NEW YORK JOINT STATE SENATE AND ASSEMBLY SENATE STANDING COMMITTEE ON VETERANS, HOMELAND SECURITY & MILITARY AFFAIRS ASSEMBLY STANDING COMMITTEE ON VETERANS' AFFAIRS ASSEMBLY SUBCOMMITTEE ON WOMEN VETERANS PUBLIC HEARING THE IMPACTS OF COVID-19 ON NEW YORK'S VETERANS Virtual Hearing August 14, 2020 10:30 a.m. - 3:39 p.m. Page 2 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 SENATORS PRESENT: SENATOR JOHN BROOKS Chair, Senate Standing Committee on Veterans, Homeland Security & Military Affairs SENATOR JOHN LIU SENATOR JEN METZGER SENATOR PETE HARCKHAM SENATOR GEORGE BORELLO SENATOR DAPHNE JORDAN SENATOR JAMES GAUGHRAN SENATOR PATTY RITCHIE SENATOR SUE SERINO ASSEMBLY MEMBERS PRESENT: ASSEMBLY MEMBER DIDI BARRETT Chair, Assembly Standing Committee on Veterans' Affairs ASSEMBLY MEMBER PAMELA HUNTER Chair, Assembly Subcommittee on Women Veterans ASSEMBLY MEMBER BILLY JONES ASSEMBLY MEMBER MARIANNE BUTTENSCHON ASSEMBLY MEMBER MICHAEL CUSICK ASSEMBLY MEMBER BRIAN MANKTELOW ASSEMBLY MEMBER JAKE ASHBY ASSEMBLY MEMBER STACEY PHEFFER AMATO ASSEMBLY MEMBER MONICA WALLACE ASSEMBLY MEMBER ANGELO SANTABARBARA Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 3 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 INDEX Page PANEL 1 Command Sgt. Major Gary Flaherty 17 Executive Director Columbia County Veterans Service Agency Honorable Ronald C. Tocci 24 Commissioner Westchester County Veterans Service Agency Jason Skinner 31 Executive Director New York State County Veteran Service Officer Association Daniel Griffin 38 Vice President NYS Veterans Nursing Home Board of Visitors Thomas Ronayne 41 Suffolk County Veterans Service Agency PANEL 2 Coco Culhane 100 Executive Director Veterans Advocacy Project Solomon Chouicha 106 Staff Attorney Legal Services of the Hudson Valley Dao Sun 110 Senior Staff Attorney Legal Services New York City Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 4 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 Page PANEL 3 J. Michael Haynie 129 Vice Chancellor of Strategic Initiatives and Innovation Syracuse University, Institute For Veterans and Military Families Staff Sergeant (Ret) James Fitzgerald 134 Executive Director NYC Veterans Alliance Ashton Stewart 141 Manager SAGE Veterans Program Laura Stradley 146 Executive Director Veterans Outreach Center PANEL 4 Benjamin Pomerance 181 Deputy Director for Program Development & Learning NYS Division of Veterans' Services PANEL 5 CMSgt (Ret) Marcelle Leis 222 Director of Veterans Services Association for Mental Health and Wellness Alexander J. Behm 228 Executive Director Clear Path For Veterans Eva Usadi 233 Executive Director Trauma and Resiliency Resources, Inc. Aaron Leonard 238 Campaign Representative Sierra Club Military Outdoors Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 5 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 Page Kirby Hannan 244 Legislative Advocate New York State Veterans Council PANEL 6 Meghan Brooks 267 Staff Attorney New York Legal Assistance Group Logan Campbell 272 Project Coordinator City Bar Justice Center's Veterans Assistance Project Peter Kempner 276 Legal Director & Elderly Project Director Volunteers of Legal Service Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 6 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 (The public hearing commenced at 10:30 3 A.M.) 4 ASSEMBLY MEMBER DIDI BARRETT, CHAIR, 5 ASSEMBLY STANDING COMMITTEE ON VETERANS' AFFAIRS: 6 Senator, you can begin if you like. 7 SENATOR JOHN BROOKS, CHAIR, SENATE 8 STANDING COMMITTEE ON VETERANS, HOMELAND SECURITY 9 & MILITARY AFFAIRS: Oh, okay, I thought it was 10 going the other way. Good morning, everyone and 11 thank you for joining us in this, I believe, very 12 important hearing. As we all know the COVID-19 13 virus has challenged our state and our community 14 in many, many ways. This morning we will be 15 listening to testimony and information from many 16 people across the state who are actively involved 17 in providing systems and services to our veteran 18 community. Hopefully, at the close of the day 19 we'll have a good set of ideas of new programs 20 and problems that we want to address to help this 21 community. I'll make my remarks very brief 22 because we do have a lot of witnesses today and 23 move it along, but I do thank everyone for 24 joining us today. Didi, I'm not sure how we want Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 7 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 to do this; we want to go back and forth or you 3 want the ranker to follow the chair on each side? 4 ASSEMBLY MEMBER BARRETT: No, I think 5 I'd like to speak and then have Pam Hunter speak 6 and then I think we can go to our rankers. 7 SENATOR BROOKS: Okay, very good. So 8 I'll turn it over to Didi Barrett. Again, thank 9 you for everybody who is joining us today. 10 ASSEMBLY MEMBER BARRETT: Thank you, 11 Senator. Good morning and I just would like us 12 all to begin with a moment of silence to remember 13 the veterans who served our nation and for those 14 who we lost during this pandemic and the other -- 15 going on these last months that we've -- since we 16 last met. So let's pause for a moment. Thank 17 you all. I've been very proud to serve as chair 18 of the New York State Assembly Veteran's 19 Committee. Over these past months I've made it 20 my mission to connect with veterans and veterans 21 advocates throughout the state to check in and to 22 drop off hand sanitizer and to listen to the 23 stories that people have shared. And from I've 24 heard the veteran's community has taken a lot of Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 8 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 hits over these last months from losing some of 3 our last remaining World War II veterans and 4 veterans in other nursing homes to the depression 5 and relapse that comes from isolation and 6 loneliness to the shuttered American Legion Posts 7 and VFW Posts that are so much part of many of 8 our communities. 9 Currently, we're even experiencing a 10 threat to the U.S. Post Office, which is really 11 one of the largest employers of veterans and 12 veteran's families in the country and so many of 13 our veterans depend on the post office for 14 prescriptions and medications. And so even now 15 we're, we're, our veteran's communities are kind 16 of under target and we need to ensure that 17 veterans have a funded and functioning U.S. Post 18 Office going forward. I want to appreciate, I 19 want to thank all of you who are with us today 20 and I really appreciate everyone making an effort 21 to be part of this. I want to thank the assembly 22 and the senate staffs who did a great job pulling 23 this hearing together. It was important to me 24 that we have a special hearing and I know that Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 9 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Senator Brooks shares my feelings about this to 3 specifically address the impact of this pandemic 4 on our veterans and our military families, and as 5 he said we have a wide ranging group of people 6 testifying, veterans and non-veterans, including 7 as we will see a former chair of this committee 8 who even has continued in retirement to work with 9 veterans, and that's Ron Tocci who is on the 10 first panel. 11 I look forward to hearing from each and 12 every one of you scheduled and before doing I've 13 been asked to read these housekeeping rules, so I 14 will do that for those testifying. Please don't 15 read your testimony, we will be reading all of 16 that submitted. You will need a photo ID for 17 registration purposes that you'll show to the 18 moderator in the waiting room. You'll receive 19 the link to the hearing room via the Zoom chat 20 function in the waiting room when two panels 21 before your panel is testifying. When it is time 22 for your panel to testify you will need to turn 23 on your audio and video. Because of the interest 24 in this topic we've asked each speaker to limit Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 10 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 their remarks to five minutes. In our 3 questioning the chairs will have five minutes and 4 other members of the committees will have three 5 to ask questions. There's a countdown clock to 6 help us keep trach of that in the Zoom gallery 7 view. When the light is green you begin to 8 speak, when the light turns yellow you have one 9 minute left and that means it's time to wrap up 10 your testimony. After the five minutes the light 11 will turn red and it will be our turn to ask the 12 questions. Please keep your video on and use the 13 gallery view. You will remain muted and your 14 video will be off until it's your turn to testify 15 and you'll be muted again once all the questions 16 have been asked and answered. We also ask that 17 you mute cell phones during the hearing. 18 As a reminder to those who may be 19 watching, but are not scheduled to testify please 20 be aware that you can submit written testimony to 21 the e-mail address on the original hearing notice 22 within 10 days and that will be included, and 23 with that I'm pleased to turn it over to my 24 colleague, Assemblywoman Pam Hunter, Chair of the Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 11 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Assembly Subcommittee on women veterans. 3 ASSEMBLY MEMBER PAMELA HUNTER, CHAIR, 4 ASSEMBLY SUBCOMMITTEE ON WOMEN VETERANS: Good 5 morning, it's a pleasure to be here in this 6 morning with all of you and to be able to 7 participate in this very important panel 8 discussion, the hearing relative to COVID and 9 veterans. You know, as a veteran myself and 10 participating I try weekly with my American 11 Legion Post, it definitely gives me a point of 12 view relative to the effects COVID has had on 13 veterans especially the toxins that a lot of 14 veterans have been affected by and very, very 15 concerned relative to these presumptive 16 conditions, autoimmune conditions that people 17 have faced with Agent Orange and what we're going 18 to do relative to COVID. I would like to be able 19 to hear testimony about that today relative to 20 the veteran homes; very concerned about our 21 veterans who are living in these elder care 22 facilities and wanting to make sure that all 23 precautions are taken to protect those folks who 24 are living in these homes. You know, PTSD and Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 12 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 other kind of socialization situations for 3 veterans where they have not been able to get 4 together like they may have been able to in the 5 past has definitely been a huge effect. 6 So we have a great panel of folks here 7 today to give testimony about what's really 8 happening with veterans, definitely been under 9 discussed. We've had conversations about help, 10 you know, nursing homes in general had 11 conversations relative to the effects of COVID 12 for, you know, in communities of color, but you 13 know, the affects that COVID has on veterans is 14 significant and vast and very under discussed and 15 it's a pleasure to be able to participate this 16 morning and I'd like to be able to walk away from 17 this hearing today with actionable items that we 18 can address to be able to help veterans going 19 forward, especially, you know, with the talk of a 20 second wave of COVID coming; so thank you. 21 ASSEMBLY MEMBER BARRETT: Thank you, 22 senator. 23 SENATOR BROOKS: Okay, it's my pleasure 24 to introduce the ranking member of our committee, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 13 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Patty Ritchie, Senator Patty Ritchie for a few 3 words. 4 SENATOR PATTY RITCHIE: Thank you 5 Senator Brooks and I'd like to start off by 6 thanking the chairs for the opportunity to hear 7 the issues today and Senator Brooks, as always, I 8 appreciate working with you on so many issues 9 that are important to our military. I will say 10 that this is important to my district especially 11 this committee because I have the privilege of 12 representing the 10th Mountain Division and not 13 only do I represent active duty soldiers and 14 families, a number of military personnel from 15 Fort Drum retire and are living in the community 16 now; so many of these issues are really important 17 to my district. For the record, though, several 18 of the issues that I have been waiting to ask 19 when I look at the witnesses list I don't see 20 anyone who technically is going to be able to 21 answer those. Unfortunately, I don't see anyone 22 from Fort Drum on there or the Division of 23 Military or Naval Affairs, and I can say for the 24 record I have received many calls from active Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 14 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 duty military, National Guard with regards to the 3 quarantine and coming home to visit their family 4 or being able to go to a hospital with a loved 5 one when they're having surgery. So that is 6 something that I hope after this hearing we'll be 7 able to work together to get the answers from 8 that. And also this past week I have been on a 9 number of hearings with regards to hospitals and 10 nursing homes and I saved my questions for the 11 Department of Health to ask about the state 12 veteran's nursing home, but unfortunately the 13 commissioner is not here today to answer those. 14 So I would appreciate the chairs working with me 15 to see if we couldn't get some of those answers 16 later on. With that, once again thank you for 17 holding the hearing because like I said this is 18 very important to my district. 19 ASSEMBLY MEMBER BARRETT: And I would 20 like to introduce our ranker, a veteran himself, 21 Jake Ashby. 22 ASSEMBLY MEMBER JAKE ASHBY: Thank you, 23 Madam Chair. Thank you to the chairs and my 24 fellow ranker on the senate side and all the Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 15 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 participants here today. Most of all I want to 3 thank the veterans who are here. I know many of 4 those who are testifying are veterans themselves. 5 Thank you for continuing to do what you're doing 6 through this time. I can't imagine the job right 7 now and what you're facing and the uphill battle 8 that it is, but I look forward to hearing about 9 that struggle and trying our best to figure out 10 the best way forward, but again, I just, I want 11 to be clear in how grateful I am to the veterans 12 that are continuing to serve in this capacity of 13 reaching out to their brothers and sisters and 14 doing all they can to help them, you know, during 15 this time. 16 I'd also like to echo a little bit of my 17 colleague in the senate in her disappointment and 18 the absence of some people on the witness list, 19 in particular, those who are in the nursing home 20 industry on the state side, for a state better. 21 It would have been great to hear from them today. 22 I know that we all had many questions for them, 23 hopefully, we can work together to get some 24 answers on that end as well, but I want to take Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 16 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 this opportunity to say thank you all of you and 3 I look forward to hearing the testimony. 4 ASSEMBLY MEMBER BARRETT: Thank you 5 assemblyman, before I hand it back to Senator 6 Brooks I just would like to say I to share in 7 your disappointment. We invited the directors of 8 the leadership in all, of all five of the 9 veteran's nursing homes, they all turned us down 10 and asked, you know, just basically said no. We 11 also, I understand had asked for somebody from 12 Fort Drum and I don't know how that got lost in 13 the shuffle, but somehow I understand that that 14 name was never given to the staff that was 15 organizing this. But we do have an outstanding 16 series of witnesses and I think a lot of these 17 issues, if not from specifically inside I think 18 will be addressed and I really appreciate again 19 everyone who has made the effort to be here and 20 talk with us today and to the veterans. Thank 21 you, again, for your service and for the 22 continuing work that you do to make our state and 23 our country a better and safer place. So Senator 24 Brooks, would you like to lead off here? Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 17 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 SENATOR BROOKS: Okay, thank you and I 3 guess just to echo the remarks. I think we all 4 recognize there are a number of individuals for 5 one reason or another that are not here today. I 6 think we have to look at this hearing as a first 7 step on a journey to address the concerns of our 8 veterans, both associated with this virus and in 9 other areas. So I think today we're going to 10 hear from outstanding witnesses and begin to, to 11 build the catalog, if you will, of issues that 12 we're going to address in the, in the coming 13 session. So I believe we should start with the 14 sergeant, the Command Sgt. Major Flaherty and 15 Command Sgt. Major, we welcome you. 16 COMMAND SGT. MAJOR GARY FLAHERTY, 17 EXECUTIVE DIRECTOR, COLUMBIA COUNTY VETERANS 18 SERVICE AGENCY: Good morning, everybody. I'd 19 like to thank everybody for the opportunity to 20 come forward and talk about what we're doing at 21 the ground level to support our veterans. I must 22 say up front that there's no question that all my 23 years in the military I was committed to taking 24 care of my troops and hopefully, for the rest of Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 18 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 my life I'll be able to take care of our 3 veterans. In taking of them during this crisis 4 with COVID, it's no different than what I was 5 doing prior to the COVID and that is making sure 6 we communicate with our veterans, and I'm sure 7 that most of you are aware if not all of it, the 8 importance of communicating with the veterans 9 during this time it's and particularly our 10 veterans that are more vulnerable than others 11 than the general population based on their combat 12 experiences. And in particular our Vietnam Vets 13 I find, and being one myself, it's, it was 14 actually critical to stay in communication with 15 the ones who have PTSD and in the case of Vietnam 16 Vets, the serious diseases related to their 17 exposure Agent Orange, which make them and I 18 vulnerable in situations such as heart disease, 19 diabetes, over 17 different cancers. 