The rising cost of prescription drugs to treat multiple sclerosis in upstate New York

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "The rising cost of prescription drugs to treat multiple sclerosis in upstate New York"

Transcription

1 T H E F A C T S A B O U T The rising cost of prescription drugs to treat multiple sclerosis in upstate New York Per-person mean annual prescription drug cost to treat multiple sclerosis Annual drug cost $40,000 $35,000 $30,000 $25,000 $20,000 $15, % $16, % $18, % $21, % $25, % $32,200 $36,900 Franklin Clinton $10,000 St. Lawrence $5,000 Jefferson Essex $ Lewis Hamilton Oswego Niagara Orleans Monroe Wayne Oneida Herkimer Fulton Erie Genesee Wyoming Livingston Ontario Yates Seneca Cayuga Onondaga Cortland Madison Otsego Montgomery Schuyler Tompkins Chenango Chautauqua Cattaraugus Allegany Steuben Chemung Tioga Broome Delaware In 2010, approximately 13,000 upstate New York residents were living with multiple sclerosis. Of that number, about 7,000 took prescription medications costing an estimated $258 million altogether to treat their conditions in The disease-modifying prescription drug therapies that have been used to treat multiple sclerosis for the past few years have not changed. Even so, the total cost of prescription drugs used to treat multiple sclerosis has d during that time period. In 2005, the per-person mean annual prescription drug cost to treat multiple sclerosis was $16,300. By 2010, that number had d percent $20,600 to a total of $36,900. The drug cost s for multiple sclerosis treatments alone have added an additional $144 million to annual health care spending across upstate New York since Cost estimate is based on actual drug utilization among FLRx members in upstate New York and extrapolated to the 39 counties served by Excellus BlueCross BlueShield in the upstate New York area shown in the map above. FLRx is the pharmacy benefits management division of Excellus BlueCross BlueShield. FLRx manages prescription benefit services for approximately 1 million of the 4.9 million people who live in upstate New York's 39-county region CC 1 of 5

2 What is multiple sclerosis? Multiple sclerosis is a chronic, often disabling disorder of the central nervous system involving the brain, spinal cord and optic nerves. The disorder causes the myelin sheath (the protective fatty, insulating substance that covers the nerve) and sometimes the underlying nerve cells to be destroyed. Inflammatory attacks of the myelin sheath occur randomly and vary in intensity and location. Symptoms can be mild such as numbness in the limbs or severe such as paralysis or loss of vision. The progress, severity and specific symptoms of multiple sclerosis are unpredictable and vary from person to person. The course of the disease may advance, relapse, remit or stabilize, and it can affect the ability of nerves to transmit information and cause a variety of neurological symptoms. Most people who develop multiple sclerosis learn to cope with the disease and continue to lead satisfying, productive lives. Who gets multiple sclerosis and when is it diagnosed? Anyone can develop multiple sclerosis, but women are more likely to develop it than men, and it s more common among Caucasians of northern European ancestry than other groups. Usually, people are diagnosed between the ages of 20 and 50. Multiple sclerosis is not contagious and is not directly inherited. In the 39-county area of upstate New York included in this study and shown in the map on page 1, an estimated 13,000 people were living with multiple sclerosis in What medications/treatments are available? Although there is no cure for multiple sclerosis, medications approved by the Food and Drug Administration can modify or decelerate its course. Many therapeutic and technological advances also help people manage symptoms. The National Multiple Sclerosis Society recommends treatment with one of the FDA-approved, disease-modifying therapies as soon as possible following a definite diagnosis of active, relapsing multiple sclerosis, and sometimes even when a person is at high risk for developing the disease. Medications can help lessen the frequency and severity of multiple sclerosis attacks, reduce damage in the brain and slow disease progression. Of the estimated 13,000 people living with multiple sclerosis in upstate New York, approximately 7,000 took prescription drugs to treat the disease in of 5

3 FDA-approved, disease-modifying, immunomodulating drugs used to treat multiple sclerosis and their cost Six prescription drugs are FDA-approved, disease-modifying, immunomodulating drugs used to treat multiple sclerosis. Avonex, Betaseron, Copaxone, Extavia and Rebif are self-injectable drugs for long-term use. Tysabri is delivered by intravenous infusion at a registered infusion facility. These six prescription drugs have been used by multiple sclerosis patients for years. Added together, the drugs taken to treat multiple sclerosis in upstate New York cost $258 million in The table below shows the average wholesale price for 13 fills (52 weeks worth) of each medication. Drug 52-week Average Wholesale Price per MediSpan pricing on September 28, 2010 Avonex 30mcg $42,490 Betaseron 0.3 $44,750 Copaxone 20mg $47,190 Extavia 0.3mg $41,440 Rebif.22 or.44 $40,590 Tysabri 300mg $47,990 A retrospective look at the average wholesale price of each of these disease-modifying medications reveals dramatic price s over the past five years. The following two charts show the price s for just two of the drugs used to treat multiple sclerosis. Manufacturer Price Increases of Multiple Sclerosis Drugs: Avonex (Interferon-beta1a), Biogen Idec Date 52-week Average $ Increase from Percent Number of Price Wholesale Price Previous Year Increase Increases in One Year July 1, 2006 $22,650 July 1, 2007 $23,780 $1,130 5% 3 July 1, 2008 $31,370 $7,590 32% 2 July 1, 2009 $37,410 $6,040 19% 2 July 1, 2010 $40,650 $3,240 9% 2 Copaxone (Glatiramer injection), Teva Neuroscience, Inc. Date 52-week Average $ Increase from Percent Number of Price Wholesale Price Previous Year Increase Increases in One Year July 1, 2006 $22,300 2 July 1, 2007 $25,500 $3,200 14% 2 July 1, 2008 $30,600 $5,100 20% 3 July 1, 2009 $40,700 $10,100 33% 2 July 1, 2010 $47,200 $6,500 16% 2 From 2006 to 2010, the average wholesale price of Avonex d $18,000 (79 percent), while there was close to a $25,000 (112 percent) in the average wholesale price of Copaxone. 2 Cost estimate is based on actual drug utilization among FLRx members in upstate New York and extrapolated to the 39 counties served by Excellus BlueCross BlueShield in the upstate New York area. FLRx is the pharmacy benefits management division of Excellus BlueCross BlueShield. FLRx manages prescription benefit services for approximately 1 million of the 4.9 million people who live in upstate New York's 39-county region. 3 of 5

