Ed Notes Extended

Thursday, January 12, 2023

More Bad News for Mulgrewcare - An Injunction for Copayments for Senior Care

Judge blocks NYC from charging retired city workers $15 co-pays in latest Medicare setback for Adams

Holy crap. The Hits Keep coming to Mulgrew and RandiCare.

 I've been working on a blog about Monday's city council hearings and this pops up tonight - I mean last night as it's 1 AM tomorrow - I mean today. We were invited out to dinner tonight and I had two hard drinks. So I get a ping and this news pops up and I assume it's the liquor. 

If I were Lyle Frank I'd hire a food taster.

James posted the news on ICEBlog:

COURT GRANTS RETIREES INJUNCTION TO STOP SENIOR CARE COPAYMENTS

Judge Lyle Frank has granted Medicare eligible City retirees an injunction to halt the GHI Senior Care  copays that the City imposed in 2021 and the unions agreed to. This is another defeat for Michael Mulgrew. We The new copays violate Administrative Code 12-126 which says the City has to pay the full cost of healthcare for City retirees, active employees and our dependents.

Don't change 12-126, City Council!

We understand the City has already appealed but their record against the retiree's lawyers is not good. The legal outlook is positive based on how I read the decision based on 12-126. 

That leads to two important questions:

1-If copays are not legal for Medicare eligible retirees, how are they legal for non Medicare eligible retirees and active City employees?

2-Aren't all of us covered by 12-126? My non lawyer guess is we have accepted the copays for so long the City will say they are now the staus quo. That was their argument with the retirees buy the judge rejected it. The rest of us have accepted the copays for years and years. The moral is to never give the City an inch for a second.

As for City Medicare eligible retirees only, this is from Marianne on Facebook:

Marianne is advising you to bring a copy of the injunction with you to the doctor if asked for a copay.

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