20 And from the very beginning I think the 21 success we've had in Columbia County has been the 22 fact that us staying in communications each 23 Sunday since the very beginning of this, I've 24 called all my veterans, widows and families on a Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 19 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 repeated basis to make sure that they're okay. 3 And as a result of that I've only had one 4 veteran, the first Sunday that I called he was 5 contemplated suicide and was actually delighted 6 that he, had received a call and stayed on the 7 phone with me for over an hour. Subsequent to 8 that I got him into the VA treatment programs and 9 as I check on him every week he's doing much 10 better and doing extremely well. 11 The other two incidents I've had in 12 Columbia County with the result of domestic 13 violence, and both of those cases were handled 14 locally. One we ended up admitting to the VA and 15 in checking with him he's doing very well also. 16 One of the issues that we have is we're a PFC 17 Dwyer Program in Columbia County and that program 18 has been very instrumental in us carrying forward 19 and communicating not only between myself and the 20 veterans, but our peer to peer program has been 21 very successful. We ended up making house calls, 22 delivering food packages to veterans that were 23 locked in and the issue with the PFC Dwyer 24 Program is limited to certain counties in the Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 20 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 state and we've been so successful with it that 3 it would be very instrumental and very good for 4 us to expand the program statewide. The other 5 issue is the restrictions that we have on funding 6 not only our county funding and [unintelligible] 7 [00:17:00] localities that has not come in, but 8 continue the funding for the PFC Dwyer Program. 9 Tomorrow I'm very happy to report that 10 we'll be opening a day room, a military style day 11 room down below my office to have veterans come 12 in and interact with each other, get back into 13 the community and, therefore, we'll be able to 14 stay in touch with them. We have nobody in the 15 nursing home program so I can't speak to that, 16 but I'm anxious to hear more about it. I do have 17 veterans that are in their normal community 18 nursing homes and one of them's mother was 19 transported downstate and he became extremely 20 agitated and came to me saying it wasn't, I 21 wasn't even aware that she had been transported, 22 and she was transported down during the night. 23 So that was one incident that we had. 24 I thank you all, I know my time went Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 21 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 running down, but my commitment is to stay in 3 touch, communicate and I think that's the answer 4 that we have to do to make sure our veterans are 5 not only medically, but psychology taken care of. 6 Again, I thank everybody and I'm open to any 7 questions you have. 8 ASSEMBLY MEMBER BARRETT: Thank you -- 9 SENATOR BROOKS: Okay -- 10 ASSEMBLY MEMBER BARRETT: Go ahead. 11 SENATOR BROOKS: -- we thank you very 12 much. I think all of us collectively recognize 13 the outstanding results in the Dwyer Program. 14 We've been able to add additional funds each of 15 the last three years and I think we all agree 16 that it's a program that should be taken 17 statewide and I know there's an effort actually 18 to make the program national. So there is 19 widespread recognition of just an outstanding 20 program and the fact that that is a peer to peer 21 program really adds to, I think the success of 22 the program. As we gather today, a lot of our 23 concentration is on the area of the virus itself 24 and we recognize that there's different programs Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 22 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 available on different communities and some do 3 and don't have the hospitals be a part of the 4 State University system, hospital system or the 5 independent programs. Did you in your area see a 6 significant change in activity or reduction in 7 worthwhile programs as a result of the virus? 8 CMSGT MAJOR FLAHERTY: I haven't seen 9 that at this point, sir. I stay in touch with 10 our leadership and the support we get from our 11 county and from the state is very effective. I, 12 as I said in the beginning I'm totally committed 13 to taking care of our veterans and as of last 14 Sunday, I completed 437 calls to the veterans. 15 Some, many of them repeated calls talking also to 16 widows. During the beginning of the virus I had 17 eight Vietnam Vets die. One of the issues with 18 the restrictions, I had one veteran die early 19 March and we couldn't get honors for him until 20 two weeks ago. So the funeral home had to hold 21 him until we could bury him with honors. 22 SENATOR BROOKS: You know, and I share 23 with you the concerns we have with the Vietnam 24 Veterans in particular with Agent Orange related Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 23 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 issues. So, you know, we've got to keep our 3 antennas out on some of this, but again, today 4 we're concentrating on the virus, but we also 5 have to be looking at the other many issues that 6 are out there. Just a question associated with 7 the virus and the closing of business operations, 8 did you see any problems in your area with 9 employment of veterans? 10 CMDSGT MAJOR FLAHERTY: No sir. I had, 11 the only problem I've had is a couple of the 12 businesses have complained that they had people 13 that, they couldn't get back to work because they 14 were making too much money staying at home. 15 That's the only complaint I've had. 16 SENATOR BROOKS: Didi, I'll give you an 17 opportunity to ask some questions. 18 ASSEMBLY MEMBER BARRETT: Okay, I'm 19 going to, I think the, the, I'm getting a text 20 here that they want to do the panel as a whole. 21 So what I would like us to do then is move onto 22 the other panelist and then let me come back and 23 ask questions of Gary and the others at that 24 time. But I just want to say since, since Gary Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 24 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Flaherty is just an absolutely stellar public 3 servant in our, in my, one of the counties I 4 represent I just want to thank you for all you're 5 doing and what you've always done and look 6 forward to working with you on the board Dwyer 7 funding because that's important to me as well. 8 CMDSGT MAJOR FLAHERTY: Thank you very 9 much. 10 ASSEMBLY MEMBER BARRETT: So I think the 11 next speaker is Ron Tocci. Should we go to Ron 12 and let's go through the panel first and then 13 we'll have questions afterward? 14 HONORABLE RONALD C. TOCCI, COMMISSIONER, 15 WESTCHESTER COUNTY VETERANS SERVICE AGENCY: 16 Thank you, Madam Chair and Chairman Brooks, I 17 want to first thank you and your co-chairs and 18 all those are participating that made this a 19 priority in, at a time when it's so difficult and 20 chaotic throughout our country for you to take 21 the time out. I know you're in budget mode and 22 so on and so forth, this is extremely gratifying 23 to the veteran community. If I could digress 24 just for a couple moments, for those that are Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 25 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 listening, those that will read and learn about 3 what we talked about today they should understand 4 that in our country of 350 million people we have 5 less than one-half of one percent that are 6 serving our mili-, our country in the military 7 and I think that's remarkable that we have those 8 kind of special people. So what you're doing is 9 certainly admirable because there's no greater 10 priority than to take care of those people who 11 take care of us. 12 So with that said I have a couple of 13 things that might be of interest. I for many, 14 many years was privileged to serve in the 15 capacity that you are now and I learned so much 16 from so many of the special people who I helped 17 in many different ways and worked with me to do 18 some good things. First of all, I think that we 19 should all understand the delivery of services, 20 excuse me, has been radically challenged. Where 21 we in our county at Westchester where we have a 22 million people, obviously a fairly good sized 23 veteran population, we do not do any personal, 24 one on one services. We've transferred to iPads Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 26 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 and Smartphones and all kind of 3 telecommunication, but the county executive, our 4 county executive, George Lattimer, has insured 5 that everybody be taken care of without 6 interruption. So we have not missed a beat in 7 terms of filing claims, answering phone calls on 8 a daily basis and performing all the services 9 that veterans service offices normally do. 10 With that said, it's been very, very 11 difficult because you try to get through to the 12 VA, if we're filing a claim it may be that some 13 of our service officers will be on the phone on 14 hold for an hour or two, maybe longer, and I'm 15 sure that the Sgt. Major understands that as he 16 testified too. But we're doing that and that's 17 one of the things that has made it very 18 difficult, but while I'm talking about that I 19 think it's very important to understand the value 20 of our service officers particularly those people 21 that processed the claims. There has been a 22 state funding program since the Korean War and 23 the formula was based on population of counties, 24 not on veteran population. We've advocated for Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 27 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 years that that formula should be changed. 3 There's a minimal amount of money, just to give 4 you an idea. Westchester County, a million 5 people, we get about $35,000 back every year to 6 fund our veteran service agency. Whether we get 7 it or not makes no difference, we have to do that 8 anyway. 9 We had suggested a formula change based 10 on the delivery of service and the number of 11 contacts, number of claims filed and so on and so 12 forth, with a dollar amount attached to each one 13 of those services, and it would be a lot more 14 money to those people who provide a number of 15 services to the veterans with a minimal amount of 16 money so there would be no loss, you'd be held 17 harmless. The smaller counties, upstate in 18 particular, would continue to get the amount of 19 money they get now and if they can prove that 20 they've done more for services to veterans, they 21 would get more money. And just to give you 22 another example, I did a survey one time of the 23 state money that went for veteran's services 24 throughout the State of New York and this has Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 28 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 gone back over 20 years ago and it amounted to 3 less than $5.00 per veteran per year. Now 4 there's a lot of money that comes from the Feds 5 that goes through our Department of Labor, but 6 that is not state money and in a year where we 7 have a budget that's approaching $190 billion 8 dollars I do believe that most people would agree 9 that veterans are worth a heck of a lot more than 10 what they're getting back. 11 So I'm not blaming anybody. I 12 understand how difficult it is to get through our 13 finance ways and means committees, any kind of 14 increases for services, but I would think that 15 everyone if you talk to people on the street 16 would agree that there should be at least a 17 commensurate amount of money for the services 18 provided to our veteran community. So I would 19 hope that we could effectuate a change in the 20 formula in the policy of how we, we do fund those 21 services. I would also like to talk about the 22 fact that we had a real problem with gaining 23 access and admission for veterans and their 24 spouses in a state veteran nursing homes. The Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 29 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 policy initially established and I'm not blaming 3 anybody, was probably done in good faith, but 4 after the debacle where we had people with COVID 5 admitted into the nursing homes that infected a 6 lot of the other veterans, the policy was changed 7 that nobody was admitted. And I had veterans who 8 were in need of veteran nursing care that could 9 not get in and their spouses, which are also 10 eligible according to our state policy for 11 admission into our state veteran homes, could not 12 go in either. And these people approaching 85 13 years old and maybe even older made it very, very 14 difficult for a lot of the service officers 15 throughout the state to try to find places to 16 accommodate these kinds of needs. 17 So I think there has to be a very, very 18 clear distinction of who is eligible and if there 19 is no provision now they're going to have to make 20 provisions for some kind of special 21 accommodations for people who are with dementia, 22 that's another problem, who they claimed to be 23 aggressive they will not take them in because 24 they say they don't have the staff to provide for Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 30 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 them, but these are veterans, and there's got to 3 be accommodations made for them. And at the same 4 time -- 5 ASSEMBLY MEMBER BARRETT: Ron -- 6 HONORABLE TOCCI: -- I think most of the 7 state veteran homes should accommodate some kind 8 of an exclusive area that is separate with 9 different access and so on for people with 10 infectious diseases. And then you heard that 11 there's a problem of visitation, families -- 12 ASSEMBLY MEMBER BARRETT: Ron -- 13 HONORABLE TOCCI: -- yes, I'm sorry, Ms. 14 Barrett. 15 ASSEMBLY MEMBER BARRETT: -- we are, 16 yeah, you're past your time and I know that this 17 -- 18 HONORABLE TOCCI: Okay. 19 ASSEMBLY MEMBER BARRETT: -- is a 20 subject of interest to many of us so I think we 21 will come back to talking about -- 22 HONORABLE TOCCI: Okay, sure. 23 ASSEMBLY MEMBER BARRETT: -- this at the 24 question entered afterwards, but thank you very Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 31 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 much. 3 HONORABLE TOCCI: Okay, fine. I'm 4 sorry, I didn't realize it was limited now. I'll 5 stay on. 6 ASSEMBLY MEMBER BARRETT: Okay, thank 7 you. I think our next speaker is Jason Skinner. 8 SENATOR BROOKS: Right. 9 MR. JASON SKINNER, EXECUTIVE DIRECTOR, 10 NEW YORK STATE COUNTY VETERAN SERVICE OFFICE 11 ASSOCIATION: Thank you, my name is Jason 12 Skinner, again, I want to echo everybody else's 13 comment on being appreciative of the invite to 14 speak today. My name is Jason Skinner. I'm an 15 Iraq war veteran and before I get too much 16 farther I do want to thank all those other 17 Vietnam veterans that are out there statewide, 18 nationwide. If it weren't for their service and 19 advocacy my generation would not be as well 20 respected and while it is still difficult to get 21 VA benefits it's a lot easier than it was for 22 them and they did not get the welcome home that I 23 do and I will put forth that respect and 24 acknowledge their service and what it means to me Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 32 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 today, so thank you. 3 I'm the executive director of the New 4 York State Veterans Service Officer Association. 5 We have 160 members that we know of; of about 300 6 veteran service officers statewide. We operate 7 in 62 counties. We represent county veteran 8 service officers. I am the director of the 9 Livingston County Veteran Service Agency, also a 10 member of the National Association of Counties 11 Military and Veterans Affairs Standing Committee 12 and I'm a vice-chair there, and I'm a participate 13 in the SAMHSA or Substance Abuse Mental Health 14 Administration, governor's challenge for suicide 15 prevention and my distinguished colleague, Tom 16 Ronayne is also on that committee working to end 17 suicide in New York State. 18 A couple issues specific to COVID we've 19 seen kind of statewide is diversion away from VA 20 medical centers. Because of COVID they don't 21 want people presenting. They are triaging phone 22 calls and diverting people to either urgent care 23 or emergency rooms and initially it was emergency 24 rooms. Wolfe v. Wilkie and Stauve [phonetic] v. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 33 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 McDonald are confusing bits of law, but the VA 3 can bill or the provider can bill based on the 4 VA's determination that you needed to go to the 5 emergency room. However, if it isn't actually 6 coded as an emergency, you will be billed by that 7 private institution and the VA will deny your 8 claim to pay that. I myself actually received 9 this, this situation, but many will and 10 unfortunately, part of our job is to appeal those 11 decisions and you have 30 days to appeal them, 12 and with restrictions and visiting with people 13 face to face and office operations, this will be 14 an issue coming up and people will be, 15 unfortunately, negative impacts on their credit 16 reports due to VA billing issues. 