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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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The Importance of Immigrants in New York’s Healthcare Workforce
The intersection of recent federal healthcare and immigration policy changes will have a significant impact not only on the recipients of government-funded healthcare services and on non-U.S. citizens residing in New York, but also on the immigrants who comprise New York’s healthcare workforce.

Sally Dreslin
Aug 4, 2025


What Happened? And What’s Next?
From the standpoint of healthcare in New York State, which is the principal preoccupation of the Step Two Policy Project, the passage into law of the One Big Beautiful Bill Act (OBBBA) on July 4, 2025, was highly consequential. What comes next for healthcare in New York is still a puzzle that policymakers and stakeholders are now beginning to confront.

Paul Francis
Jul 24, 2025


The Law and Practice of Assisted Outpatient Treatment, Involuntary Removal, and Involuntary Admission in New York State
Together, court-mandated outpatient treatment and involuntary removal and hospitalization represent a safety net for individuals who fall through the cracks in the system of voluntary care, often cycling through hospitals, jails, and shelters.

Adrienne Anderson
Jul 7, 2025


Linking School-Based Health Services and Community Schools to Address the Needs of Students and Families
Community Schools represent an integrated educational approach designed to transform traditional schools into community hubs by offering comprehensive services and supports to students and their families. Linking school-based health services and Community Schools is a low-barrier, high-impact approach to improving educational and health outcomes for students, and to better engaging families and the surrounding community in supporting student success.

Sally Dreslin & Adrienne Anderson
Apr 24, 2025


Democratization of Analysis: An Exercise in Accessing and Visualizing New York Health Data
This paper and the related recent data exercise illustrate the resources that could be developed from existing health delivery system data.

Step Two Policy Project
Mar 11, 2025


Reforming Care Management for Adults with Behavioral Health Needs in New York Medicaid
The purpose of this Brief is to describe the existing care management infrastructure in New York and trace its evolution.

Adrienne Anderson
Jan 22, 2025


Letter from London
There is an old saw that the United States and Great Britain are “two great countries divided by a common language.”

Paul Francis
Jan 7, 2025


The Future of School-Based Health Centers in New York
School-Based Health Centers (SBHCs) represent a relatively small but important component of the healthcare safety net in New York.

Sally Dreslin
Dec 19, 2024


It Is Always Darkest Before the Dawn
At the outset of the Chinese Cultural Revolution, Chairman Mao reportedly said, “It is always darkest before it becomes totally black.”

Paul Francis
Nov 12, 2024


Year Two for the Step Two Policy Project
We have begun Year Two of the Step Two Policy Project. ...

Paul Francis
Nov 4, 2024


Rural Healthcare in New York
To be successful, New York’s health policies need to support the unique needs of rural communities.

Paul Francis
Oct 4, 2024


(Part 2 of 2) Healthcare in Rural New York: Current Challenges and Solutions for Improving Outcomes
Accompanied by the Disparities in Rural and Urban Mortality: New York State Chartbook by Adrienne Anderson Policy Brief: Chartbook:...

Sally Dreslin
Oct 2, 2024


(Part 1 of 2) Healthcare in Rural New York: Current Challenges and Solutions for Improving Outcomes
In this Policy Brief, we examine some of the wide-ranging health challenges that New York’s rural communities are facing...

Sally Dreslin
Oct 2, 2024


The Dog That Didn’t Bark: the House Select Subcommittee on the Coronavirus Pandemic
This Commentary builds on two others regarding the controversy about the Cuomo administration’s nursing home policies during Covid-19.

Paul Francis
Sep 17, 2024


Debunking the Empire Center Analysis Attributing Nursing Home Covid-19 Deaths to DOH Policy
There are two important facts that help account for why these transfers did not measurably increase deaths of nursing home residents ...

Paul Francis
Sep 8, 2024


Re-Examining the Cuomo Administration’s Nursing Home Policies During Covid-19
Four-and-a-half years after the Covid-19 pandemic began, people are still reckoning with nursing home policy decisions made by NYS officials

Paul Francis
Sep 5, 2024


Spotlight on Providers
Mount Sinai Health System identified the need to more efficiently and accurately collect patient consent for health information exchange...

Adrienne Anderson and Sally Dreslin
Aug 28, 2024


The Medical Indemnity Fund and the Price of Good Intentions
The principal focus of this paper is the Medical Indemnity Fund , which was created in 2011 as part of the Medicaid Redesign Team...

Paul Francis
Aug 8, 2024
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