Lance's Corner

NYSDOH Highlights Tobacco Control Program

Feb 24, 2025

Per the notice below, the New York State Department of Health (NYSDOH) is highlighting the 25th anniversary of its Tobacco Control Program.

New York State Department of Health’s Tobacco Control Program Celebrates 25th Anniversary

Department Celebrates Success in Reducing Tobacco-Related Harms in New York State

The New York State Department of Health announces the 25th Anniversary of its Tobacco Control Program.  The Program and its partners have led efforts to protect New Yorkers from the tobacco industry and strengthen public health in communities throughout the state.  The Department celebrates the program's longstanding commitment to reducing commercial tobacco use and its related harms and remains dedicated to ensuring that all New Yorkers can live smoke-free lives.

"As we celebrate this 25-year anniversary milestone, we acknowledge the exceptional work that the Department's Tobacco Control Program and its partners have done to protect New Yorkers from the harms of smoking and recognize the many success stories of helping residents quit smoking," State Health Commissioner Dr. James McDonald said.  "Smoking causes long-term disease, disability and premature death, so I am proud of the program for addressing the harmful impact tobacco has on communities for more than two decades."

The Department envisions a commercial tobacco-free and vape-free society for all New Yorkers.  Since 2000, the State's Tobacco Control Program has implemented comprehensive programming to reduce illness, disability, and death related to commercial tobacco use and secondhand smoke exposure, and to alleviate social and economic inequities caused by tobacco use.  The program uses an evidence-based, policy-driven, and population-level approach to tobacco control and prevention with a commitment to promote health equity among populations disproportionately impacted by tobacco marketing and use.  As an independently evaluated program, the Tobacco Control Program has seen significant success, contributing to record-low youth and adult smoking rates and a nearly 50 percent decrease in the lung cancer death rate in the state.  Notably, it has led to thousands of lives and billions of dollars saved in health care costs associated with smoking.  The Program has demonstrated a remarkable return on investment, with New York seeing a $15 return for every dollar spent on the program.

As these achievements deserve celebration, it is crucial to recognize that tobacco use remains the leading cause of preventable death in New York State and nationwide and that tobacco control efforts continue to face challenges, including industry-related influences and the changing tobacco product landscape.  More than 1.6 million New York State adults currently use cigarettes, and progress in reducing tobacco use and its related harms has been uneven across communities in the state.  In addition, the recent surge in youth e-cigarette use poses a serious threat to long-term tobacco reduction efforts as more and more young people are put at risk for nicotine addiction.  While recent data indicates that youth tobacco use has declined, one in five high school students in New York State report using any form of tobacco, with e-cigarettes being the most used product.  Tobacco use in any form is not safe but is particularly harmful for youth and young adults.

The Tobacco Control Program has established a comprehensive infrastructure that includes health communications and media, tobacco use treatment interventions, community programming and statewide and community action.  A key focus of the program is to promote tobacco-free norms, with New York State being a pioneer in establishing strong tobacco control policies.  The Clean Indoor Air Act of 2003 has been a pivotal policy in protecting New Yorkers from exposure to deadly secondhand smoke.  In recent years, the State has enacted several important policies, including raising the minimum age for purchasing tobacco products, prohibiting the sale of flavored e-cigarettes or nicotine vapor products, including menthol-flavored products, and prohibiting tobacco product price discounting.  Many local regulations and policies have been adopted to further protect residents, such as prohibiting smoking and e-cigarette use in multi-unit housing and public spaces, as well as regulating tobacco and e-cigarette retail locations.

To ensure that all New Yorkers have the opportunity to live smoke-free lives, the Tobacco Control Program provides funding to community grantees through its Advancing Tobacco-Free Communities and Health Systems for Tobacco-Free New York initiatives.  Statewide earned and paid media campaigns increase awareness of the problem of tobacco and e-cigarette use and how to get help quitting.  These hard-hitting campaigns have proven effective in changing attitudes towards smoking and encouraging people to quit.  The Program also supports New Yorkers in their quitting efforts through the New York State Quitline which provides free, confidential services, including information, tools, quit coaching, support in both English and Spanish, and free Nicotine Replacement Therapy, such as patches and gum.  The Quitline has helped more than 1 million people in their journey to quit smoking and has recently expanded its services to include text-based support and educational resources on menthol tobacco products, including how menthol affects African American, LGBTQIA+, and Hispanic or Latinx communities.  Information about the Department's Tobacco Control Program can be found here.

USDOL Issues Comprehensive Employer Guidance on Long COVID

The United States Department of Labor (USDOL) has issued a comprehensive set of resources that can be accessed below for employers on dealing with Long COVID.

Supporting Employees with Long COVID: A Guide for Employers

The “Supporting Employees with Long COVID” guide from the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) and Job Accommodation Network (JAN) addresses the basics of Long COVID, including its intersection with mental health, and common workplace supports for different symptoms.  It also explores employers’ responsibilities to provide reasonable accommodations and answers frequently asked questions about Long COVID and employment, including inquiries related to telework and leave.