17 But also point out yes, meds from VA are 18 being from what I am to understand affected by 19 the United States Postal Service or the VA 20 staffing. We're not quite sure why veterans are 21 getting them late, that is an impact. I know the 22 executive order that is meant to protect veterans 23 and the general populous from eviction has 24 actually disqualified them from tons of money Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 34 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 that is federal through the SSVF grants. So if a 3 veteran is going to be evicted or in arrears in 4 their rent these grants can help them get out of 5 arrears or avoid being evicted. However, for 6 several months now these looming bills are piling 7 up without any eviction notice that would then 8 qualify them for these grants, but the way it is 9 right now there's no means to get these grant 10 funds in those veteran's hands, which is causing 11 significant mental health problems and anxiety 12 for our veterans. I also [unintelligible] 13 [00:34:29] on, you know, veterans are also 14 employees and those that are unemployed often 15 times are reaching out to our local legislators 16 for assistance with the New York State 17 unemployment issues that we've had and we're 18 seeing statewide. There's not necessarily a 19 veteran specific issue, but veterans are first 20 and foremost human beings and residents of our 21 great State of New York. 22 As far as the many different issues that 23 have been brought up, you know, access to our 24 offices we believe is New York State Veteran Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 35 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Service Officers or County Service Officers that 3 without access to us a lot of them cannot become 4 qualified or eligible for VA services, financial 5 assistance through pensions or disability claims. 6 One of the biggest issues for us is the financial 7 crisis that has been caused by COVID as a 8 secondary issue. As touched on before we get 9 $10,000 in funding through a, actually through an 10 executive order, not executive order, executive 11 law, 359 I believe, that states that we all get 12 $10,000 and unfortunately, we don't believe that 13 that's a discretionary amount because it is 14 established in law and we are not going to 15 receive that $10,000. 16 We do as an association support Senator 17 Ortt's S, I believe, S102 or 106 this year, it 18 changes from year to year, of increasing that 19 amount the state provides to county service 20 officers from $10,000 to $20,000 statewide and 21 also bring up mental health. I've had at least 22 one suicide in our county, unfortunately, and I 23 saw the family last week. You know, anxiety due 24 to COVID and mental health, you know, pre- Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 36 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 existing issues because they are a veteran are 3 actually being exacerbated right now with the 4 lack of ability to present urgent care to VA, 5 being diverted away. A lot of the issues we're 6 seeing with things that are not necessarily 7 veteran related, but because they have PTSD or 8 any other issue that anxiety is drawing them 9 closer to suicide. 10 Some of the problems you know we already 11 face in New York State and countrywide is the 20 12 a day number, but state numbers only come in 13 three years after the fact. The latest date of 14 2020 reflects 2017 numbers that put us in 15 Livingston County at 82 per 100,000. The highest 16 in the state yet we receive no funding for 17 suicide prevention. If you look aid to 18 localities and how its distributed in the 19 [unintelligible] [00:37:22] county, for example, 20 gets $22.00 per veteran and we get $2.06 per -- 21 so if we're looking at establishing mental health 22 funds at some point to help with veterans 23 statewide, I would also caution you with some of 24 what I'm, to understand it at a national and Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 37 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 state level, we often have branding issues where, 3 you know, the Dwyer Program named after Dwyer, 4 PFC Dwyer, you know, in the image that's in your 5 head of a man saving a child that's pushing a lot 6 of mostly females away from these programs. 7 SENATOR BROOKS: I think we're in a 8 situation, I think we all agree and we want to 9 hear some additional information from you, but we 10 do have some time constraints and we're in a 11 situation where you're over the allocation, but 12 as we have the follow up discussion, I think 13 maybe we can discuss some of these points at that 14 time. I'm sorry, I apologize. 15 MR. SKINNER: If you don't mind, I'll 16 just quickly close with, you know, it really 17 didn't matter what part of the state somebody 18 joined in, but when they come back they should 19 have the same, you know, specific benefits and it 20 shouldn't be different when you come back to a 21 different locality. That's just my stance on, 22 you know, hopefully, you guys see it the same 23 well as well depending, you know, it didn't 24 matter where you came from in our state, but when Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 38 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 you come back you should have an equal, I guess, 3 benefits, but thank you. 4 SENATOR BROOKS: Thank you, okay, and 5 scheduled Daniel Griffin would be our next 6 speaker. 7 MR. DANIEL GRIFFIN, VICE PRESIDENT, NYS 8 VETERANS NURSING HOME BOARD OF VISITORS: Yes, 9 I'm Dan Griffin, I'm vice president of the Board 10 of Visitors at the NYS Veterans Nursing Home at 11 Montrose and the only reason I'm here instead of 12 the president, Bill Mann, he's had some recent 13 health issues. I want to thank the committee for 14 allowing me to speak today. COVID-19 has had a 15 direct impact, a drastic impact on the residents 16 at the nursing homes, the veterans nursing homes, 17 particularly to also the families. Four months 18 they have not had a visitation, so that's four 19 months that husbands can't touch their wives or 20 hug their wives and husbands, children, 21 grandfathers whatever. Humans need the touch. 22 You need to touch each other and it's extremely 23 depressing. I'm receiving many phone calls from 24 family members frustrated with the fact that they Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 39 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 have not been able to come in and hug their loved 3 ones in the nursing homes. The homes have tried, 4 but it's not really effective. These window 5 visits where the family members stands outside 6 with a cellphone, they wheel in the resident and 7 they're sitting in a wheelchair with a mask on 8 and a cellphone. They can't hear each other and 9 some of the residents can't speak anyway or 10 they're bed ridden. The Zooms, sometimes the 11 Zoom doesn't work and then you get the same 12 problem, they have to wear a mask; you can't hear 13 them, they can't hear each other, and the 14 residents are hard of hearing to begin with. 15 I have a solution I think may work. I 16 have gone to a couple doctor's visits myself 17 recently and actually went to one over a month 18 and a half ago. The doctor had on a mask, a 19 shield, gloves, a gown, why can't the family 20 members come to the home with the same thing; put 21 on a mask, a shield, gloves, the gown and then go 22 and hug and touch their loved ones in the nursing 23 home. It's so depressing and I'm surprised that 24 we don't have more passing away just from Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 40 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 depression, and once you get depressed enough and 3 the lack of human contact, you're just going to 4 give up, you're going to pass away. This is a 5 big, big problem and I think that is the only 6 solution. 7 I'm certainly open to any other 8 solutions, but it's the only one I can think of. 9 We've got to change this because the 28 day 10 program that they have is they have to go 28 days 11 without a positive test. Now the only ones 12 coming with a test positive are employees because 13 they go home; so they're tested daily. Now they 14 get close to the 28 days when they're going to 15 allow visitations and then one employee tests 16 positive, they start the 28 days all over again. 17 They get their hopes up, they're almost ready to 18 come in and then they're dashed again and this 19 has been going on for four months. This has got 20 to change, it's got to stop. We've got to help 21 these people to see their loved ones and to see 22 their families, I think it's going to have a very 23 adverse effect on their health. I thank you for 24 the time. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 41 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 SENATOR BROOKS: Thank you very much, 3 and we do have one additional speaker that's been 4 added, Tom Ronayne from Suffolk County. Tom had 5 I have had an opportunity to work together quite 6 a bit and we're so very glad to have him join us, 7 Tom. 8 MR. THOMAS RONAYNE, SUFFOLK COUNTY 9 VETERANS SERVICE AGENCY: Good morning, thank you 10 Senator Brooks. Thank you, thank you to the 11 Chairs and Committee for the opportunity to speak 12 to you hear this morning. Before I begin I'd 13 also like to thank Senator Brooks publically for 14 his service, not only to the State of New York, 15 but for his service in uniform as a member of the 16 New York Army National Guard. So thank you for 17 that brother comrade, brother. I would, I would 18 echo all of the comments that have been made here 19 this morning by the previous speakers. We have 20 experienced in each county across New York State 21 I'm sure a variety of challenges related to 22 COVID, but there are, there are commonalities 23 across the state in terms of the impact on our 24 veteran population primarily with access to care Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 42 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 and services. 3 I would say that one of the greatest 4 challenges that we face here in Suffolk, as a 5 county of not only 1.5 million people, but we're 6 very diverse both geographically and well, yeah, 7 geographically. We're a large county, we're on 8 an island, we're surrounded by water, but we go 9 from very suburban to very rural very quickly as 10 you transit across our county and in those 11 different areas we see different levels of need. 12 One of the challenges that has been discussed 13 here this morning has been access to VA, and I 14 will, admittedly I will say to you I am a service 15 connected disabled veteran, I'm a proud Navy 16 veteran. I am a consumer and user of VA 17 services, but I will tell you that in my both 18 professional opinion and in my personal opinion 19 as a service connected veteran, VA did not make, 20 it did not make it easy for veterans to access 21 their network. 22 We have had a checkpoint set up at the 23 entrance to our local VA medical center that is 24 still in place. Veterans presenting or having Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 43 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 their, are being screened, they are having their 3 temperatures taken. We're actually seeing 4 veterans being diverted from the emergency room 5 if they don't have an appointment. The, the 6 state admission of VA is to provide care to those 7 who have, to our veterans and while I, I admire 8 their commitment to maintain a level of 9 cleanliness and to maintain the safety of their 10 staff, I think that they have gone too far in one 11 direction and they have neglected the importance 12 of serving the veterans in our community and to 13 the extent that veterans have been placed in 14 peril. 15 Much can be said about the challenges 16 that we've experienced across our state veterans 17 home. Here in Long Island we have the Long 18 Island State Veteran's Home at Stony Brook; 19 probably the most singularly the most remarkable 20 skilled nursing care facility that I have ever 21 encountered. It is a wonderful facility, it is 22 administered with exceptional professionalism. 23 Our veterans, we have 88 veterans in a facility 24 of 350 beds. We've lost 88 veterans in that Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 44 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 facility to COVID, just a horrific number. 3 These, these losses are tragically compounded by 4 the fact that the remaining, the remaining 5 residents of the facility have not had visitation 6 since early March and the mental health 7 challenges, the mental health strains that the 8 lack of visitation and the lack of contact with 9 their loved ones places on them is having a 10 deleterious effect on the entire population of 11 these facilities. 12 I will, I will begin to summarize and 13 prepare my close, but what I would like to say is 14 over the years, over the past 10 years or so VA 15 has placed an increasingly significant burden on 16 veteran service officers primarily county veteran 17 service agencies and by that, by that what I mean 18 is we have been required to enhance and increase 19 the nature and the frequency of our trainings. 20 We maintain credentials. We are federally 21 credentialed by the office of general counsel for 22 the Department of Veteran's Affairs and we have 23 gone from preparation of claims primarily to 24 develop, development of fully developed claims to Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 45 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 now developing claims that are ready to rate and 3 while this certainly does serve our veteran 4 clients it has drastically increased the 5 commitment of time, resources and energy 6 necessary to properly develop, prosecute and case 7 manage a claim. We receive exactly zero funding 8 from the federal government. We receive a very 9 small stipend from New York State, but none of 10 these have any effect in offsetting the 11 increasingly onerous financial burden on our, on 12 our county and our resources. 13 We partner exceptionally well with other 14 agencies statewide. We have a relationship with 15 many of the people on this call today, but at the 16 end of the day if we are going to continue to 17 address the COVID related issue of unemployment 18 has led to significant increases in the levels of 19 housing insecurity and food insecurity that we 20 are seeing as veterans present. What we are also 21 seeing and this is extremely important is we are 22 seeing veterans who are presenting for the first 23 time as consumers of either veteran service 24 agency services or VA services because they have Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 46 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 been among the historic two-thirds or 72% 3 actually of America's veterans who do not have a 4 relationship with VA. These veterans who have 5 lost employment, they have lost the healthcare 6 and medical benefits typically associated with 7 that employment now find themselves in a position 8 of having, through necessity presenting for VA 9 care and the challenges of accessing VA at this 10 time are greater than have been in recent memory. 11 We need help senators, assembly members, 12 we need, we need your support, we need funding 13 terribly not only for veteran services, but as in 14 my prepared testimony I outline all of the 15 ancillary support services that we partner with 16 across our counties and across our state are also 17 fiscally challenged. As the resources begin to 18 become increasingly limited, we will experience, 19 unfortunately, the inability to provide services 20 to veterans at the levels that we certainly need. 21 New York State Division of Veterans Affairs is an 22 extraordinarily helpful organization. They are 23 an essential resource to each of our counties, 24 but again without, without the appropriate Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 47 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 resources we cannot do the job that we are tasked 3 with doing, and for the veterans on this call 4 today I know that you will agree with me that 5 this is not a job, this is a calling. We have an 6 obligation. We have a solemn oath obligation to 7 serve our brother and sisters in uniform. Each 8 of us who wore the flag of this great nation on 9 our sleeve has a right that when they knock on 10 one of our doors they receive the appropriate 11 level of service and not be turned away or have a 12 reduction services purely because of fiscal 13 constraint. That's simply an unacceptable 14 reason. 15 ASSEMBLY MEMBER BARRETT: I completely 16 hear what you're saying and agree and I'm sorry 17 to interrupt you, but you're over the time limit 18 as well and we, you know, I think we have an 19 opportunity during our questioning time to talk 20 further about his and obviously, you know and 21 everyone here knows that the state is not in the 22 position that it would like to be financially. 23 So, you know, as much as we would like to be 24 adding to programs that we support, you know, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 48 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 that, that without support from the federal 3 government at this point it seems unlikely and 4 obviously, we're going to look at revenue sources 5 as well, but, but, you know, right now I think 6 our focus is to really understand the impact that 7 COVID on our veteran community and how we can, 8 you know, in the potential second round or, you 9 know, just going forward how we can work on 10 ensuring that we're protecting our veterans and 11 military families. So Senator Brooks you want to 12 start with the questioning? 13 SENATOR BROOKS: Okay, thank you and I 14 think all of us as the Chair said, all of us 15 recognize that funding is a tremendous challenge, 16 going to be even more so as a result of the 17 economic impact of the virus and the changed 18 economy. I think, I think some very important 19 points were made particularly in the funding 20 aspects, that we're looking at population instead 21 of the number of veterans that, you know, the 22 allocation on a per veteran basis is particularly 23 disappointing. But again our discussion today is 24 related with the COVID and I think one of the Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 49 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 important positions or points that were made is 3 visitation in the nursing homes and I believe 4 that -- I had an opportunity the other day to 5 visit, it wasn't a veterans home, but it was a 6 nursing home and the families were visiting the 7 guests from the outside window and, and, you 8 know, the closet it came to touching was hand 9 against the wall. I think that does have a 10 tremendous impact on the mental health of people, 11 that separation. 