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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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Fiscal Frameworks for New York State Government
By “fiscal frameworks,” I’m referring to two different types of frameworks...

Paul Francis
May 8, 2024


Transparency and Openness in Government and Public Policy
...this Commentary is more of a rumination about the challenges of creating not only transparency but “openness”...

Paul Francis
Apr 8, 2024


California Dreaming and the MCO Tax - Addendum
The purposes of this Addendum to my March 19 Commentary titled California Dreaming and the MCO Tax are to ...

Paul Francis
Mar 26, 2024


California Dreaming and the MCO Tax
The Health section of the one-house budgets the Senate and Assembly released last week upended the usual pattern.

Paul Francis
Mar 19, 2024


Analyzing Complex Public Policy Issues
I want to use the analysis of this proposal as an example to describe the process of analyzing complex public policy issues.

Paul Francis
Feb 21, 2024


The Dynamics of the New York State Budget Process
What I want to talk about today is the dynamics of the Budget process...

Paul Francis
Feb 6, 2024


Over-Engineering Against Risk
Governor Kathy Hochul presented the FY 25 Executive Budget for State fiscal year 2024-25 on Tuesday in Albany.

Paul Francis
Jan 31, 2024


The Affordability of Healthcare in New York
Governor Kathy Hochul presented the FY 25 Executive Budget for State fiscal year 2024-25 on Tuesday in Albany.

Paul Francis
Jan 19, 2024


Commentary #4: Week of January 8th, 2024
In the Health sector, the most significant announcement in the SOS was that the State has received approval from CMS of its 1115 waiver...

Paul Francis
Jan 12, 2024


Commentary #3: Week of December 25th, 2023
We think it’s important to understand the background of the increasing numbers of financially distressed hospitals in New York...

Paul Francis
Dec 29, 2023


Commentary #2: Week of December 18th, 2023
Here is a preview of our theory of the case, which we will set forth in a fair amount of depth next week.

Paul Francis
Dec 21, 2023


Commentary #1: Week of December 11th, 2023
This is the first of what I hope will become more frequent updates on issues of interest to the Step Two Policy Project (S2P) readership.

Paul Francis
Dec 14, 2023
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