Download the guide

Accommodation and Compliance: Long COVID

The Long COVID Accommodation and Compliance webpage from the USDOL-funded Job Accommodation Network (JAN) helps employers and employees understand strategies for supporting workers with Long COVID.  Topics include Long COVID in the context of disability under the Americans with Disabilities Act (ADA), specific accommodation ideas based on limitations or work-related functions, common situations and solutions, and questions to consider when identifying effective accommodations for employees with Long COVID.  Find this and other Long COVID resources from JAN, below:

Long COVID, Disability and Underserved Communities: Recommendations for Employers

The research-to-practice brief “Long COVID, Disability and Underserved Communities” synthesizes an extensive review of documents, literature and data sources, conducted by the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) on the impact of Long COVID on employment, with a focus on demographic differences.  It also outlines recommended actions organizations can take to create a supportive and inclusive workplace culture for people with Long COVID, especially those with disabilities who belong to other historically underserved groups.

Read the brief

Long COVID and Disability Accommodations in the Workplace

The policy brief “Long COVID and Disability Accommodations in the Workplace” explores Long COVID’s impact on the workforce and provides examples of policy actions different states are taking to help affected people remain at work or return when ready.  It was developed by the National Conference of State Legislatures (NCSL) as part of its involvement in USDOL’s State Exchange on Employment and Disability (SEED) initiative.

Download the policy brief

Understanding and Addressing the Workplace Challenges Related to Long COVID

The report “Understanding and Addressing the Workplace Challenges Related to Long COVID” summarizes key themes and takeaways from an ePolicyWorks national online dialogue through which members of the public were invited to share their experiences and insights regarding workplace challenges posed by Long COVID.  The dialogue took place during summer 2022 and was hosted by USDOL and its agencies in collaboration with the Centers for Disease Control and Prevention and the U.S. Surgeon General.

Download the report

Working with Long COVID

The USDOL-published “Working with Long COVID” fact sheet shares strategies for supporting workers with Long COVID, including accommodations for common symptoms and resources for further guidance and assistance with specific situations.

Download the fact sheet

COVID-19: Long-Term Symptoms

This USDOL motion graphic informs workers with Long COVID that they may be entitled to temporary or long-term supports to help them stay on the job or return to work when ready, and shares where they can find related assistance.

Watch the motion graphic

A Personal Story of Long COVID and Disability Disclosure

In the podcast “A Personal Story of Long COVID and Disability Disclosure,” Pam Bingham, senior program manager for Intuit’s Diversity, Equity and Inclusion in Tech team, shares her personal experience of navigating Long COVID symptoms at work.  The segment was produced by the USDOL-funded Partnership on Employment and Accessible Technology (PEAT) as part of its ongoing “Future of Work” podcast series.

Listen to the podcast

HHS OIG Issues Annual Report on State MFCUs

Per the notice below, the Office of the Inspector General (OIG) of the United States Department of Health and Human Services (HHS) has issued its annual report on the performance of state Medicaid Fraud Control Units (MFCUs).

Medicaid Fraud Control Units Fiscal Year 2023 Annual Report (OEI-09-24-00200) 

Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. OIG is the Federal agency that oversees and annually approves federal funding for MFCUs through a recertification process. This new report analyzed the statistical data on annual case outcomes—such as convictions, civil settlements and judgments, and recoveries—that the 53 MFCUs submitted for Fiscal Year 2023.  New York data is as follows:

Outcomes

  • Investigations1 - 556
  • Indicted/Charged - 9
  • Convictions - 8
  • Civil Settlements/Judgments - 28
  • Recoveries2 - $73,204,518

Resources

  • MFCU Expenditures3 - $55,964,293
  • Staff on Board4 - 257

1Investigations are defined as the total number of open investigations at the end of the fiscal year.

2Recoveries are defined as the amount of money that defendants are required to pay as a result of a settlement, judgment, or prefiling settlement in criminal and civil cases and may not reflect actual collections.  Recoveries may involve cases that include participation by other Federal and State agencies.

3MFCU and Medicaid Expenditures include both State and Federal expenditures.

4Staff on Board is defined as the total number of staff employed by the Unit at the end of the fiscal year.

Read the Full Report

View the Statistical Chart

Engage with the Interactive Map

GAO Issues Report on Medicaid Managed Care Service Denials and Appeal Outcomes

The United States Government Accountability Office (GAO) has issued a report on federal use of state data on Medicaid managed care service denials and appeal outcomes.  GAO found that federal oversight is limited because it doesn't require states to report on Medicaid managed care service denials or appeal outcomes and there has not been much progress on plans to analyze and make the data publicly available.  To read the GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the first link below.  To read GAO highlights of the report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the second link below.
https://www.gao.gov/assets/d24106627.pdf  (GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes)
https://www.gao.gov/assets/d24106627_high.pdf  (GAO highlights on federal use of state data on Medicaid managed care service denials and appeal outcomes)

CMS Issues Latest Medicare Regulatory Activities Update

The Centers for Medicare and Medicaid Services (CMS) has issued its latest update on its regulatory activities in the Medicare program.  While dentistry is only minimally connected to the Medicare program, Medicare drives the majority of health care policies and insurance reimbursement policies throughout the country.  Therefore, it always pays to keep a close eye on what CMS is doing in Medicare.  To read the latest CMS update on its regulatory activities in Medicare, use the link below.
https://www.cms.gov/training-education/medicare-learning-network/newsletter/2024-03-14-mlnc