12 So to all of you as we look at the 13 question of the COVID virus itself and the 14 separation that's been required, the use of masks 15 and protective equipment and the rest, you know, 16 Dan, you made the recommendation that we put 17 people in PPE to make visitations. Do you see 18 anything aside from that idea that from a VA 19 standpoint could have been done differently in 20 this virus in terms of, of visitations of people? 21 You know, we're really in a situation where we're 22 kind of learning more and more about this virus 23 day to day; there's no playbook, and we know that 24 it does spread and we know many of the, many of Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 50 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 the patients that we have in these facilities 3 have multiple medical problems. Any of you see 4 something you think should have been done at the 5 state level to address this issue? 6 MR. GRIFFIN: I think just again the 7 PPEs, if the medical doctor feels that he's safe 8 from getting it from me and all his other 9 patients, I think that they could have had the 10 family members with all the precautions with the 11 gloves, the mask, the shield, everything and they 12 should have had visitation right from the 13 beginning. You know, not often, maybe only for a 14 few minutes, but enough -- some of the, some of 15 the residents can't speak, they're bedridden, 16 they might not even know for sure that they are 17 even there, but still that touching, that 18 hugging, that feeling and I think they could have 19 done that once they learned that with the right 20 PPEs they could safely be around somebody that 21 possibly has it, but they're certainly not going 22 to pass it onto them, and that's, that's the main 23 thing. 24 MR. SKINNER: Senator can I also address Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 51 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 -- I guess I've had two instances and we're a 3 fairly rural small county and family members will 4 call to advocate, you know, to get their veteran 5 or loved one out of a hospital or a vet nursing 6 home situation because they're anxiety is so 7 amped up based on the news and the likelihood 8 that they may contract it or pass away in a 9 nursing home. So it's very difficult because 10 they're asking us to advocate and I had one 11 veteran, who happens to have a Vietnam Veteran in 12 the Bath, VA as his father and he had made the 13 comment, you know, if he dies in there you'll 14 have two dead veterans on your hands. That's how 15 bad the anxiety is with someone with mental 16 health. 17 I'm sure you guys are receiving calls 18 from constituents that are similar. Our hands 19 are tied when it comes to VA or the state homes 20 to advocate in any way for visitation and, 21 unfortunately, I think that may be where the 22 state can help is to assist our local veteran 23 service officers to have means of communication 24 to help the administration of the actual nursing Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 52 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 home talk to this person that is having an 3 anxiety attack so it doesn't rise to the level of 4 a potential suicide, and we don't have to go down 5 that route of intervention. Because what I'm 6 noticing I guess, is a lack of communication 7 between the administration of these hospitals and 8 the loved one that, that are wanting to visit. 9 SENATOR BROOKS: Okay, any other 10 comments? 11 MR. RONAYNE: Sir, if I may just 12 piggyback on what Jason said. One, one model 13 that we have here in Suffolk County that we're 14 very proud of is for many years now we have 15 maintained, Suffolk County Veterans Service 16 Agency has maintained an office, a full time 17 office within the Long Island State Veterans Home 18 and we provide counseling. We provide claims 19 service. We bring a proficiency that is really 20 at a very high level, but one of the, one of the 21 ancillary benefits of that is we also bring a 22 great deal of money into the state veterans home 23 throughout successful advocacy on behalf of the, 24 of the veteran residents at these homes and the, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 53 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 the cost, a supplement -- the cost of maintaining 3 an office is negligible, it's barely a rounding 4 error when you consider the many tons of millions 5 of dollars that we bring into these facilities 6 each year. So perhaps that is an investment that 7 could be considered as an offset to increase 8 state funding. If we have a larger footprint 9 within the veteran's services community that 10 directly translates into more revenue coming into 11 New York State. 12 In my county alone we, we annually bring 13 well in excess of $100 million into the county 14 through VA compensation, pension and other VA 15 revenues, and that is not including the 16 operational budgets of the VA Medical Center. So 17 the net positive affect that veteran service 18 officers have on the finances of any county 19 should be a consideration when you, when you 20 deliberate as to how fund our agencies or how to 21 support our agencies. 22 SENATOR BROOKS: Thank you, my time has 23 expired so I'll turn it over to Assemblywoman 24 Barrett. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 54 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 ASSEMBLY MEMBER BARRETT: Thank you 3 senator and thank all of you for your testimony. 4 I feel like there's, you know, a panoply of 5 subjects that I want to delve into here, but, you 6 know, the mental health issue is something that's 7 always been a high priority of mine. 8 Communication is something that I, you know, as a 9 former journalist that, you know, that just sort 10 of is a tool that I feel that we never use well 11 enough. In talking about the nursing homes and 12 the need for families to be connected, that, you 13 know, that kind of ties in with, you know, with 14 the issues of communication because if people 15 aren't communicating with residents and with the 16 family members there's a sense of desperation 17 that comes out of that. And then equally 18 important is dignity in just keeping the dignity 19 of our veterans and other family members foremost 20 and throughout this process and, of course, 21 there's heartbreaking stories about deaths and, 22 you know, waiting for to be able to bury people 23 and, you know, where bodies are stored. 24 I guess what I really like to hear from Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 55 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 all of you is what role would you like the VS, 3 you know, the state division to be playing if 4 there is one that would help kind of facilitate 5 and communicate, especially with the Veterans 6 Service Organizations because they are your, you 7 know, links and your, your connection? And is 8 there, you know, is there some new functions that 9 we learned through this process that Dwyer 10 funding should be used for? Is there, you know, 11 I heard I think Jason say, you know, the numbers 12 have changed, people who never came before are 13 now accessing the veteran services? Is there 14 something that, some other programming and some 15 other function that we should be looking at, 16 Dwyer Funds paying for and I completely agree it 17 should be across the state, it should not be 18 isolated in a county by county way. So in my 19 remaining three minutes please, I'd love to hear 20 from whoever has any thoughts. 21 MR. TOCCI: Madame Chair. 22 MR. SKINNER: Sorry, Ron. 23 MR. TOCCI: Yeah, I just, real quickly. 24 It's obvious that the frontline services are Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 56 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 local veteran service counselors and I think from 3 our commitment, talking to each other, learning 4 from each other, it's obvious. The Division of 5 Veterans Affairs supplements us and we've had 6 good working relationships. There's some great 7 people that service, you know, veterans in the 8 Kingsbridge Center. A lot of veteran nursing 9 home and so on and I can suggest a review of a 10 federal grant that goes through the Department of 11 Labor, which is approximately 8 to $10 million 12 for the state veterans program, and that really 13 is eaten up in part by administrative fees and so 14 on. It's federal money, I think that money 15 should go to the Division of Veterans Affairs and 16 be used more efficiently through our Veterans 17 Service counselors. It's all federal money and 18 we had advocated for a change in the merger of 19 that state veterans program with the Division of 20 Veterans Affairs, and I think it would be better 21 spent basically to [unintelligible] [01:02:13] 22 that they, that program funds is down to around 23 50 or 60 and like I said before they're basically 24 employment reps. We have the same services on Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 57 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 the local levels and I really think that that 3 should be looked at because it's a possibility of 4 using that money to supplement our frontline 5 people. 6 The last thing I'd like to talk about if 7 I can just real quickly. Now the honors of these 8 people who have died in our nursing homes, a lot 9 of times the Marines, the Army, the Navy, the Air 10 Force can't get people, I'm wondering if we could 11 ask the National Guard to set aside a certain 12 squad of people throughout the state that might 13 be on call for special people, silver star, medal 14 of honors and so on. I think that that would be 15 very, very helpful to the families. And the last 16 thing I do believe that even with all of the 17 financial stress we have there should be a 18 $10,000 stipend for supplement burial expenses to 19 those people that died in our nursing homes. 20 These are people -- 21 ASSEMBLY MEMBER BARRETT: Right, no I, 22 I'm going to interrupt you because I'd like to 23 let -- 24 MR. TOCCI: Oh, that's okay. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 58 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 ASSEMBLY MEMBER BARRETT: -- Jason 3 answer and I know -- 4 MR. TOCCI: Yeah, sure. 5 ASSEMBLY MEMBER BARRETT: -- we've 6 talked about that before. So Jason, go ahead. 7 MR. SKINNER: Right and there was a lot 8 in that question so and I have a lot, as far as 9 communication goes and another issue that 10 veterans are facing in rural America is 11 telehealth, without broadband you can't do 12 telehealth so that's a barrier. The Division of 13 Veterans Services in New York, we respect them, 14 we work alongside with them, we train with them. 15 They're co-located in VA Medical Centers, and 16 they should really be in state facilities like 17 the nursing home, that would give us a link to 18 them. This is an awfully easy thing for the 19 state to do and because of the federal government 20 shutting down its access to anyone there's a 21 backlog in Board of Veterans Appeals Hearings 22 because they have been cancelled and also state 23 veteran service officers that are co-located in 24 those VAs are not allowed in their offices. So Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 59 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 they're currently working from home and doing a 3 lot of training and, you know, we are in our 4 offices co-located with county resources that, 5 you know, we would really like to have the 6 connection with the state homes through maybe our 7 brethren that work [unintelligible] [01:04:41]. 8 ASSEMBLY MEMBER BARRETT: Okay, thank 9 you, my time is up so I think senator, if you 10 want to go to the senate and we'll go back and 11 forth between the senate and the assembly. 12 SENATOR BROOKS: Alright, that's sounds 13 good. I'll give an opportunity to ranking 14 member, if she has any questions to ask first? 15 SENATOR RITCHIE: Thank you. I do want 16 to address the nursing home visitation issue, 17 specifically, I, unfortunately in the last couple 18 months my father passed away in the middle of 19 this and I know that we had limited visits. At 20 the end we were able to, we were able to see him, 21 but I truly cannot imagine the families with 22 loved ones at the veterans homes and at our 23 nursing homes that haven't had any contact with 24 their family, weren't able to say goodbye. So Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 60 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 that is something that is really, hits home to me 3 and I know that one of the other hearings someone 4 had mentioned that maybe there was a way for one 5 family member to be designated and have a COVID 6 test and go in with the appropriate protective 7 gear and that at least the veteran at the home 8 would have some contact from a loved one. So the 9 two gentleman in particular who addressed the 10 nursing home, could you tell me if you think that 11 would be something that would be a benefit or not 12 enough? 13 MR. GRIFFIN: Absolutely, that would be 14 benefit I believe. At least one person yes, 15 that's a good start to come in with, you know, 16 again, be tested outside, come in with all the 17 gear and just have a few minutes with their loved 18 one. The co-chair had asked what could the 19 committee do or what can, yeah, committee do to 20 help -- I mean, you guys go to a lot of meetings, 21 but I can only suggest that maybe directors of 22 the Veteran Service Agencies meet, you know, on 23 Zoom, whatever, with the committees on a monthly 24 basis, just to let them know what the problems Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 61 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 are out there. It's just a suggestion. 3 SENATOR RITCHIE: Thank you, that's my 4 only comment. 5 ASSEMBLY MEMBER BARRETT: I, I don't 6 know if co-chair of the hearing, Pam Hunter, 7 Assembly Member Hunter is on. Would you like to 8 ask a question? 9 ASSEMBLY MEMBER HUNTER: Yes, actually, 10 this is to Mr. Griffin. I had mentioned in my 11 opening statement relative to the effects of 12 toxins, Agent Orange specifically, you know, 13 relating to the folks who could be in the nursing 14 home, the veteran homes and I'm concerned about 15 their care. Obviously, they're concerned with 16 the autoimmune disorders that they may have and I 17 just wanted to know has there been any talk 18 especially with your group or since you're, 19 you're, you know, essentially on here 20 representing the veteran home in some capacity, 21 any kind of discussion relative to a huge 22 population of people who have these presumptive 23 conditions based on toxins. We're not even 24 talking about the people who, you know, could Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 62 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 have this concern relative to Afghanistan or 3 other places and how it's going to relate to 4 COVID and, you know, potentially, you know, 5 weather its visiting or the effects because you 6 were saying that people were being turned away 7 for visiting, but people are turned away for 8 medical care as well. 9 I'm just trying to get a feel for, are 10 any conversations and maybe some of the other, 11 you know, folks who are on the panel as well, any 12 conversations specifically about this and what 13 can we do proactively I guess from a State's 14 perspective to address this issue? 15 MR. GRIFFIN: Well, no, there hasn't 16 been any talking about that. The population, 17 well, I'm a Vietnam Vet and there's a lot of 18 Vietnam Veterans in these homes, which when I 19 first learned that it kind of shocked me because 20 I kind of think nursing residents is 80 to 90s 21 not 60's, but the fact is there are a lot of 22 vets, Vietnam vets in these homes and they do 23 have several other illnesses that are caused by 24 Agent Orange. Have they discussed anything about Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 63 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 that, no. I believe that they should have 3 priority to get into the homes if they have these 4 underlying diseases, but they're not, again, 5 they're not treating anybody at these homes, 6 they're just making it for a better place to 7 live, and they are excellent I have to say. The 8 New York State Veteran nursing homes are 9 outstanding, they really are. 10 MR. SKINNER: I would echo what he said, 11 but I'd also add on what we do for a living 12 situation. So when it comes to when somebody 13 passes away with an underlying condition we can 14 dependent indemnity compensation, which helps the 15 widow and the family with other ancillary 16 benefits like education for children and things. 17 A lot of people don't realize that we do 18 represent the families as well as veterans when 19 one passes, and if they are listed as COVID as a 20 manner of death on their death certificate and 21 not one of those underlying issues, they may be 22 denied federal benefit. Now it takes a lot of 23 education and a lot of practice to appeal enough 24 times to get the VA to see that light, you know, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 64 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 maybe there's an advocacy with coroners, medical 3 examiners throughout the state to ensure that 4 they are putting the secondary's or things that 5 contributed to the death of the veteran in order 6 to assist us in the claims process to ensure 7 that, you know, COPD or any of those other 8 potentially service connected conditions qualify 9 that veteran and family for, for death benefits. 10 MR. RONAYNE: Now if I might just 11 piggyback on what Jason. Jason is making an 12 extremely important point and one of the, one of 13 the points to your, your point to you, co-chair, 14 most of the deaths related to COVID had 15 comorbidity, there were underlying conditions 16 that contributed to the cause of death, yet COVID 17 has been listed as the primary on the death 18 certificates. Now as Jason said without the COD 19 including one of the underlying's the DIC or the 20 Defendant's Indemnification Compensation is 21 likely to be denied. The appeals process in 22 these cases will result in a much more labor 23 intensive, much more time consuming process for 24 us to argue with VA that those denials should be Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 65 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 reversed. 