4 Impact of manufacturer price s on the annual drug cost for patients being treated with medication for multiple sclerosis Year Mean annual drug cost Percent in cost per person from previous year 2005 $16, $18, % 2007 $21, % 2008 $25, % 2009 $32, % 2010 $36, % Total $20, % The five-year period from 2005 to 2010 saw a $20,600 (or percent) in per-person drug costs to treat multiple sclerosis. If we take the estimated 7,000 upstate New Yorkers who used these multiple sclerosis medications to treat the disease in 2010 and multiply that by the $20,600 in drug costs over the past five years to treat each person s condition, these drug cost s alone have added an additional $144 million to annual health care spending across upstate New York. Based on the mean (50 percent) cost of drugs per person as determined by costs in the first half (January through June) of each year. Drugs include those that are self-injectable and those that are infused by a medical doctor. Assessment was made on 1,400 to 1,500 multiple sclerosis patients drug cost experience through FLRx for each year. 3 The mean cost represents the actual utilization costs for multiple sclerosis drugs used by multiple sclerosis patients over the course of a year as determined by claims history. These costs are different than the stated average wholesale price cost for 52 weeks of therapy because they represent the reality of medication refill compliance (getting all of the medication on time) and variations in patient drug use. 3 FLRx is the pharmacy benefits management division of Excellus BlueCross BlueShield. FLRx manages prescription benefit services for approximately 1 million of the 4.9 million people who live in upstate New York's 39-county region. 4 of 5

5 Newly approved prescription drugs to treat multiple sclerosis Although six drugs have dominated the prescription drug category for multiple sclerosis, two new prescription drugs to treat multiple sclerosis symptoms recently were approved for use by the FDA. Ampyra, a new oral drug for use as an adjunct to improve the quality of/speed of walking in multiple sclerosis patients, was approved by the FDA in January 2010 and became available in March. The average wholesale price is about $16,000 per year. Gilenya, the first oral drug to prevent relapses, was approved by the FDA in September 2010 and reached the market in October It is used to treat relapsing forms of multiple sclerosis. Its average wholesale price is expected to be more than $57,000 per year. Drug Food and Drug Administration Benefits 52-week Average Approval Date Wholesale Price Ampyra January 2010 Improves the quality of/ $16,470 speed of walking Gilenya September 2010 Prevents relapses $57,540 The development and FDA approval of these two, new prescription drugs to treat symptoms of multiple sclerosis means that: Ampyra would be an additional drug that could be added to the prescription drug regimen that multiple sclerosis patients already take. From a cost impact perspective, this would add an additional $16,000 to the $37,000 in drug costs for existing drugs. Gilenya may be substituted for one of the other drugs used by multiple sclerosis patients. If Gilenya is substituted for the most commonly used Avonex or Copaxone, Gilenya s higher cost would add $10,000 to $15,000 a year to treatment costs. An additional two to three oral drugs are awaiting FDA approval in of 5

Health Plans by Counties and Boroughs

Health Plans by Counties and Boroughs Albany County Health Plans by Counties and Boroughs Empire Blue Cross HealthNow dba BlueCross BlueShield of Northeastern NY Allegany County HealthNow dba BlueCross BlueShield of Western NY Bronx Affinity

More information

AOT (Assisted Outpatient Treatment) Court Orders

AOT (Assisted Outpatient Treatment) Court Orders Row Created Date Time Data Level Indicator County or Region 01/13/2016 10:54:18 AM Statewide Statewide 01/13/2016 10:54:18 AM Region Central 01/13/2016 10:54:18 AM Region Hudson River 01/13/2016 10:54:18

More information

Rates and the Choices pamphlets are also available online at www.cs.ny.gov/ employee-benefits.

