks containing New Year’s Day, July 4th, Thanksgiving and Christmas by City & State NY, LLC, 61 Broadway, Suite 1315, New York, NY 10006-2763. Periodicals postage paid at New York, NY and at additional mailing offices. POSTMASTER: Send address changes to City & State New York, 61 Broadway, Suite 1315, New York, NY 10006-2763. General: (212) 268-0442, subscribe@cityandstateny.com Copyright ©2018, City & State NY, LLC

ASSEMBLY; SKY CINEMA/SHUTTERSTOCK

ANTHONY WEINER In what may be his first stroke of good luck in a long time, Anthony Weiner is set to be released from federal prison three months early after being sent there for sexting with a minor. Yes, Carlos Danger has been a model prisoner and he’s being rewarded for his “good conduct.” But the release date isn’t until May, so Weiner still has plenty of time to screw this up. For his sake, he has hopefully learned his lesson from 2011. And 2013. And 2017. Though who knows, maybe 2019 will finally be a turning point.

OUR PICK

WINNERS

There’s a saying in politics: Don’t let a good crisis go to waste. Gov. Andrew Cuomo, for example, has mastered responding to natural disasters, and last week he deployed National Guard members to respond to Hurricane Michael. New York City Mayor Bill de Blasio was set to head down to storm-ravaged Florida in person … to, um, campaign for a candidate for governor. Neither made this list, but here’s who got drenched – and who’s feeling right as rain.

EDITORIAL editor@cityandstateny.com Editor-in-Chief Jon Lentz jlentz@cityandstateny.com, Managing Editor Ryan Somers, Senior Editor Ben Adler badler@cityandstateny.com, Digital Director Derek Evers devers@cityandstateny.com, Copy Editor Eric Holmberg, Staff Reporter Jeff Coltin jcoltin@cityandstateny.com, Staff Reporter Zach Williams zwilliams@cityandstateny.com, Tech and Policy Reporter Prachi Bhardwaj pbhardwaj@ cityandstateny.com, Editorial Assistant Rebecca C. Lewis rlewis@cityandstateny.com

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SOMETHING YOU SHOULD KNOW ABOUT NewYorkâ&#x20AC;&#x201C;Presbyterian Hospital

NewYorkâ&#x20AC;&#x201C;Presbyterian Hospital

$8,151

Average cost for Average cost for colonoscopy hip replacement

Other New York hospitals

$2,909 Average cost for colonoscopy

Out of Control New York hospital costs have skyrocketed in the last few years putting healthcare benefits in jeopardy for working New Yorkers. Market leaders like New York Presbyterian should do a lot more to control costs and promote price transparency.

Call your elected officials and ask for action on fair hospital pricing now! 32BJSEIU

32BJSEIU

25 West 18th Street New York NY 10011 www.seiu32bj.org

Average cost paid by the 32BJ Health Fund for outpatient and office based claims incurred on the dates of service for colonoscopies received by its plan participants in 2017.