3 Every hour that we spend having to fight 4 for inappropriate or erroneous denials are ours 5 that were not spent serving veterans and we're 6 seeing more veterans coming in to us, to our, to 7 seek services through us; also, seeing a much 8 more complex presentation of cases that are 9 coming to us. Post 911 veterans with multiple 10 appointments are presenting with multiple, 11 multiple layers of disabilities and claims. Our 12 Vietnam veterans are presenting with complex and 13 multi, multi-tiered claims. So with the, with 14 the financial challenges and the staffing 15 difficulties that we all confront the issue of 16 these potentially erroneous denials is a very, 17 very important point and we need to be very, we 18 need to be very clear on that. 19 MR. GRIFFIN: I'd like to piggyback too 20 on that. One thing the state I think can do is 21 the death certificates. They're not uniform in 22 the state. It is very important to get that 23 check coming in for that widow, the veteran had 24 to pass away from a service related condition. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 66 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Now some areas on New York State they don't put 3 the cause of death on the death certificate and 4 the VA won't even accept that. So we have to do 5 research to find out what, you know, what that 6 person actually die of, get another addended 7 death certificate. If just somehow you can get 8 it uniform, all death certificates in the State 9 of New York must have the cause of death on it. 10 Thanks. 11 CMDSGT MAJOR FLAHERTY: I would like to 12 go back to something -- 13 ASSEMBLY MEMBER HUNTER: One quick -- 14 CMDSGT MAJOR FLAHERTY: -- Jason said 15 concerning the video conferencing and its true a 16 lot of veterans don't have the capability of 17 doing that and what I've been doing and 18 particularly more so in the future with the Dwyer 19 Program, the post exchange system has given me 20 two TVs that I have downstairs in the dayroom 21 that we're going to be opening and the veterans 22 are going to be able to come in and use that to 23 be able to video conference in my office. Last 24 week I had a female veteran that was going under Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 67 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 her evaluation by her comp and pen based on 3 sexual trauma in the military and she, even 4 though she had the capability at home, she wanted 5 to come in and have me sit on the psychiatric 6 evaluation and it worked out perfectly. The 7 doctor not only asked her questions, but asked me 8 questions because I've been working with her for 9 over five years. 10 So the video conferencing is really 11 important and that's another example of how we 12 can effectively use the Dwyer Program. 13 ASSEMBLY MEMBER HUNTER: I just have a 14 quick follow up question, Chair Barrett, relative 15 to the housing. I believe someone had talked 16 about evictions relative to, to our veterans and 17 obviously, it's a problem statewide, but wanting 18 to get any clarity. Is there any way that we're 19 actively collecting all of this eviction data so 20 that we know across the state how many veterans 21 at what point are being effected by evictions and 22 the money and the grants that someone mentioned 23 that it's supposedly available that's not coming 24 to the veterans. How we can facilitate getting Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 68 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 that money to the veterans? Thank you. 3 ASSEMBLY MEMBER BARRETT: Thank you, 4 yes, I think that I share your concern at that, I 5 flagged that myself so I think that's something 6 we definitely want to follow up on. Thank you, 7 Pam. We go back to the senate. 8 SENATOR BROOKS: Okay, so Senator Liu I 9 can't see whether you raised a hand requesting if 10 anyone, does anyone else have a question; John, 11 do you have a question? 12 SENATOR JOHN LIU: Mr. Chairman, I don't 13 have a question right now, but I'm very 14 appreciative of this testimony. 15 SENATOR BROOKS: Okay. 16 SENATOR DAPHNE JORDAN: I do have one 17 and my hands been up since the beginning. 18 SENATOR BROOKS: Okay, I can't see you, 19 unfortunately. 20 SENATOR JORDAN: Senator Jordan, I'll 21 put myself on. 22 SENATOR BROOKS: Okay, so go ahead. 23 There you go. 24 SENATOR JORDAN: Okay, good. Thank you, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 69 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Chairman Brooks and thank you to the co-chairs 3 for hosting this public hearing today, it is 4 important. I was recently appointed to this 5 committee and I'm looking forward to serving you. 6 Meeting the needs of our veterans is serious and 7 it's a bipartisan responsibility in one that we 8 all take seriously and I'm going to just bring up 9 a very simple issue that I see in this COVID-19 10 problem and that is we talked about the human 11 touch, but I believe in my county veterans 12 service directors, the human touch is also 13 important in our county offices, our veteran 14 services offices. And I know that I've had the 15 pleasure of knowing Commander Sargent Major Gary 16 Flaherty because I do represent all of Columbia 17 County and I know that Gary Flaherty, even before 18 COVID worked 24/7, 365, round the clock every 19 single day to help his veterans and they couldn't 20 have a better advocate than him. 21 I know that you're all working very hard 22 and able to still provide the services that you 23 are supposed to provide to the veterans, but with 24 your offices closed to visitors, I'm sure that Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 70 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 that is a hurdle and again that human touch is 3 lost and when the human touch is lost I know, you 4 know, people that meet Gary they, they take him 5 in, I mean, Gary takes them in and they want to 6 learn from him and they want to know all that he 7 has to offer. They want to join his Dwyer 8 Program and peer to peer events because they've 9 met him, and so I'm wondering do you feel that 10 your offices should be open? Are you ready to be 11 able to take the visitors, which are your 12 veterans in as they always came in? 13 MR. SKINNER: Our office is open in 14 Livingston County and we are taking appointments 15 only and then wiping everything down before and 16 after and wearing PPE for each visit and, 17 unfortunately, it is by appointment only. I do 18 wish and I hope for a time where we are able to 19 engage with just walk-ins, I think it's just a 20 level of customer service our heroes deserve and 21 family members as well to be just able to wander 22 into our office and have somebody available to 23 answer their questions and also answer the 24 phones. I'm really not a big fan of the whole Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 71 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 answering machine situation that a lot of offices 3 have, but that's a matter of funding and staffing 4 as well as, you know, a lot of our service 5 officers are either laid off or furloughed right 6 now across the state because of the financial 7 crisis piece, but I'm extremely excited and I 8 can't wait to get out into the community and do 9 what we do best and why the County Service 10 officer Association prides itself on living in 11 our community and serving in our community 12 because we know where the veterans. 13 We go to them and we do outreach and we, 14 you know, we want to help and reach out, and I 15 think that is one of the major issues that we 16 face and they are facing veterans as it pertains 17 to COVID, is the inability to connect and to 18 reassure that the government is here to assist 19 them when they need us, and that's our role and 20 function, but also because like Mr. Flaherty 21 being one of the greatest I've ever known, you 22 know, we are veterans. We live to do what we do 23 and we do it not because we get paid, but because 24 we love our veterans and we don't want to see Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 72 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 anymore take their own lives. 3 MR. RONAYNE: If I could just add one 4 small point to the nursing home piece. You know, 5 we talk about the human touch and we talk about 6 the importance of the, the value of the residents 7 being able to be in contact with other residents 8 and their loved ones. Perhaps a small step that 9 we could take would be to invite the nursing 10 homes to be allowed to reopen their barber shops 11 and their beautician stations. These are people 12 who are already in the offices, they're already 13 in the buildings, they don't pose a threat 14 because they're already present on site, and the 15 level of dignity that would be restored by 16 allowing the veterans to return and have a, have 17 a haircut, have a shave would be a tremendously 18 valuable mental health boost to these folks, and 19 a, I don't think it would cost anything. These 20 are people who are already staffed and it would 21 provide a significant boost to their mental 22 wellbeing and provide some dignity to them in an 23 environment where right now, those things are 24 lacking, their challenged. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 73 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 ASSEMBLY MEMBER BARRETT: That actually 3 has come up before and I'm glad you raised it 4 because it does seem like a small gesture that 5 would go a long way to restoring dignity and 6 making people feel. I mean, we heard stories 7 even about, about veterans who didn't want to 8 Facetime their family members because they didn't 9 want to be seen with shaggy hair or, you know, 10 not looking the way they like to view themselves. 11 So, so thank you for those comments and thank 12 you, senator. I think now we will go to our 13 ranker, Assembly Member Jake Ashby for a 14 question. 15 ASSEMBLY MEMBER JAKE ASHBY: Thank you, 16 Madam Chair. I've got a few questions here, 17 Gary, or Sgt. Major, earlier you actually 18 answered one of, partially answered one of the 19 questions that I have when you're talking about 20 using technology. Now I understand the local vet 21 center that we have in the capital district isn't 22 seeing people in person yet, and so the option is 23 for veterans who are receiving counseling 24 services at the vet centers to do so at either Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 74 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 online or over the phone, and I'm wondering if 3 that's, if any of you have seen kind of an 4 increase in demand because of that. I know that 5 a lot of veterans choose to go to vet centers and 6 without being able to do that are you seeing them 7 come into your offices now. In particular, to 8 Gary, how has the response been in terms of using 9 technology versus in person counseling? 10 CMDSGT. MAJOR FLAHERTY: I think it's 11 been very positive and not only for our veterans 12 in communications with their doctors at the VA, I 13 had a cardiology appointment two weeks ago when 14 we were standing in the rain at the cemetery for 15 Purple Heart Day and the doctor missed me, but 16 she continued all day to find me and communicate 17 my appointment. I think it's very positive for 18 our veterans and for the VA community in general. 19 ASSEMBLY MEMBER ASHBY: That's good to 20 hear. I look forward to seeing you tomorrow, 21 too. 22 CMDSGT. MAJOR FLAHERTY: Oh, thank you. 23 MR. SKINNER: And I would like to add 24 that I do know the people at our vet center and Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 75 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 they have said that mental health need and their 3 visits via telehealth, via telephone or online 4 have increased exponentially and they do an 5 amazing job. 6 MR. TOCCI: As have the calls to suicide 7 crisis lines and mental health crisis lines, 20 8 to 25 percent increases. 9 ASSEMBLY MEMBER ASHBY: Wow. 10 MR. TOCCI: That type of access is 11 absolutely essential. That's not even 12 negotiable, we have to have that access points 13 available to our veterans. 14 ASSEMBLY MEMBER ASHBY: Yeah, I mean, I 15 wonder about that, you know, the increase in 16 suicidal ideations and the access, I know it was 17 mentioned earlier to family services as well and 18 can be difficult sometimes to connect, you know, 19 with, with families, you know, just via, via 20 telehealth versus in person. Mr. Tocci, to your 21 testimony earlier, the admissions policy that you 22 spoke of was that a facility policy or was that a 23 state directive that came down? You're muted, 24 sir. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 76 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 MR. TOCCI: Can you hear me now, I'm 3 sorry? 4 ASSEMBLY MEMBER ASHBY: Yes. 5 MR. TOCCI: I think that was a state 6 policy that after they admitted people with a 7 COVID and had the problem and, unfortunately, we 8 lost in excess of 70 people right here in the 9 Montrose State Nursing Home, I heard Tom talk 10 about what happened out in Stony Brook also. I 11 think they changed the policy, they didn't allow 12 anybody in, and that created a real problem for 13 us, but we did have in Westchester County, which 14 was the Epic Center if you recall going back 15 early on when this started. The federal 16 government came in and set up an auxiliary 17 hospital there at County Center. They put up 18 tents and they did all kinds of things and that 19 could have been accommodated, you know, at one of 20 our facilities that needed to. So that really 21 created a problem. 22 ASSEMBLY MEMBER ASHBY: That's alarming 23 to hear that. Excuse me, Mr. Ronayne, the 24 diverting of patients at the ER, unless they have Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 77 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 an appointment, do you know if that's occurring 3 at other VA's or is that just exclusive to yours? 4 MR. RONAYNE: I would only, I wouldn't 5 risk speaking to what's taking place in areas 6 outside of our particular medical center's 7 [unintelligible] [01:26:19] area, but I do 8 understand that that was the practice at some. I 9 believe that has been relaxed at some facilities, 10 but it continues to be the case here. 11 ASSEMBLY MEMBER ASHBY: Okay, well, I 12 appreciate the testimony that everybody's given 13 on this panel and I know that the resources that 14 we have are limited. I would invite you to take 15 a look at a piece of legislation that I sponsor 16 along with Senator Brooks and the senate that 17 would elevate the Division of Veteran Services to 18 a fully-fledged state agency. It would make, it 19 would give the department the ability to allocate 20 federal funding that I think everybody in here is 21 talking about. It would make that, increase the 22 accessibility for federal funding so that we 23 could better prepared for instances like this and 24 in terms of increasing the Dwyer, the Dwyer Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 78 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Program across the state. I really hope that the 3 legislation gains traction and my conversation 4 with other states in the northeast including 5 Connecticut, that when they transition to a 6 fully-fledged state agency that their funding 7 went up tremendously and that the services that 8 they were able to provide were greatly augmented. 9 So thank you all for being here today and I 10 appreciate your testimony, and I think I'll be 11 following up with a few of you afterwards. 12 CMDSGT. MAJOR FLAHERTY: One of the 13 things I would add that that state can do is when 14 we first started going into this the veterans 15 were considered non-essential and that's a stigma 16 that has really effected the attitude of some of 17 our veterans. Taking care of veterans is more 18 than just essential it's absolutely critical and 19 I don't think we need the stigma of being non- 20 essential. Thank you. 21 ASSEMBLY MEMBER ASHBY: Thank you, Sgt. 22 Major. 23 ASSEMBLY MEMBER BARRETT: Senator. 24 SENATOR BROOKS: Okay, thank you. Sgt. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 79 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Major, I think all of us share your comment and 3 your belief. We think veterans are one of the 4 greatest assets that we have and our veterans 5 gave us most of the benefits that we enjoy today, 6 and we owe all of them more than just a debt of 7 gratitude. We owe them the respect that they 8 should have and the financial support they need 9 and these programs needs to be funded more 10 greatly. Pete, I'm assuming you're on because 11 you have a question. 12 SENATOR PETER B. HARCKHAM: Thank you, 13 Mr. Chair. Good afternoon everybody. Thank you 14 all for your testimony and for your service, 15 especially during this difficult time. Personal 16 shout out to Dan and Ron who I know from 17 Westchester, thanks for your terrific work. Some 18 of this has been touched on already, I'd like to 19 take a slightly deeper dive. I'm the chair of 20 the Committee on Alcoholism and Substance Abuse, 21 co-chair of the Senate Task Force on Opioids. 22 Statewide we are seeing a marked increase in 23 overdose death and in suicide, often they go 24 together, co-occurring disorders and, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 80 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 unfortunately, we know the veteran population is 3 disproportionately impacted by both of these 4 public health challenges. What are you seeing 5 especially in terms of the delivery of substance 6 use disorder treatment, impacts by Coronavirus. 7 How is this exacerbated and identified weaknesses 8 in the current system and what have you learned 9 from this moving forward that we can change and 10 strengthen the system? 11 MR. SKINNER: Can I, can I answer just a 12 portion of that because I can't speak to all of 13 it. I will say that the Bath VA is a substance 14 abuse recovery center that has 165 beds and what 15 has happened because the VA in Canandaigua is 16 undergoing its inpatient population has actually 17 been removed so that they can do construction of 18 new buildings and it may take about three years. 