Rates and the Choices pamphlets are also available online at www.cs.ny.gov/ employee-benefits. New York State Correctional Officers & Police Benevolent Association, Inc. 102 Hackett Boulevard - Albany, NY 12209 (518) 427-1551 www.nyscopba.org nyscopba@nyscopba.org TO: FROM: NYSCOPBA Chief Sector

More information

Investors Title Insurance Company - New York Approved Settlement Providers

Investors Title Insurance Company - New York Approved Settlement Providers ( ALL COUNTIES ) First Resource Title & Abstract, LLC 229175 Entire Firm 102 Motor Parkway, Suite 220 Hinman, Howard & Kattell 131803 Entire Firm 700 Security Mutual Building Exchange St. Land Record Services,

More information

CEMA COSTS AND PROCEDURES

CEMA COSTS AND PROCEDURES CEMA COSTS AND PROCEDURES Bank of America: Upfront fee of $150.00 attorney fee (total attorney fee of $425.00) ; Upfront $700.00 BANK CHECK to Bank of America, N.A.; Borrower authorization required; Turnaround

More information

2012 Salary Survey Results

2012 Salary Survey Results 2012 Salary Survey Results The New York State Association of School Business Officials March 2013 The salary information that follows is taken from the 2012 Salary Survey of the NYSASBO membership conducted

More information

New York State Department of Health Division of Managed Care and Program Evaluation County Directory of Managed Care Plans

New York State Department of Health Division of Managed Care and Program Evaluation County Directory of Managed Care Plans Wednesday, February 10, 2016 Page 1 of 62 Albany 7. 8. Capital District Physicians' Health Plan, Inc. YES YES YES Empire HealthChoice HMO, Inc. YES *** *** Health Insurance Plan of Greater New York YES

More information

What is Multiple Sclerosis? Gener al information

What is Multiple Sclerosis? Gener al information What is Multiple Sclerosis? Gener al information Kim, diagnosed in 1986 What is MS? Multiple sclerosis (or MS) is a chronic, often disabling disease that attacks the central nervous system (brain and spinal

More information

Aetna Small Business Health Plan Options

Aetna Small Business Health Plan Options Aetna Small Business Health Options NYC Community SM Manhattan, Bronx, Queens, Staten Island and Brooklyn RATES EECTIVE 01/01/01 through 0/1/01 Options NYC Community SM 1-1 NYC Community SM Referred Specialist

More information

SUNY Contributions to New York s Physician Population

SUNY Contributions to New York s Physician Population RESEARCH BRIEF July 2015 SUNY Contributions to New York s Physician Population Highlights Nearly 1 in 5 of New York physicians is a graduate of a SUNY medical school and/or received graduate medical training

More information

7/14/2015 APPLICATION TO THE NEW YORK STATE DEPARTMENT OF FINANCIAL SERVICES FOR A PREMIUM ADJUSTMENT. NAIC #: 55204 SERFF Tracking #s: HLTH-130145438

7/14/2015 APPLICATION TO THE NEW YORK STATE DEPARTMENT OF FINANCIAL SERVICES FOR A PREMIUM ADJUSTMENT. NAIC #: 55204 SERFF Tracking #s: HLTH-130145438 1. Introduction. 7/14/2015 APPLICATION TO THE NEW YORK STATE DEPARTMENT OF FINANCIAL SERVICES FOR A PREMIUM ADJUSTMENT NAIC #: 55204 SERFF Tracking #s: HLTH-130145438 TO BE EFFECTIVE UPON 2016 RENEWAL

More information

Benefit Chart of Medicare Supplement Plans Sold for Effective Dates on or After June 1, 2010

Benefit Chart of Medicare Supplement Plans Sold for Effective Dates on or After June 1, 2010 This chart shows the benefits included in each of the standard Medicare supplement plans. Every company must make available Plans A & B and either C or F. Some plans may not be available in your state.

More information

Conventional Plus/FHA Plus Programs Participating Lenders

Conventional Plus/FHA Plus Programs Participating Lenders Conventional Plus/FHA Plus Programs Participating Lenders Region/County Lender Name Location/Telephone # Region 1: Buffalo Cattaraugus, Chautauqua, Erie, and Niagara Region 2: Rochester Genesee, Livingston,

More information

Health insurance coverage in upstate New York

Health insurance coverage in upstate New York T H E F A C T S A B O U T Health insurance coverage in upstate New York Upstate New York: Lower uninsured, higher employer-based coverage rates compared to state, nation (2011-2013) Franklin Clinton Upstate

More information

Population Health Improvement Program

Population Health Improvement Program Population Health Improvement Program Overview May 2015 May 2015 Population Health Improvement Program Overview 2 PHIP Overview The New York State Department of Health s Population Health Improvement Program

More information

Counties and Casino Gaming in New York State: Moving Forward

Counties and Casino Gaming in New York State: Moving Forward Counties and Casino Gaming in New York State: Moving Forward December 2013 Mark R. Alger President Stephen J. Acquario Executive Director NYSAC December 2013 1 COUNTIES AND CASINO GAMING IN NEW YORK STATE:

More information

Housing Affordability in New York State

Housing Affordability in New York State Housing Affordability in New York State March 2014 Thomas P. DiNapoli New York State Comptroller Prepared by the Office of Budget and Policy Analysis Additional copies of this report may be obtained from:

More information

Lawyers caring. Lawyers sharing.

