ALBANY, N.Y. - In a long-awaited announcement, the administration of New York Gov. Andrew Cuomo on Wednesday ruled the potential health and environmental risks of fracking for natural gas are too great and not enough is known about them to allow it in New York.
In extending a de facto ban on using pressurized water and chemicals to extract natural gas from the Marcellus Shale formation underneath New York's southern tier, the state's Environmental Conservation Commissioner and Acting Health Commissioner brought applause from Deborah Goldberg, managing attorney of the environmental law organization, Earthjustice.
"We enormously appreciate this administration is taking so seriously the health impact of the oil and gas industry in a way that, really, no other state has done," she says.
Goldberg represented the town of Dryden, which passed a zoning law banning fracking. The Cuomo administration noted that a court ruling upholding that ban, and the possibility of more local bans as a result, significantly reduced the economic potential to be gained from moving forward with fracking.
Goldberg points out the governor did not say flat-out, 'We know enough that we do not want fracking in New York.'
"I think he could have gone that far," says Goldberg. "He didn't go that far. But we are very, very happy New Yorkers will be spared the impact other people have seen around the country."
Acting Health Commissioner Dr. Howard Zucker told the Cuomo Cabinet meeting Wednesday that existing studies raised concerns about high-volume hydraulic fracturing, or HVHF.
"Would I live in a community with HVHF, based on the facts I have now," asked Zucker. "Would I let my child play in the school field nearby, or let my family drink the water from the tap or grow their vegetables in the soil? After looking at the plethora of reports, as you see behind me and others that I have in my office, my answer is 'no.'"
Gov. Cuomo said he was nonetheless concerned about the economy in the southern tier of the state.
"I get very few people who say to me, 'I love the idea of fracking,'" says Cuomo. "Basically, they say, 'I have no alternative because there is no other economy for me besides fracking.' That's where I think we should turn; and what can we do in these areas to generate jobs, generate wealth?"
The governor said he expected there would be lawsuits filed by interests that favor tapping into the reservoir of natural gas underneath the state.
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After more than 50 years of use, some Michigan lawmakers say naloxone may not be the best choice in an overdose situation.
Naloxone is sometimes called the "Lazarus drug" because of its powerful ability to seemingly resurrect people after a drug overdose.
Sen. Kevin Hertel, D-St. Clair Shores, and some of his colleagues have introduced a bill which would open the door for what they say are more costly, but more powerful, antidotes.
"Given the prevalence of fentanyl in our communities, and how much stronger some of these drugs that we're now seeing are, we believe -- and in talking with others -- that there should be other tools to respond to an overdose," Hertel explained. "To make sure we're doing everything we can to save somebody's life."
Not everyone is on board with the proposed legislation, Senate Bill 542. Opponents argued the more expensive naloxone alternatives are not necessary, and using them would only increase profits for the pharmaceutical industry.
Jonathan Stoltman, director of the Opioid Policy Institute in Grand Rapids, said while the naloxone alternatives do help in overdose situations, they can also cause nasty side effects.
"The newer approaches, they put people into more severe withdrawal," Stoltman pointed out. "That's a pretty profound negative side effect. The one approach is very inexpensive and works great; the other approach is far more expensive and has this strong negative side effect."
Sponsors of the bill say they're hoping to give Michigan residents a chance to chime in on the issue in a public hearing sometime in June. Michigan saw more than 3,000 opioid overdose deaths in 2021.
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New Mexico saw record enrollment numbers for the Affordable Care Act this year and is now setting its sights on lowering out-of-pocket costs - those not reimbursed by insurance. More than 56,000 New Mexicans are enrolled in a medical health insurance plan on the state exchange - an increase of 12,000 people overall.
Colin Baillio, deputy superintendent with the state's Office of Insurance, said the state has boosted its outreach and made efforts to improve the overall consumer experience.
"We saw a 40% year-over-year increase, and New Mexico saw the biggest percentage increase during the open-enrollment period among all of the state-based marketplaces," he explained
Part of the enrollment increase is due to what's called the "unwinding" - a federal directive that required all states to redetermine Medicaid eligibility following a three-year pause on checks during the COVID pandemic. He said by using expanded tools made available by the federal and state government, 8% of New Mexico's population is now uninsured - down from 23% in 2010.
Following approval by lawmakers in the 2024 legislative session, the New Mexico governor signed seven health care-related bills into law - one of which requires annual reporting of prescription drug pricing. Baililo said the Affordable Care Act built the foundation that has allowed the state to pursue additional affordability initiatives.
"I'm really glad to see that there's so much interest in the next step of health reform, really leaning into these out-of-pocket cost issues and making it easier for people to afford to stay covered and see their doctors," he continued.
Two years ago, the state also passed a one-of-a-kind law that did away with behavioral health co-pays for people in certain insurance plans.
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New York's medical aid-in-dying bill is gaining further support. The Medical Society of the State of New York is supporting the bill. New York's bill allows terminally ill people with only six months to live to use this option, with safeguards requiring two physicians' approval.
The bill's Assembly sponsor Amy Paulin, D-Westchester, said despite the growing support, other hurdles lie ahead.
"Now we have what I believe, if it came to the floor, a majority. There's still a hesitation on the part of leadership. You know, we need members to assure leadership that they no longer have reservations," she said.
Other newly resolved concerns center on making sure insurance companies and doctors who don't support this aren't held liable. She's optimistic the bill will pass after nine years in the Legislature. New York would be the 11th state along with Washington, D.C. to have medical aid in dying legislation.
Corinne Carey, senior New York campaign director with Compassion and Choices finds the pandemic drew a vivid picture of a person's end-of-life experience. There were images of people dying on ventilators, apart from loved ones, and unable to communicate. She said people began thinking about a "good death."
"And, what is a good death is being surrounded by loved ones, having some measure of control, experiencing the touch of your loved ones, and being the one in the driver's seat," she explained.
Now people have different options for end-of-life care, each of which presents various challenges. Polls show medical aid in dying has garnered considerable support since being introduced in 2015. A 2022 Compassion and Choices poll finds 57% of nurses support medical aid in dying professionally, although fewer support it personally.
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