19 They've put those people that are not there for 20 substance abuse, but for mental health and put 21 them at the Bath VA. So it's limited the access 22 in our region for veterans to have inpatient drug 23 rehab. I can tell you in our area we are seeing 24 a spike in overdose deaths. I don't think you're Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 81 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 a stranger to this statement, but when a death 3 certificate says on there overdose, we don't know 4 if it's a suicide. An unattended death is not 5 typically without a note or obvious modality, you 6 know, called a suicide. 7 So we kind of lump both of those in, in 8 some of our data to say these are co-occurring 9 issues with mental health. One is either, you 10 know, self-medicating for the PTSD or whatever 11 mental health situation we have. So yes, we have 12 seen an uptake in deaths related to it and I know 13 the VA is struggling to meet the need because 14 they've had to take their one inpatient 15 population into the other VA facility at Bath. 16 SENATOR HARCKHAM: Thank you. 17 SENATOR BROOKS: Okay. 18 ASSEMBLY MEMBER BARRETT: I have three 19 more assembly members, I don't see any more 20 senators. So should I just take it from here? 21 SENATOR BROOKS: Yeah, sure 22 [unintelligible] [01:32:04] 23 ASSEMBLY MEMBER BARRETT: Okay, thank 24 you. The next question or assembly member, Billy Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 82 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Jones. 3 ASSEMBLY MEMBER BILLY JONES: Hello, hi, 4 sorry, my picture is horrible here, but first of 5 all, I want to thank each and every one of you to 6 your service or for your service to our country 7 and thank you to your service to our veterans. A 8 lot of times it's veterans helping veterans and 9 thank you so much for that. I just want to touch 10 on the nursing home and the veterans home visits. 11 I know it's been, it's been said, but many of us 12 were on a, in a meeting, hearing the other day 13 questioning the Department of Health, Doctor 14 Zucker on this. I just think it is appalling 15 that we can't figure out a policy so that our 16 veterans can see their loved ones in these homes, 17 it truly is. We need to do something about this. 18 We have visits going on in other densely 19 populated facilities, why can't we figure this 20 out for our loved ones in these nursing homes and 21 to see the veterans. I get calls in my office 22 and letters, like many of my colleagues here 23 expressing their, their disappointment, they're 24 just upset over this. How their loved ones are Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 83 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 deteriorating in these homes and I just wanted to 3 make that a point. 4 We need to figure this out, we need to 5 hold DOH accountable to figure something out 6 here. We're doing it on other facilities, we can 7 do it here for loved ones to see their loved ones 8 in these facilities or in these homes I should 9 say. I do have a question and it's kind of 10 piggybacking on Senator Harckham's comments about 11 we see the uptick of mental health issues in our 12 veterans during this time of COVID. Obviously, 13 substance use has gone up. Can you tell us what 14 obstacles are out there that we can eliminate, 15 bureaucratic, I know money is always, always 16 needed for these issues, but what obstacles can 17 we cut back or get rid of bureaucratically to 18 help get these services out the door, mental 19 health and substance use services? 20 MR. TOCCI: Frankly, just very, very 21 quickly. Access to the facilities where the 22 services are provided and earlier on you heard 23 Dan Griffin talk about protective gear and so and 24 so forth, I think if they provided the necessary Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 84 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 protection there should not be a cancellation of 3 personal visits especially for those experiencing 4 depression, potentially suicidal and so on. 5 Because they shut down, you know, all personal 6 visits and so on, these people can't get to their 7 providers, and telecommunications doesn't always 8 work. So that would be something that we could 9 focus in on I think it would help. 10 MR. SKINNER: A quick thing, just as far 11 as the, all the different committees I'm on from 12 SAMSHA, Governor's Challenge to a new committee 13 that just stood up with the Center of Excellence 14 that studies suicide nationwide for the VA. 15 We're doing a Finger Lake study of modality and 16 death certificates and accuracy to that for our 17 catch man area of like 11 counties. There is so 18 many disjointed efforts, so many siloed efforts 19 throughout New York State, there's so many 20 experts that want to work together, but are 21 unaware of the other effort. So there is no 22 suicide prevention coordinator at the State 23 Division of Veterans Services, but there needs to 24 be coordinated efforts, shared information, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 85 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 shared work load because all of these disjointed 3 efforts throughout the entire state is not 4 helping us out, but there are all state funded 5 and state programs and state efforts through 6 Office of Mental Health and many of these other 7 organizations that don't tend to communicate 8 well, but they are state agencies. So there may 9 be an opportunity there to stand in a position to 10 help bring them all together so we're not 11 spinning our wheels. 12 ASSEMBLY MEMBER BARRETT: Thank you, 13 thank you, Jason and thank you Billy. I have to 14 just echo because I always have said that if 15 you're a veteran who's a Vietnam veteran so 16 you're over 65 and you're struggling with 17 substance abuse and mental health issues and 18 other health issues, there are five different 19 state agencies that you have to find your way 20 through and that's a challenge for anybody and if 21 you're struggling with these issues it even more 22 so. So, unfortunately, a lot of that has to do 23 with where the federal funding comes from, but 24 the silos are just an enormous obstacle for Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 86 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 functioning at any level, but certainly agree 3 with you on that. Our next question will come 4 from Marianne Buttenschon. 5 ASSEMBLY MEMBER MARIANNE BUTTENSCHON: 6 Hello, thank you very much to our hosts as well 7 as the panelists. I sincerely appreciate your 8 efforts and to all of our veterans, thank you for 9 your service. I just need clarification and I 10 believe it was Mr. Skinner that was talking about 11 the eviction moratorium in regards to the 12 negative effects that it has on our veterans. 13 Could you just provide a little insight on that? 14 MR. SKINNER: Yes, to elaborate I, you 15 know, time is difficult and I can be very 16 [unintelligible] [01:37:41]. So straight to the 17 point, the SSVF grant or Soldiers and Sailors 18 Veterans Families grant is administered by many 19 different not-for-profit through the state; the 20 largest one I believe is Soldier On. It is 21 federal funds that are there to help make the 22 first payment of someone's rent getting a new 23 place or to pay for someone who is in arrears to 24 keep them from being homeless. And, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 87 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 unfortunately, the one thing that most of these 3 providers hinge on is you're not homeless or at 4 risk of homeless until you have an actual 5 eviction notice. And so without that they're 6 disqualified from the, from being a grantee, and 7 again, the longer we go the bigger this wave of 8 requests for any SSVF grantor is going to deal 9 with this onslaught and so will we. So we're 10 just waiting for that to come and I know there's 11 several vets that have reached out, but, you 12 know, they're going through the Department of 13 Social Services for SNAP benefits and other 14 financial situations, they're trying to get their 15 unemployment, things of that nature, but again 16 without the eviction notice they're disqualified 17 from being a grantee. 18 MR. RONAYNE: We also find among the 19 SSVF providers that there is disparate 20 application of the rule across different 21 providers of SSVF. We have several here in 22 downstate where if we have a veteran who has been 23 denied supports from one SSVF program they 24 literally go to a different SSVF provider and Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 88 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 receive a different result, a different outcome. 3 That doesn't make any; it doesn't make any sense 4 at all to me. 5 MR. SKINNER: At Veterans Outreach 6 Center in Monroe County when they had SSVF grant 7 we were extremely successful with them and now 8 that it's changed hands I think five veterans 9 have slipped through the cracks. 10 ASSEMBLY MEMBER BUTTENSCHON: Okay, 11 thank you very much and just one more quick 12 question in regards to the executive order and 13 the nonpayment from your, for vendors. How is 14 that impacting you? 15 MR. SKINNER: I can tell you that I'm 16 receiving calls from extremely anxious veterans 17 that may reach the point of suicidal ideation 18 that may require, you know, public health 19 intervention and police intervention because 20 we're just waiting for that order to lift and all 21 of these landlords saying here you go, you got 30 22 days to pay up or get out. And that's anxious 23 for me knowing that these veterans at some point 24 will be at that point of okay, I cannot pay this Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 89 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 back, and then dealing with the grant process in 3 that 30 day period is not going to be ideal 4 because again, you're going to flood the grantor 5 with applications and so Soldier On specifically, 6 covers several states with very few staff. So I 7 got a feeling there will be more crisis and 8 they'll be because of financial means. 9 ASSEMBLY MEMBER BUTTENSCHON: Thank you, 10 Chairs. 11 ASSEMBLY MEMBER BARRETT: Thank you, 12 thank you and our final questioner will be 13 Michael Cusick. 14 ASSEMBLY MEMBER MICHAEL CUSICK: Hi, hi 15 everyone, good to see, good to see my colleagues. 16 I want to thank my colleagues for taking part in 17 having this important hearing. I want to thank 18 the Chairs both of the assembly and the senate 19 for having this. Also, to the panelists, thank 20 you for your service to our veterans. It is very 21 much appreciated by all of us in the legislature 22 and we know the hard work we do and I just want 23 to say a quick hello to my good friend and former 24 colleague, Ron Tocci; it's good to see you, Toch, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 90 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 and I hope everybody's doing well. I just have a 3 general question for the panelists. You know, 4 again, thank you for your information and your 5 input on the veteran's nursing homes and the 6 visits. Many of us have been on these Zoom 7 meetings on nursing homes and the visitations and 8 we now can pinpoint areas that we can focus on as 9 legislatures. 10 But a question I have for the panelists 11 is this might be the new normal for us for a 12 while with COVID, with the technology that we now 13 use with Zoom and other ways to get in contact 14 with people, I would believe that you are now, 15 you know, I think Mr. Skinner talked about how 16 one of the biggest requirements of your job is 17 reaching out and getting out there and contacting 18 with the veterans. Do you think any of the 19 things we're doing now, you know, any of this 20 technology, maybe it needs to be streamlined, 21 maybe are these tools that we as a legislature 22 could help you as the advocates in fine tuning 23 and maybe reaching more veterans or is there, can 24 we fine tune to get veterans more help because, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 91 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 you know, again, this might be our new normal and 3 this might be the opportunity for us to work with 4 the tools we have to make your jobs maybe a 5 little bit easier? 6 MR. SKINNER: I would advocate for rural 7 broadband access as a -- 8 ASSEMBLY MEMBER CUSICK: There you go. 9 MR. SKINNER: -- option that if I could 10 get to the point. 11 ASSEMBLY MEMBER CUSICK: There you go, 12 yep. 13 MR. RONAYNE: There is work being done 14 with regard to the legal ability of the New York 15 State Division of Veterans Affairs being 16 permitted to share discharge documents, DD214s 17 with county veteran service agencies. And that 18 in a COVID and going in hopefully to a very soon 19 to a post-COVID world that becomes extremely 20 important for the following reason. VA, while 21 they are an indispensable and irrefutably vital 22 partner in all that we do only serves 32% of 23 America's veterans. The rest of America's 24 veterans have no relationship with VA and in many Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 92 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 instances that is for good reason. Veterans may 3 have no need for those services. Veterans may 4 have private healthcare insurance that doesn't 5 necessitate them using VA services, but whenever 6 we talk to VA about outreach and communications, 7 contacting with veterans generally, when you get 8 the response that we are outreaching, we are 9 making contact with the community, we are out 10 there, the folks that they're communicating with 11 are the veterans who they're already aware of; 12 the veterans who are already in contact with VA 13 and who they have contact information with, e- 14 mail, telephone, etc. 15 Those other two-thirds their contact 16 information resides at the various state veterans 17 services divisions across the nation. When a 18 service member is separated that discharge 19 document, that DD214 is transmitted to that 20 agency, but those agencies, at least in New York, 21 are not permitted to share them at the county 22 level and that outrage really should be occurring 23 at the county level. Were we to have access to 24 that information we could directly, we can Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 93 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 directly outreach to the veterans who have 3 returned to our counties who may or may not have 4 elected to establish a relationship with VA. So 5 the ability for us to access data that provides 6 contact and identifying information for veterans 7 is vitally important for us to be able to 8 complete our mission here. 9 ASSEMBLY MEMBER BARRETT: So let me, let 10 me point that we in the assembly have just passed 11 that bill to do exactly that and I hope that our 12 colleagues in the senate will pass it. It passed 13 through my committee, we passed it a week ago, or 14 so ago on the floor of the assembly. So we heard 15 that at a prior hearing and we're getting it done 16 so. 17 MR. RONAYNE: Thank you, ma'am. 18 MR. SKINNER: Can I, I just want to add 19 even though I'm advocating broadband access for 20 rural communities, I will have to say that as the 21 director of this office I never want to see face 22 to face meetings go away with our veterans. 23 Often times people don't understand how difficult 24 it is to sit down with an 80 plus year old Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 94 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 veteran and their family and discuss what a 3 pension is. Pensions are more difficult than 4 applying for Medicaid. There's a three year look 5 back, there's a lot of asset information, 6 sometimes the application can be a thousand pages 7 or more, and it's laborious, but there's too many 8 nuances that you cannot explain to an elderly 9 individual or someone with, you know, different 10 cognitive abilities and it really does take that 11 personal touch to sit one on one with a veteran 12 to explain a lot that we do. 13 ASSEMBLY MEMBER BARRETT: Right, thank 14 you, I agree. I think we have run out of time 15 here and we now have another, a late entry, Brian 16 Manktelow, who wants to ask a question, thank 17 you. 18 ASSEMBLY MEMBER BRIAN MANKTELOW: Yes, 19 Jason, first of all thank you panelists for being 20 on today and thank you all for your service and 21 your dedication to our veterans. As a veteran 22 and as my son is a veteran as well, its most 23 appreciated. Jason, back to the broadband, I 24 absolutely agree with you that one on one, face Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 95 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 to face, that peer groups together is so vital to 3 our veterans, but at the same time in a situation 4 like this with COVID, and moving forward 5 hopefully, we won't see anything like this again, 6 but we could. 7 Broadband is that, should that be a 8 priority as for [unintelligible] [01:47:43], a 9 problem. 10 ASSEMBLY MEMBER BARRETT: Seems like 11 we're having -- speaking of broadband. 12 MR. SKINNER: I would have to say yes, 13 based on his freezing up, that he needs 14 broadband. So yes, you know, I didn't get the 15 last part of it because you did freeze, but I 16 think it does eliminate the need for it. 17 ASSEMBLY MEMBER MANKTELOW: Can you hear 18 me now, Jason? 19 MR. SKINNER: Yes. 20 ASSEMBLY MEMBER MANKTELOW: No, I know 21 that we need to have the one on one, absolutely. 22 CMDSGT. MAJOR FLAHERTY: And I would to 23 that as an example, is that I have seven, I have 24 seven cases of military sexual trauma. One of Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 96 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 the females that I have she had to come back, 3 this was before the COVID, she came back four 4 times before she'd even tell me what was her 5 problem just to make sure the touchy feeling was 6 there and the honesty of being able to open up 7 and tell her story. So the one on one would, you 8 know, could never be substituted. Thank you. 9 MR. SKINNER: Actually, when it comes to 10 military sexual trauma cases, because, you know, 11 a lot of people don't realize the statistics are 12 51% reported by female, but 50% also reported by 13 males that serve and I myself have done male 14 military sexual trauma cases and for anyone to 15 divulge that it takes a relationship, it takes a 16 bedside manner and for them to open up and 17 actually finally go forward and be recognized and 18 get the benefits they deserve. 