Lawyers caring. Lawyers sharing. Lawyers caring. Lawyers sharing. Around the corner. Around the state. The New York Bar Foundation is the charitable arm of the New York State Bar Association. Through the caring and sharing of lawyers,

More information

& DEADLINES NYSHIP RATES FOR DECEMBER 2014

& DEADLINES NYSHIP RATES FOR DECEMBER 2014 DECEMBER 2014 NYSHIP RATES & DEADLINES FOR 2015 For Employees of the State of New York who are unrepresented or in Negotiating Units that have agreements/awards with New York State effective October 1,

More information

Annual Conference Sponsorship and Exhibitor Opportunities

Annual Conference Sponsorship and Exhibitor Opportunities 80 Years and Still Growing ROI CODING EHR INNOVATI O N ANALYTICS WE ARE NYHIMA DATA GOVERNANCE AdHIMA HIMANNY CNYHIMA RRHIMA HIMAWNY SENYHIMA TZHIMA HIMANYC LIHIMA Annual Conference Sponsorship and Exhibitor

More information

Rates NYSHIP. & Deadlines for 2016. November 2015. Choose Your Health Insurance Plan For 2016 by December 18, 2015

Rates NYSHIP. & Deadlines for 2016. November 2015. Choose Your Health Insurance Plan For 2016 by December 18, 2015 NYSHIP Rates & Deadlines for 2016 November 2015 For Employees of the State of New York and their enrolled Dependents Choose Your Health Insurance Plan For 2016 by December 18, 2015 Now is the Option Transfer

More information

Multiple Sclerosis: What You Need To Know. For Professionals

Multiple Sclerosis: What You Need To Know. For Professionals Multiple Sclerosis: What You Need To Know For Professionals What will I learn today? The Basics: What is MS? Living with MS: A Family Affair We Can Help: The National MS Society What MS Is: MS is thought

More information

Local. Per Additional Second Increment Cost (4- decimal)

Local. Per Additional Second Increment Cost (4- decimal) Local Tables LOT 1 Local Services - Regional* Per 1st Second Increment (4- decimal) Dedicated Per Additional Second Increment (4- decimal) Per 1st _60 Second Increment (4- decimal) Switched Per Additional

More information

Uneven Progress: Upstate Employment Trends Since the Great Recession

Uneven Progress: Upstate Employment Trends Since the Great Recession Uneven Progress: Upstate Employment Trends Since the Great Recession OFFICE OF THE NEW YORK STATE COMPTROLLER Thomas P. DiNapoli, State Comptroller AUGUST 2016 Message from the Comptroller August 2016

More information

Global Multiple Sclerosis Market: Trends and Opportunities (2013-18)

Global Multiple Sclerosis Market: Trends and Opportunities (2013-18) Global Multiple Sclerosis Market: Trends and Opportunities (2013-18) Scope of the Report The report titled Global Multiple Sclerosis Market: Trends & Opportunities (2013-18) provides an insight into the

More information

How the Film Production Tax Credit Works

How the Film Production Tax Credit Works How the Film Production Tax Credit Works Legislation enacted in April 2013 extended funding for the NYS Film Production Tax Credit Program. The new funding allocates $420 million per year for calendar

More information

Gregory E. Young, MD, F.A.C.E.P. Medical Director, Western Region New York State Department of Health

Gregory E. Young, MD, F.A.C.E.P. Medical Director, Western Region New York State Department of Health Gregory E. Young, MD, F.A.C.E.P. Medical Director, Western Region New York State Department of Health Public Health Impact of Strokes: United States Every 45 seconds, someone in the U.S. has a stroke.

More information

Property Taxes in New York. Trudi Renwick Senior Economist Fiscal Policy Institute May 14, 2008

Property Taxes in New York. Trudi Renwick Senior Economist Fiscal Policy Institute May 14, 2008 Property Taxes in New York Trudi Renwick Senior Economist Fiscal Policy Institute May 14, 2008 1 The root causes of the rising property taxes in New York: The responsibilities that New York State assigns

More information

3CS: COOPERATION AND CONSOLIDATION CONSULTING SERVICE (Technical Assistance Program)

3CS: COOPERATION AND CONSOLIDATION CONSULTING SERVICE (Technical Assistance Program) 3CS: COOPERATION AND CONSOLIDATION CONSULTING SERVICE (Technical Assistance Program) Objective: 3CS is a facilitation service designed to help local officials eliminate duplication of effort and provide

More information

employee healthcare decisions survey (2008) summary report

employee healthcare decisions survey (2008) summary report www.compassionandsupport.org Patients, families and professionals view reliable information on: Advance Care Planning Health Care Proxies Medical Orders for Life-Sustaining Treatment (MOLST) Life-Sustaining

More information

Trends and benefits of electronic prescribing in upstate New York

Trends and benefits of electronic prescribing in upstate New York T H E F A C T S A B O U T Trends and benefits of electronic prescribing in upstate New York Upstate New York: 2009* Physicians who e-prescribe: 24.3% practitioners who e-prescribe: 20.6% Total new and

More information

New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory

New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Friday, August 07, 2015 Page 1 of 28 Aetna Health Inc. HMO (Health Maintenance Organization) 2/3/1986 For-profit 1160286 100 Park Avenue, 12th Floor New York, NY 10017 (212) 457-0700 Mr. Steven Logan,

