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Policy Project
The Step Two Policy Project is a policy think tank that focuses on issues involving health, behavioral health, and human services in New York. Our goal is to make complicated subjects more understandable to general readers, while providing detailed insights for people who work in the health policy field.
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What's Missing in the Mamdani Housing Plan?
On May 29, 2026, New York City Mayor Zohran Mamdani and Deputy Mayor for Housing and Planning Leila Bozorg released a 112-page housing plan, titled Block by Block. The plan offers a wide-ranging strategy for housing policy, including zoning and administrative process changes to expand the siting opportunities for affordable housing, tenant protection, preservation of affordable housing, major renovation projects at New York City Housing Authority (NYCHA), and homelessness red

Paul Francis with Joe Sheppard
Jul 29


Spotlight on Workforce Innovations
Dental Therapy: a Workforce Strategy for Expanding Access to Care

Adrienne Anderson
Jul 24


Work Requirements Under HR 1: Implications for New York
The One Big Beautiful Big Act (HR 1), enacted in July 2025, changed eligibility criteria related to both immigration status and “community engagement” for various federal benefits programs and established the most significant national eligibility-related reporting requirements to date. “Community engagement requirements” are often called “work requirements.” This paper uses these terms interchangeably.

Sally Dreslin & Adrienne Anderson
Jun 24










Emergency Medical Services in New York and the Potential of Leveraging Artificial Intelligence
Issue Brief by Sally Dreslin PDF Available: Introduction The use of artificial intelligence (AI) has rapidly expanded across industries in recent years, transforming operations, decision-making processes, and user experiences. From automation and predictive analytics to generative models produced by OpenAI, Google, and Anthropic, among others, enterprises across sectors are increasingly utilizing AI to gain efficiency and pursue innovation. In healthcare, some examples of are

Sally Dreslin
Apr 6




Behavioral Health under Managed Care in New York Medicaid
This Issue Brief examines the issues related to the inclusion of outpatient behavioral health services under managed care.

Adrienne Anderson
Mar 25






Dental Care for Individuals with Intellectual and Developmental Disabilities in New York State
Oral health is a core component of overall health, with population-level gains driven largely by preventive public health interventions. As this is the Step Two Policy Project’s first publication focused exclusively on oral health, this Issue Brief begins with an overview of dental care delivery in Part I, then turns to the challenges facing individuals with intellectual and developmental disabilities (IDD) in Part II.

Adrienne Anderson
Feb 23


Mayor Mamdani’s budget gambit: Will Hochul and the Legislature deliver more for New York City?
Commentary #29

Paul Francis
Feb 22






Preserving Maternity Services in Rural New York
This Issue Brief provides background information on maternity services in rural areas of New York and examines rural-tailored strategies, including care delivery and payment models that have evolved in the state. This paper also examines a new delivery model set to be piloted in California that may serve as a roadmap for preserving maternity services and improving access to perinatal care in rural New York.

Sally Dreslin
Feb 4
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