19 ASSEMBLY MEMBER MANKTELOW: Absolutely, 20 I totally agree. I just wanted that question out 21 there as we look at broadband for so many 22 different areas, I just want to make sure our 23 veterans will be covered and we keep them on the 24 forefront. So thank you again for your time and Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 97 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 again, thank you for your service. 3 MR. SKINNER: Thank you for all the 4 great questions. 5 ASSEMBLY MEMBER BARRETT: I think that 6 wraps up this panel. Thank you all. This was a 7 great conversation and I thank you all for your 8 service and for the work you're doing and for 9 giving us the time and the benefit of your 10 insights and senator, you want to say anything? 11 SENATOR BROOKS: I just want to echo the 12 Chair's remarks about, you know, the benefits we 13 have here today, but most importantly what each 14 of you are doing day in and day out for that's 15 the absolute dedication you all have and 16 commitment. We have to do a better job for our 17 vets collectively. Certainly, we recognize with 18 the COVID situation there are very unique 19 challenges and I think I share with remarks of 20 many of you that hopefully we don't see an 21 escalation of this in the coming months. We have 22 to find better ways to fund these programs. We 23 have an absolute necessity to recognize the needs 24 of these people who and you who have given so Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 98 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 much to preserve and protect our country. You 3 know, uniquely right now we're seeing some 4 challenges in terms of access to the ballot, 5 perhaps this year. It's you, all of you, all of 6 the veterans that made sure we had the right to 7 exercise that right to vote. We've got to make 8 sure we protect that. 9 To the virus, it's been a real challenge 10 across all planes, but we thank you for the 11 information you've given us today and we'll be 12 reaching out to you further, but God bless each 13 of you for what you give to all of those who 14 serve. Thank you all very much. 15 ASSEMBLY MEMBER BARRETT: Thank you and 16 stay well and stay safe. 17 MR. SKINNER: Thank you very much for 18 this opportunity, it's an honor. 19 ASSEMBLY MEMBER BARRETT: Our honor. 20 SENATOR BROOKS: Everybody have a great 21 day, please. 22 ASSEMBLY MEMBER BARRETT: Thank you. 23 SENATOR BROOKS: Okay, can we, we bring 24 in the next party? Are the individuals for the Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 99 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Panel 3 in the, they're coming in now. 3 FEMALE STAFF: Panel 3 is in. 4 SENATOR BROOKS: Okay, good, thank you 5 very much and good afternoon everyone. We want 6 to welcome you to what will be our third panel 7 discussion on the impact of the COVID violence, 8 virus, excuse me and our veterans programs. We 9 want to thank you for participating; we've had 10 some good discussions in the first group. We 11 anticipate seeing more from you or hearing more 12 from you. So we appreciate you being here. I 13 want to give my co-Chair, Assemblywoman Barrett, 14 an opportunity to say a few words and then we'll, 15 we'll get into what you all have to say. 16 ASSEMBLY MEMBER BARRETT: I just wanted 17 to echo the senators, welcome and thank you so 18 much for making time to be here and thank you for 19 the work that you do in this field and we look 20 forward to hearing your testimony, thank you. 21 SENATOR BROOKS: Okay, so Coco, if we 22 can start with you and give you an opportunity to 23 address the group. The way you'll do this is you 24 will all give your presentations and then we'll Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 100 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 give it an opportunity for questions to be asked. 3 Remember, you each have five minutes assigned for 4 your presentation. We ask that you try to stay 5 within those time constraints so that we can move 6 the program along and get to hear from everybody. 7 Thank you and Coco if [unintelligible] [01:53:50] 8 MS. COCO CULHANE, EXECUTIVE DIRECTOR, 9 VETERANS ADVOCACY PROJECT: Good afternoon. 10 Thank you Chair Brooks, Chair Barrett and Chair 11 Hunter. My name is Coco Culhane and I'm the 12 executive director of the Veteran Advocacy 13 Project or VAT for short. We provide free legal 14 services to veterans and their families with a 15 focus on those living with posttraumatic stress 16 and other mental health conditions. Our practice 17 ranges from, everything from to food stamps to 18 Department of Defense cases to death row. Thank 19 you so much for the opportunity to speak today. 20 As Assembly Member Barrett said there 21 are so, way too many issues to effectively 22 address in such a short time, you know, crippling 23 budgets and the looming tsunami of evictions so 24 I'm going to focus on what VAT specializes in Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 101 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 working with and that's veterans living with 3 mental health conditions and I really want to 4 focus on how so many veterans are being left 5 behind. I make recommendations regarding the 6 challenges they're facing namely isolation from 7 information, disconnection from treatment and a 8 lack of access to the VA in a number of ways. 9 We've all adapted or are adapting to this virtual 10 world and the vast numbers of individuals who are 11 living in a kind of darkness, no access to the 12 internet. One of our attorneys has been making 13 house calls because e-signature software that we 14 purchased is no use to a veteran without a 15 smartphone or a computer. 16 In April the FCC relaxed the 17 documentation standards in order to access 18 Lifeline, which is the discount program where low 19 income individuals can get phones and internet 20 access, but where that was announced the FCC 21 announced it online and if you go to the website 22 for the entity that administers these plans you 23 click on training and outreach they offer 24 webinars, instructional videos online and Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 102 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 newsletters via e-mail. So, you know, while we 3 know there are some other ways that outreach is 4 being conducted it's a clear glaring gap there. 5 And another way that these veterans are isolated 6 is that as everyone is turning to telehealth, if 7 you don't have, again if you don't have 8 broadband, this was mentioned earlier you don't 9 have a laptop, you know, there's no way to do it 10 and even if you do what we are seeing amongst our 11 client population is frustration in trying to 12 figure out new technology and people giving up 13 and it just dissuades them from continuing their 14 care. 15 You know, these things seem sort of 16 annoying and like small challenges to us, but it 17 really is a very serious jeopardy to the 18 wellbeing of the vulnerable subset of veterans 19 who are taking their lives at twice the rate of 20 the general population. You know, whether or not 21 the number is 17 a day or 22, it just doesn't 22 matter. The reason that they come to suicide 23 does and most susceptible among this group of 24 veterans are those who are involuntarily Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 103 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 discharged based on misconduct, and the 3 statistics show that these men and women die by 4 suicide at nearly three times the rate of other 5 veterans. So just not three times the rate of 6 the civilian population, but other veterans, and 7 a less than honorable discharge has been found to 8 be the second highest predictor of homelessness 9 just behind substance use and now you add a 10 pandemic where I know in New York City there's an 11 estimated one quarter of the population that 12 can't pay rent and you know, the devastating 13 effects are overwhelming, what is looming. And 14 when we look also at the population we serve 15 they've really been hit double hard because the 16 systemic problems that are making certain 17 populations more vulnerable to COVID-19 are the 18 same systemic issues that lead to less than 19 honorable discharges. 20 You know, one study showed that black 21 service members are twice as likely to face 22 disciplinary action and court martial than white 23 service members. You know, mental health 24 conditions cause disproportionately negative Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 104 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 outcomes in service the same as in the civilian 3 world. A government accountability office report 4 showed that from 2011 to 2015 of the veterans who 5 were discharged for misconduct 62% already had a 6 PTSD diagnosis or a related condition. So we 7 already knew they were suffering from a mental 8 health condition and we're punishing that. 9 Survivors of military sexual trauma are 50% more 10 likely to have a misconduct discharge. And what 11 all this amounts to is an injustice compounding 12 another injustice, you know, first during service 13 and then when they get out of service and they're 14 cut off from the VA and they're also saddled with 15 this stigma, this branding when they're trying to 16 get a job, you know, and the struggling every day 17 to get by. 18 And then as a part of low-income 19 communities with higher mortality rates, more 20 criminal justice involvement and just wildly 21 unequal access to healthcare. So the effects of 22 the pandemic hit them again and I want to just 23 give one client story, I know I'm out of town, 24 but just this really I think, puts a face on some Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 105 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 of these issues. We have a Marine who served in 3 Vietnam and I called him two nights ago, he's a 4 client of mine, and I asked how he was doing and 5 he said, there's a lot of pain, and he was 6 referring to the Black Lives Matter 7 demonstrations that he's been a part of. He was 8 referring to his mental health and he was 9 referring to his service and he said to me, you 10 know, as a black man in the south you got to 11 understand back then I couldn't report anything. 12 There are only two secrets I've carried my entire 13 life, my discharge and my rape. And he explained 14 to me how his whole life, his buddies will ask 15 well, why aren't you at the VA, why aren't you 16 getting benefits, and he says, well I don't need 17 that, but he got Coronavirus in May and couldn't 18 say those words any more, and so the weight of 19 all of this really has hit him. He, when I asked 20 him what about the PTSD program we connected you 21 with, he said, you know, figuring out that camera 22 thing was just too much, and so he has stopped 23 going to his therapy and I'm the only person he's 24 talking to and as a lawyer I shouldn't be, right. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 106 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 So I know out of time, I will just say 3 that that I think that if we invest more in, and 4 I think the previous panel stated this as well, 5 that if you invest more in working on VA claims 6 not only for those who need digital access, who 7 need those benefits, compensation claims with 8 those who need character of discharge where the 9 federal dollars that come in are exponentially 10 worth the investment, is worth the investment in 11 terms of mental health, housing subsidies, all of 12 the things that come with that and also resources 13 for this digital divide as well, and thank you 14 for the opportunity. I'm sorry, I went over 15 time. 16 SENATOR BROOKS: Okay, thank you very 17 much. Solomon, if we could hear from you. 18 MR. SOLOMON CHOUICHA, STAFF ATTORNEY, 19 LEGAL SERVICES OF THE HUDSON VALLEY: I'm Solomon 20 Chouicha, I'm a staff attorney at the Legal 21 Services of the Hudson Valley. We provide free 22 civil legal assistance to moderate and low income 23 individuals including veterans throughout the 24 [unintelligible] [02:01:26] to lower Hudson Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 107 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Valley region. I would like to thank Karen 3 Brooke, Chairwoman Barrett, Chairwoman Hunter as 4 well as ranking members Ritchie and Ashby for 5 allowing me to speak this morning. I would like 6 to highlight a few areas of concern with the 7 secular veteran populations that we assist 8 veterans with. One is income maintenance, the 9 other is housing. 10 Among the work that we do at Legal 11 Services of Hudson Valley is assist veterans with 12 VA disability, appeals, including 13 [unintelligible] [02:02:06] to that work is 14 assisting veterans with discharge upgrade like 15 Ms. Culhane had stated, helping veterans who have 16 other than honorable discharges or was known as 17 bad paper, [unintelligible] [02:02:17] serves a 18 barrier to getting VA benefits or VA healthcare. 19 And housing especially in the Hudson Valley 20 region has become more critical as rents are 21 rising. As, you know, the individuals have been 22 moving north from New York City area, landlords 23 have been increasing rents as often, putting 24 significant pressure on our veterans to our off Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 108 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 and on [unintelligible] [02:02:47] income often, 3 disabled veterans all their benefits, all their 4 income is solely sometimes only from VA, from VA 5 disability benefits, disability benefits or 6 sometimes a combination Social Security as well 7 as VA disability benefits. 8 This, you know, recently I had a veteran 9 contact me who lived in the Fishtail, Lofenger 10 [phonetic] in [unintelligible] [02:03:13] county. 11 His landlord, he was paying about $950 in rent, 12 his landlord recently increased his rent to 13 $1200, which now comprises 50% of his income. 14 Again, all his income is, is veteran's disability 15 benefits. This past week, we had another 16 disabled veteran contact our organization. He 17 lived in a mobile home park. His family had been 18 assisting him with paying the lot rent at the 19 park, unfortunately, due to the pandemic is 20 family is no longer able to provide him that 21 financial assistance. Now currently, he's paying 22 about 67% of his income, which comprises solely 23 of veteran's disability benefits on his housing. 24 I would like, you know, I know in the Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 109 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 prior panel it was talked about the SSVF grant 3 program, which is a federal program that provides 4 assistance to veterans who face imminent risk of 5 homelessness when, you know, which is a great 6 program in the Hudson Valley area administered by 7 a nonprofit organization called [unintelligible] 8 [02:04:25], but the, unfortunately, the 9 [unintelligible] [02:04:29] federal program is 10 needs tested and there are strict income 11 guidelines with, you know, to qualify for that 12 assistance. So often if the veterans, let's say 13 100% service connected disabled that might put 14 him or her over the income when they qualify for 15 SSVF assistance. There are some nonprofits, 16 veterans charities [unintelligible] [02:05:00]. 17 One, I would echo [unintelligible] [02:05:04] 18 Dwyer vet program we have back here in Dutchess 19 County where I work, it's a phenomenal program. 20 They receive some funding from the state as well 21 as from the county, but given, you know, the 22 looming eviction crises, unemployment crisis, I'm 23 finally, you know, working with the spouse of a 24 veteran who recently lost her job, that was out Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 110 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 in Ulster County. 3 I think there is [unintelligible] 4 [02:05:34] a significant need for both affordable 5 housing, some [unintelligible] [02:05:39] housing 6 for veterans as well as for providing them with 7 free legal assistance to help them with their 8 eviction [unintelligible] [02:05:46], appeal 9 their disability denials and help protect their 10 rights and help them secure all the benefits that 11 they've earned through their service. Thank you 12 for your time. 13 SENATOR BROOKS: Thank you. Dao, if 14 you'll take an opportunity to make your 15 presentation, please. 16 MR. DAO SUN, SENIOR STAFF ATTORNEY, 17 LEGAL SERVICES NEW YORK CITY: Yes, Chair, thank 18 you. Good afternoon everyone, my name is Dao 19 Sun. I am a senior staff attorney with the 20 Veterans Justice Project at Legal Services New 21 York City. I want to thank the committee for 22 allowing us to testify at this hearing. I also 23 want to thank the committee as a veteran, all you 24 do for veterans across the state. We also wanted Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 111 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 to thank Chair Barrett and the veterans committee 3 for your support with our Veterans Justice 4 Project. Without the funding that we received we 5 would not be able to serve over 3000 veterans and 6 their family members over the past year. This 7 equates to around half a million dollars' worth 8 of benefits to our clients. 9 The Legal Service NYC is the largest 10 free legal services provider in the nation. We 11 serve over 110,000 New Yorkers every year. We 12 have offices across all five boroughs. Legal 13 services, Legal Service NYC created the Veterans 14 Justice Project to serve low income veterans, 15 active duty service members and their family 16 members with any civil legal matters that they 17 may have. One major civil legal issue that we 18 see with veterans during this pandemic has been 19 income security. To address this need we have 20 been helping veterans and their family members 21 with applications for government benefits. This 22 includes Social Security applications as well as 23 public assistance applications and food stamps. 24 Another major need that we see for Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 112 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 veterans during this pandemic is housing. 