More information

Monticello Central School District

Monticello Central School District O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Monticello Central School District Information Technology Cost Savings Report of Examination Period Covered:

More information

Nursing Schools of New York State

Nursing Schools of New York State Nursing Schools of New York State Central Region Counties in region: Broome, Cayuga, Chenango, Clinton, Cortland, Delaware, Essex, Fulton, Franklin, Hamilton, Herkimer, Jefferson, Madison, Montgomery,

More information

PERFORMANCE AND ACCOUNTABILITY MATRIX 5. Contract/Award Procurement Performance/ Accountability Goals

PERFORMANCE AND ACCOUNTABILITY MATRIX 5. Contract/Award Procurement Performance/ Accountability Goals 1. Program Name Community Solutions for Transportation 11 (CST 11) 2. SFY 2009-10 2011-12 3. Appropriation Level $54,884 $112,000 4. Funding Level Total PERFORMANCE AND ACCOUNTABILITY MATRIX 5. 6. 7. Contract/Award

More information

Queensbury Union Free School District

Queensbury Union Free School District O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Queensbury Union Free School District Server Virtualization Technology Report of Examination Period Covered:

More information

A JAILHOUSE LAWYER S MANUAL

A JAILHOUSE LAWYER S MANUAL A JAILHOUSE LAWYER S MANUAL Appendix III: Addresses of New York District Attorneys Columbia Human Rights Law Review Ninth Edition 2011 LEGAL DISCLAIMER A Jailhouse Lawyer s Manual is written and updated

More information

Eldred Central School District

Eldred Central School District O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Eldred Central School District Virtual Desktops: Cost Savings and Energy Conservation Report of Examination

More information

Waverly Central School District

Waverly Central School District O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Waverly Central School District Financial Condition Report of Examination Period Covered: July 1, 2011 March

More information

title insurance company

title insurance company title insurance company April 2005 Pursuant to Article 23 of the Insurance Law, TIRSA has been duly designed as the New York Insurance Department s statistical agent for collecting, compiling and furnishing

More information

Albany Guardian Society Long Term Care Update

Albany Guardian Society Long Term Care Update Redesign Medicaid in New York State Albany Guardian Society Long Term Care Update Mark Kissinger, Director Division of Long Term Care, Office of Health Insurance Programs NYS Department of Health April

More information

Naples Central School District

Naples Central School District O f f i c e o f t h e N e w Y o r k S t a t e C o m p t r o l l e r Division of Local Government & School Accountability Naples Central School District Online Banking Report of Examination Period Covered:

More information

Capital Region BOCES

Capital Region BOCES O f f i c e o f t h e N e w Y o r k S t a t e C o m p t r o l l e r Division of Local Government & School Accountability Capital Region BOCES Claims Auditing Report of Examination Period Covered: July

More information

Southern Tier Region. 2013 $53,200 2014 $82,100 54% increase 2013 to 2014 2015 $89,800 9% increase 2014 to 2015

Southern Tier Region. 2013 $53,200 2014 $82,100 54% increase 2013 to 2014 2015 $89,800 9% increase 2014 to 2015 T H E F A C T S A B O U T Taxes on New Yorkers who purchase private health insurance Estimated annual state and federal taxes and fees paid by an upstate New York business with 75-125 employees Central

More information

Aetna Life Insurance Company. New York Individual. Rate Manual. Table of Contents. Description. General A-1. Premium Rate Manual A-2 A-4

Aetna Life Insurance Company. New York Individual. Rate Manual. Table of Contents. Description. General A-1. Premium Rate Manual A-2 A-4 Rate Manual Table of Contents Description Page General A-1 Premium Rate Manual A-2 A-4 Product Summary and Actuarial Values B-1 B-10 Plan Forms and Actuarial Value Benefits Rate Tables C-1 D-1 D-12 List

More information

Tompkins-Seneca-Tioga Board of Cooperative Educational Services

Tompkins-Seneca-Tioga Board of Cooperative Educational Services O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Tompkins-Seneca-Tioga Board of Cooperative Educational Services Energy Performance Contract Report of Examination

More information

Preventing Chronic Diseases

Preventing Chronic Diseases Priority Areas of County Health Departments The following information was obtained through the New York State Department of Health. It was provided to them by the Prevention Agenda Technical Support Awardees

More information

Results. Success. Savings.

Results. Success. Savings. The New York State Property Tax Cap: Results. Success. Savings. 2015 Report Office of Governor Andrew M. Cuomo Executive Summary Local property taxes in New York are some of the highest in the country,

More information

West Islip Union Free School District

West Islip Union Free School District O f f i c e o f t h e N e w Y o r k S t a t e C o m p t r o l l e r Division of Local Government & School Accountability West Islip Union Free School District Payroll Report of Examination Period Covered:

More information

H1N1 Influenza Pandemic Retrospective

H1N1 Influenza Pandemic Retrospective H1N1 Influenza Pandemic Retrospective Gus Birkhead, MD, MPH New York State Department of Health Outline Epidemiology of H1N1 NYSDOH response Clinical guidance distribution Risk Communication: Media/Educational

More information

Town of Hartland. Fleet Management. Report of Examination. Thomas P. DiNapoli. Period Covered: January 1, 2010 September 21, 2011 2011M-239

Town of Hartland. Fleet Management. Report of Examination. Thomas P. DiNapoli. Period Covered: January 1, 2010 September 21, 2011 2011M-239 O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Town of Hartland Fleet Management Report of Examination Period Covered: January 1, 2010 September 21, 2011

More information

Cayuga County Community College

Cayuga County Community College O f f i c e o f t h e N e w Y o r k S t a t e C o m p t r o l l e r Division of Local Government & School Accountability Cayuga County Community College Information Technology Report of Examination Period

More information

Byron-Bergen Central School District

Byron-Bergen Central School District O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Byron-Bergen Central School District Online Banking and Information Technology Report of Examination Period

More information

Yonkers City School District

Yonkers City School District O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Yonkers City School District Fixed Assets Report of Examination Period Covered: July 1, 2013 April 14, 2015

More information

UAS-NY Readiness and Implementation Strategies for a Smooth Transition

UAS-NY Readiness and Implementation Strategies for a Smooth Transition UAS-NY Readiness and Implementation Strategies for a Smooth Transition Presented by: Kathy Pellatt, Senior Quality Improvement Analyst Linda Spokane, Director of Research & Analytics Kevin Webb, Deputy

More information

Hicksville Union Free School District

Hicksville Union Free School District O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Hicksville Union Free School District Purchasing Report of Examination Period Covered: July 1, 2014 October

More information

Alfred-Almond Central School District

Alfred-Almond Central School District O f f i c e o f t h e N e w Y o r k S t a t e C o m p t r o l l e r Division of Local Government & School Accountability Alfred-Almond Central School District Financial Software Access and Monitoring Report

More information

New York State Office of Mental Health Organization, Structure and Facilities

New York State Office of Mental Health Organization, Structure and Facilities Appendix D New York State Office of Mental Health Organization, Structure and This Appendix contains contact information on the OMH Field Offices, State Operated and Forensic Services. Central Office The

More information

Broadalbin-Perth Central School District

Broadalbin-Perth Central School District O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Broadalbin-Perth Central School District Health Insurance Buyouts and Separation Payments Report of Examination

More information

PART I Introduction to Civil Litigation

PART I Introduction to Civil Litigation PART I Introduction to Civil Litigation CHAPTER 1 Litigation and the Paralegal KEY POINTS New York has its own rules of civil procedure, known as the Civil Practice Laws and Rules (CPLR). New York also

More information

Village of Dannemora

Village of Dannemora O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Village of Dannemora Internal Controls Over Cash Receipts Report of Examination Period Covered: June 1, 2011

More information

New York State Catholic Health Plan, Inc. dba Fidelis Care New York. Rate Manual - Individual Effective Date: January 1, 2015.

New York State Catholic Health Plan, Inc. dba Fidelis Care New York. Rate Manual - Individual Effective Date: January 1, 2015. New York State Catholic Health Plan, Inc. dba Fidelis Care New York Rate Manual - Individual Effective Date: January 1, 2015 Table of Contents Rate Pages Page 2-5 Counties Within each Rating Region Page

More information

Health Sciences Charter School

Health Sciences Charter School O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Health Sciences Charter School Procurement Report of Examination Period Covered: July 1, 2011 May 3, 2013

More information

Briefing Document on Employment and Wages in New York State s Fast-Food Restaurants. Prepared for the Minimum Wage Board. May 2015

Briefing Document on Employment and Wages in New York State s Fast-Food Restaurants. Prepared for the Minimum Wage Board. May 2015 Briefing Document on Employment and Wages in New York State s Fast-Food Restaurants Prepared for the Minimum Wage Board May 2015 by Division of Research and Statistics New York State Department of Labor

More information

Aetna Life Insurance Company. New York Individual. Rate Manual. Table of Contents. Description. Table of Contents A-1. General A-2

Aetna Life Insurance Company. New York Individual. Rate Manual. Table of Contents. Description. Table of Contents A-1. General A-2 Rate Manual Table of Contents Description Page Table of Contents A-1 General A-2 Premium Rate Manual Product Summary and Actuarial Values A-3-A-5 B-1-B-11 Plan Forms and Actuarial Value Benefits C-1 Rate

More information

A JAILHOUSE LAWYER S MANUAL

A JAILHOUSE LAWYER S MANUAL A JAILHOUSE LAWYER S MANUAL Appendix II: New York State: Filing Instructions & Addresses of New York State Courts Columbia Human Rights Law Review Ninth Edition 2011 LEGAL DISCLAIMER A Jailhouse Lawyer

More information

Mount Sinai Union Free School District

Mount Sinai Union Free School District O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Mount Sinai Union Free School District Financial Management Report of Examination Period Covered: July 1,

More information

Voorheesville Central School District

Voorheesville Central School District O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Voorheesville Central School District Internal Controls Over Online Banking and Personal, Private, and Sensitive

More information

Sullivan County. Tourism Promotion Services. Report of Examination. Thomas P. DiNapoli. Period Covered: January 1, 2012 August 21, 2013 2014M-61

Sullivan County. Tourism Promotion Services. Report of Examination. Thomas P. DiNapoli. Period Covered: January 1, 2012 August 21, 2013 2014M-61 O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Sullivan County Tourism Promotion Services Report of Examination Period Covered: January 1, 2012 August 21,

More information

New York State County Sales Tax Collections by Region

New York State County Sales Tax Collections by Region O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT AND SCHOOL ACCOUNTABILITY New York State County Sales Tax Collections by Region Thomas P. DiNapoli State Comptroller For additional

More information

Schenectady County Community College

Schenectady County Community College O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Schenectady County Community College Internal Controls Over Selected Financial Operations Report of Examination

More information

ARTICLE I: NAME The name of this organization shall be the New York State Forensic League.

ARTICLE I: NAME The name of this organization shall be the New York State Forensic League. BY-LAWS OF THE NEW YORK STATE FORENSIC LEAGUE 2015 REVISION ARTICLE I: NAME The name of this organization shall be the New York State Forensic League. ARTICLE II: PURPOSE AND RESPONSIBILITIES A. The purpose

More information

NEW YORK STATE FILM TAX CREDIT PROGRAM GUIDELINES

NEW YORK STATE FILM TAX CREDIT PROGRAM GUIDELINES NEW YORK STATE FILM TAX CREDIT PROGRAM GUIDELINES PROGRAM PURPOSE The New York State Film Tax Credit Program is designed to increase the film production and post-production industry presence and overall

More information

Office of the State Comptroller

Office of the State Comptroller Office of the State Comptroller Division of Local Government And School Accountability UNDERSTANDING THE AUDIT PROCESS Thomas P. DiNapoli State Comptroller Revised: June 2011 State of New York Office of

More information

Patient Group Input to CADTH

Patient Group Input to CADTH Patient Group Input to CADTH Section 1 General Information Name of the drug CADTH is reviewing and indication(s) of interest Name of patient group/author of submission Patient group s contact information:

More information

Between 1994 and 2007, the prevalence of diabetes in New York has

Between 1994 and 2007, the prevalence of diabetes in New York has January 200 New York State Health Foundation s POLICY CENTER A Market Analysis of Certified Diabetes Educators in New York: Initial Findings Jean Moore, MSN; Deborah Zahn, MPH; Margaret Langelier, MS;

More information

NEW YORK STATE MEDICAID PROGRAM MANAGED CARE REFERENCE GUIDE: ENROLLEE ROSTERS

NEW YORK STATE MEDICAID PROGRAM MANAGED CARE REFERENCE GUIDE: ENROLLEE ROSTERS NEW YORK STATE MEDICAID PROGRAM MANAGED CARE REFERENCE GUIDE: ENROLLEE ROSTERS TABLE OF CONTENTS Section I Purpose Statement... 2 Section II Enrollee Rosters... 3 Monthly Managed Care Roster File Layout

More information

Property Taxes in New York State

Property Taxes in New York State A RESEARCH SERIES FROM THE OFFICE OF THE NEW YORK STATE COMPTROLLER Thomas P. DiNapoli DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Local property tax levies totaled $38 billion in 2005 reflecting

More information

Cooperative Information Technology Services

Cooperative Information Technology Services O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Cooperative Information Technology Services 2012-MR-1 Thomas P. DiNapoli Table of Contents AUTHORITY LETTER

More information

Monroe 2-Orleans Board of Cooperative Educational Services

Monroe 2-Orleans Board of Cooperative Educational Services O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Monroe 2-Orleans Board of Cooperative Educational Services Software Management Report of Examination Period

More information

How to Use This Contract. Group 79004 Award 22723

How to Use This Contract. Group 79004 Award 22723 How to Use This Contract Group 79004 Award 22723 The Moving Services Statewide contract(s) is intended to provide a procurement mechanism for State and Non-State Agencies to procure moving services. Additionally,

More information

Clinton-Essex-Warren- Washington BOCES

Clinton-Essex-Warren- Washington BOCES O f f i c e o f t h e N e w Y o r k S t a t e C o m p t r o l l e r Division of Local Government & School Accountability Clinton-Essex-Warren- Washington BOCES Payroll Report of Examination Period Covered:

More information

New York State Department of Health

New York State Department of Health New York State Department of Health NURSING HOME RESIDENT ABUSE AND COMPLAINT INVESTIGATION PROGRAM REPORT JANUARY 1, 2012 DECEMBER 31, 2012 Andrew M. Cuomo. Governor TABLE OF CONTENTS I. INTRODUCTION...

More information

Brighter Choice Charter School for Girls

Brighter Choice Charter School for Girls O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Brighter Choice Charter School for Girls Financial Operations Report of Examination Period Covered: July 1,

More information

How to Use This Contract. Group 79004 Award 22723

How to Use This Contract. Group 79004 Award 22723 How to Use This Contract Group 79004 Award 22723 The Moving Services Statewide contract(s) is intended to provide a procurement mechanism for State and Non-State Agencies to procure moving services. Additionally,

More information

Information Technology Contingency Planning

Information Technology Contingency Planning Office of the New York State Comptroller Thomas P. DiNapoli, State Comptroller LOCAL GOVERNMENT MANAGEMENT GUIDE Information Technology Contingency Planning For additional copies of this report contact:

More information

Onondaga County Sales Tax

Onondaga County Sales Tax Onondaga County Sales Tax Sales Tax -Overview New York State currently imposes a 4% sales tax. New York State counties and cities are authorized to levy a local sales tax up to a combined maximum of 3%

More information

ResearchBrief. Cleaning It Up: The Foreclosure Problem and the Response of Local Governments NEW YORK STATE OFFICE OF THE STATE COMPTROLLER.

ResearchBrief. Cleaning It Up: The Foreclosure Problem and the Response of Local Governments NEW YORK STATE OFFICE OF THE STATE COMPTROLLER. ResearchBrief NEW YORK STATE OFFICE OF THE STATE COMPTROLLER D I V I S I O N O F LO C A L G OV E R N M E N T A N D S C H O O L AC C O U N TA B I L I T Y Cleaning It Up: The Foreclosure Problem and the

More information

Local Commissioners Memorandum

Local Commissioners Memorandum Andrew M. Cuomo Governor NEW YORK STATE OFFICE OF CHILDREN & FAMILY SERVICES 52 WASHINGTON STREET RENSSELAER, NY 12144 Gladys Carrión, Esq. Commissioner Local Commissioners Memorandum Transmittal: 11-OCFS-LCM-14

More information

New York state medical malpractice coverage premiums

New York state medical malpractice coverage premiums T H E F A C T S A B O U T New York state medical malpractice coverage premiums 2013-2014 standard medical malpractice premium rates Rochester area counties Internal medicine $7,185 General surgeon $26,861

More information

The MS Disease- Modifying Drugs. Gener al information

The MS Disease- Modifying Drugs. Gener al information The MS Disease- Modifying Drugs Gener al information Current as of October 30, 2009. This online version is updated as breaking news requires. If you have downloaded and printed a copy from the web, please

More information

Asbestos in New York State. Facts and Responsibilities

Asbestos in New York State. Facts and Responsibilities Asbestos in New York State Facts and Responsibilities What is asbestos? Asbestos is a naturally occurring mineral formed of very strong fibers that are resistant to heat and corrosion. There are several

More information

Washington County. Internal Controls Over the Payroll Timekeeping System. Report of Examination

Washington County. Internal Controls Over the Payroll Timekeeping System. Report of Examination O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Washington County Internal Controls Over the Payroll Timekeeping System Report of Examination Period Covered:

More information

Insight. Drug Class. Background, new developments, key strategies. Introduction. Faulty signals. 400,000 patients in the US 1

Insight. Drug Class. Background, new developments, key strategies. Introduction. Faulty signals. 400,000 patients in the US 1 Drug Class Insight Multiple Sclerosis Background, new developments, key strategies Introduction 400,000 patients in the US 1 Most people diagnosed between age 20 50 2 2-3x more women than men get MS 2

More information

Elmira Heights Central School District

Elmira Heights Central School District O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Elmira Heights Central School District Financial Condition Report of Examination Period Covered: July 1, 2010

More information

REPORT OF THE IMPACT OF ADVANCE DEPOSIT WAGERING ON HORSE RACING AND PARI-MUTUEL HANDLE IN NEW YORK STATE

REPORT OF THE IMPACT OF ADVANCE DEPOSIT WAGERING ON HORSE RACING AND PARI-MUTUEL HANDLE IN NEW YORK STATE STATE OF NEW YORK RACING AND WAGERING BOARD REPORT OF THE IMPACT OF ADVANCE DEPOSIT WAGERING ON HORSE RACING AND PARI-MUTUEL HANDLE IN NEW YORK STATE September 14, 2012 REPORT OF IMPACT OF ACCOUNT WAGERING

More information

White Plains City School District

White Plains City School District O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY White Plains City School District Procurement of Professional Services Report of Examination Period Covered:

More information

Fonda-Fultonville Central School District

Fonda-Fultonville Central School District O FFICE OF THE NEW YORK STATE COMPTROLLER DIVISION OF LOCAL GOVERNMENT & SCHOOL ACCOUNTABILITY Fonda-Fultonville Central School District Online Banking Report of Examination Period Covered: July 1, 2009

More information

December 2008. Division of Local Government and School Accountability. Accounting for Compensated Absences Updated and Clarified

December 2008. Division of Local Government and School Accountability. Accounting for Compensated Absences Updated and Clarified THOMAS P. DiNAPOLI STATE COMPTROLLER STATE OF NEW YORK OFFICE OF THE STATE COMPTROLLER 110 STATE STREET ALBANY, NEW YORK 12236 STEVEN J. HANCOX DEPUTY COMPTROLLER DIVISION OF LOCAL GOVERNMENT AND SCHOOL

More information

ESDC Small Business Revolving Loan Fund Program. Request for Proposals. Responses must be received no later than September 30, 2010 at 3:00 p.m.

ESDC Small Business Revolving Loan Fund Program. Request for Proposals. Responses must be received no later than September 30, 2010 at 3:00 p.m. ESDC Small Business Revolving Loan Fund Program Request for Proposals Responses must be received no later than September 30, 2010 at 3:00 p.m. I. Program Summary The Small Business Revolving Loan Fund

More information