3 Housing Court in New York has been closed for the 4 past few months, but they are slowly opening back 5 up and as housing court opens back up there will 6 be more nonpayment cases and holdover proceedings 7 filed by landlords against veterans, just due to 8 the backlog. So we anticipate an uptick in the 9 need for housing assistance for veterans in New 10 York City and we're working with our community 11 partners to address that anticipated uptick. 12 During this pandemic LSNY has also seen an 13 increase in cost from veterans that request who 14 are requesting assistance which has support 15 modifications. This could be downward child 16 support modifications or upward child support 17 modifications. 18 As many of you may know child support 19 arrearage [unintelligible] [02:08:49] child 20 support arrearage have adverse effects on 21 veterans, which could mean that their driver's 22 license could be suspended, their passport could 23 be suspended. Without a driver's license a lot 24 of veterans will have a difficult time going to Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 113 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 their daily appointments or even going to their 3 employment, which will even more reduce their 4 income. COVID-19 has had a tremendous adverse 5 impact on the veteran's community and we're doing 6 all we can on the civil legal side to assist 7 veterans with those issues. Of the veterans who 8 contact LSNY for help during this pandemic, 70% 9 have been people of color, 50% of these vets have 10 been disabled vets. 11 Veterans have sacrificed so much for us 12 the very least we can do, the very least we can 13 do as a community to ensure that they free access 14 to justice. This means assistance with housing, 15 with income security, family law matters. A 16 criminal defendant has a right to an attorney, I 17 believe being a veteran myself that veterans who 18 need assistance with any civil legal matter 19 should be able to have the same kind of 20 representation. Thank you again for the 21 opportunity to testify before this committee. We 22 look forward to working with the committee to 23 ensure that the veterans, veterans get the 24 support to meet their civil legal needs. Thank Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 114 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 you. 3 SENATOR BROOKS: Thank you all for your 4 comments and your presentation. Collectively, 5 we'll have a series of questions for you, try to 6 drill down a little bit further on some of the 7 information and concerns that everyone has. You 8 know, while we're centering on COVID related 9 problems, one question that I would have as we 10 look and so many times we have people who have 11 been discharged, separated from service that run 12 into many different types of problems getting 13 back into, if you will, civilian life. One of 14 the questions I have, a little bit away from the 15 COVID aspect, but maybe it should be something 16 we're considering what's going on. Do we do a 17 good job preparing people for separation from 18 service and what they're going to face in the 19 outside world? And in particular now where some 20 folks are being discharged during a time of such 21 significant economic and health challenges should 22 we be doing more as someone is about to separate 23 from service to avoid some of the challenges that 24 they're facing right now? Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 115 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 MR. SUN: Being a veteran myself I can 3 tell you that when I was, when I separated from 4 the Navy I wasn't provided with a lot of 5 information. The only information I was given 6 was the GI bill, to use it, but they didn't 7 provide any guidance they need, Navy didn't 8 provide me guidance on how to use it, other 9 benefits I might have to the VA. So I would say 10 that service members are not well prepared when 11 they leave the military. Also, they're not given 12 training on how to adjust to the civilian world. 13 A lot of service members been in the military for 14 at least four years so that's a very long time in 15 military culture, and civilian culture is 16 different. And the military doesn't provide that 17 kind of training on how to transition from the 18 military to the civilian world, and I think 19 that's something that we can work on to help 20 service members who are coming home. 21 SENATOR BROOKS: Anyone else? Okay, I'd 22 like to give our co-chair Barrett an opportunity 23 to ask some questions. 24 ASSEMBLY MEMBER BARRETT: Thank you, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 116 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 senator; thank you panelists. I wanted to just 3 sort of address, I want to ask Coco a particular 4 question about the resources for the work that 5 she does, which is just so profound and tense and 6 whether at, you know, New York State is doing an 7 adequate job of, and, you know, the other 8 resources to allow you to do that and then I want 9 to shift over to Dao and Solomon and ask you if 10 you could talk to us a little bit about the 11 differences in upstate and downstate as both 12 legal services providers, if you, you know, have 13 a sense of are the needs different or, you know, 14 are we looking at, you know, different ways to 15 address things in these different parts of the 16 state. So let's start with Coco. 17 MS. CULHANE: Hi, yeah thank you. So as 18 far as I'm aware there are no state services. I 19 mean, I think, you know, New York State Division 20 of Veterans Services has started doing some 21 discharge work. You know, I did a training 22 yesterday for their annual training session with 23 both, I think DVS and some county service 24 officers on character of discharge work, but we Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 117 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 have a wait list that we've now paired down to 3 330 names because we are screening and we only 4 take cases connected to a traumatic experience. 5 But, you know, if we took every case I think 6 we've had 1300 people call us because there's 7 really nowhere else to go. You know, there are 8 law school clinics throughout the state but they 9 can take one or two cases a year, including mine. 10 It's just not an effective means. 11 New York City did announce a discharge 12 upgrade grant, a contract last year on Veterans 13 Day and we're waiting to hear what's going on 14 with that, where the funding is at. So I just, I 15 think the return on investment if we can train 16 more advocates, if we can get more people doing 17 this, you know, it's well over $3 million over a 18 lifetime of benefits, housing and, you know, 19 education benefits can change a life psychology, 20 right, you're making a profound impact. So I 21 think it's something that is worth the state 22 investing in and in just in terms of statewide, 23 you know, I get calls from every county. I was 24 e-mailing this morning someone from Yates County, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 118 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 you know, it's a problem that is not about 3 geographic location at all and there, you know, 4 New York City is obviously very lucky in terms of 5 the resources we have, so many programs that we 6 connect our veterans to. And something that 7 we're actually launching soon is actually just 8 going around to community health clinics around 9 the state and talking to them about serving 10 veterans and about working, you know, creating 11 more medical legal partnerships and addressing 12 these issues so that more veterans can get access 13 to care. So it's something that we're hoping we 14 can have a small impact on in the coming year. 15 ASSEMBLY MEMBER BARRETT: Thank you, 16 thank you. Now Solomon, you want to talk about 17 upstate and compared to what Dao says about 18 downstate. 19 MR. CHOUICHA: Sure, I think one of the 20 big differences between perhaps individual living 21 in the New York City area versus living in the 22 mid-Hudson area, is there's a probably a lot, 23 there is probably a lot more resources 24 organizations, charitable organizations, you Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 119 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 know, legal service organizations in the New York 3 City area whereas opposed to up in the mid-Hudson 4 regions in terms, there's a lot fewer charitable 5 organizations that can help with rent arrears. 6 Legal Services of the Hudson Valley is the only 7 provider of free civil legal assistance in the 8 mid-Hudson region. I would say also a big 9 difference between the New York City area and 10 mid-Hudson is dealing with transportation issues. 11 I was just in Brooklyn and did I know there were 12 issues, you know, with the MTA, but it's, you 13 know, for a system that runs 24/7 it covers, you 14 know, five boroughs, you know, you can get around 15 pretty easily whereas opposed to in Dutchess 16 County you have some urban areas like the City of 17 Poughkeepsie [unintelligible] [02:18:13] you go 18 to northern or eastern Dutchess it's sometimes 19 rural, the buses that don't work that well and 20 trying to navigate sort of bus system, we're 21 relying on friends or neighbors to give you a 22 lift if you have to go meet with a legal aid 23 attorney or meet with a veterans counselor, it's 24 a lot more challenging. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 120 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Where even, even if you just have a 3 court appearance in town village or I've had some 4 clients sometimes tell me that they, you know, 5 they didn't have [unintelligible] [02:18:46] they 6 couldn't, both veterans and our veterans they 7 just, you know, have to walk a mile or two just 8 to get to the county village courthouse if they, 9 for whatever appearance they had. 10 ASSEMBLY MEMBER BARRETT: I'm afraid 11 we're out of time, but thank you all for those 12 answers and I think Dao you talked a lot about 13 the challenges just in New York City so I think 14 we have a point of comparison there. Senator? 15 SENATOR BROOKS: If given an 16 opportunity, co-chair Hunter, if she has any 17 questions? 18 ASSEMBLY MEMBER HUNTER: Thank you, 19 senator. I just wanted Coco, I guess, and the 20 rest of you as we're talking about the legal 21 services, but other than honorable discharge 22 veterans are they included in all of the veterans 23 statistic information that we receive? So if 24 you're talking about 20 veterans who commit Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 121 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 suicide per day does that include those veterans 3 as well? 4 MS. CULHANE: Yes, it does. I think 5 some its, it depends on the source, right? And 6 they change the way they measure these things, 7 which is why the VA has changed it now to 17 per 8 day, and the other problem is, you know, the VA 9 has their data and then states have entirely 10 different ways of collecting data and so it's 11 difficult to get a reliable number. 12 ASSEMBLY MEMBER HUNTER: Does New York 13 State include other than in their numbers, other 14 than honorable in their numbers? 15 MS. CULHANE: I don't actually know, I 16 would assume so, but I don't actually know who is 17 responsible for collecting that data in New York 18 State. 19 ASSEMBLY MEMBER HUNTER: And you all 20 were talking about there's obviously a 21 significant housing rental crisis and I know just 22 from where I live many of the people when you see 23 them panhandling are, many of the people are 24 veterans and when you have conversations with Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 122 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 them, many of them are other than honorable 3 discharge veterans and they are locked out of 4 many veteran's services, housing, you know, 5 obviously some of the hospital, you know, VA 6 services and so their need is actually more than 7 just a regular indigent person because they're 8 locked out of many of the services. So I know we 9 always talk about what piece of legislation can 10 help and, you know, what are some of the 11 challenges, but we're talking about crisis now 12 that impact veterans relative, whether they're 13 honorable discharged or not, what specifically 14 can we do today to help the folks, you know, that 15 are on the edge? You're talking about, you know, 16 the folks who are on the edge with suicide, 17 they're on the edge of eviction and I know maybe 18 you're going to say money, which is very sparse, 19 you know, but really at this point what is it 20 that we can specifically do to help someone not 21 be evicted, not, you know, be on the verge of 22 suicide because I'm very, very concerned that 23 there's this lost maybe invisible population that 24 we're not even having conversations about. Thank Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 123 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 you. 3 MS. CULHANE: Yeah, I mean, I will say 4 one good thing and this is a good news about 5 money. So we subcontract with a couple of the 6 SSVF providers in New York City and so I know 7 that OTH is eligible for these arrears and these 8 different funds. So they've really over the 9 years with some advocacy, they've really opened 10 up those definitions and that allows a lot of 11 veterans. The other thing is the VA has come in 12 with emergency funds during COVID and has done 13 really a phenomenal job of helping to relocate 14 veterans out of shelters because, you know, the 15 first veteran died in the veterans program 16 [unintelligible] [02:22:46] shelter in the last 17 week of March and then our clients fled. So in 18 my mind and this, you know, everything takes 19 money, but communication to go back to like there 20 are resources out there and it's true that 21 veterans with less than honorable discharges are 22 much more limited. They face so much stigma, so 23 much, they carry a lot of shame, many of them, 24 but I think that if we do a better job talking Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 124 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 about the resources that already exist that we 3 can, we can have an impact on those suicide 4 numbers and we can change lives. 5 MR. SUN: I agree with everything Coco 6 said and I would just add that, you know, having 7 representation matters whether its housing court 8 or whether it's before the VA or Social Security 9 or any federal or state agency when you're 10 fighting for your benefits. So that's why I 11 believe, you know, every veteran who needs 12 representation in a civil legal matter should be 13 able to get it regardless of their discharge 14 character, honorable or non-honorable, it 15 shouldn't matter, and it shouldn't matter where 16 they live or what their income is. If they need 17 assistance and representation with these civil 18 legal matters they should get it just like they 19 would receive representation in a criminal 20 matter. 21 MR. CHOUICHA: I would echo what my 22 fellow panelist said as well. The efficacy 23 program that the, that is administered in the 24 Hudson Valley region they'll provide assistance Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 125 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 to veterans so long as their character of 3 discharge is not dishonorable, if they have some 4 other discharge that could be general or other 5 than honorable, we would provide assistance with 6 that on administering the program. So I would 7 echo what Mr. Sun said about [unintelligible] 8 [02:24:47] I think it's also critical especially 9 more in the upstate regions where you have town 10 and village courts where sometimes the judges 11 presiding over an eviction proceeding is not an 12 attorney at all and is not really versed in the 13 law or versed in the procedures. You know, 14 housing law can be very complex, there's 15 different rules and regulations applying to 16 mobile home parks, applying to federally subsided 17 housing, applying to private rentals. Often 18 times, you know, because we'll defer to the 19 landlord's attorney and you know, 90% of the time 20 or 99% of the time the landlord [unintelligible] 21 [02:25:35] an attorney while the tenants are not. 22 So I definitely echo what, about providing 23 representation for tenants in housing court and 24 I've actually been doing more training for the Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 126 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 non-attorney judges that are presiding over those 3 proceedings in the town and village court. 4 ASSEMBLY MEMBER HUNTER: Thank you. 5 SENATOR BROOKS: Okay, now we'll hear 6 from ranker in the senate, Senator Ritchie, any 7 questions? 8 SENATOR RITCHIE: Just one question, 9 quick question on broadband. Can you just 10 explain, you probably don't have the numbers, 11 especially statewide, but it's, I represent a 12 pretty rural area and on a daily basis I hear 13 about broadband questions and really the veteran 14 part of that issue has not come up. So if you 15 could just address how far and wide that is, that 16 would be helpful for me. 17 MS. CULHANE: Sure, I would not claim to 18 be an expert on this, if you go to the, the 19 program is called Lifeline and it's administered 20 by I think its Universal Administration 21 something, I can get the information to you. 22 It's oh, Universal Service Administration Company 23 and you can find a lot of data there and they 24 work, you know, a part of their working with the Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 127 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 FCC to provide these and you'll hear sometimes 3 it's also, I think it's also tied to phones that 4 individuals get through Medicaid, people call 5 them Obama phones, you know, in our area. But 6 they also provide internet access and are working 7 on rural issues and working on that. So I 8 apologize, I'm not an expert, but I can send you 9 information. 10 SENATOR RITCHIE: Thank you very much, 11 thank you Chair. 12 SENATOR BROOKS: Okay and giving an 13 opportunity to our ranker in the assembly, 14 Assemblyman Ashby. 15 ASSEMBLY MEMBER ASHBY: No questions at 16 this time, all of them were answered. 17 SENATOR BROOKS: If there are any other 18 members on the committees that are interested in 19 asking a question, if they could turn their video 20 screen on so we could see them that would be 21 great. 22 ASSEMBLY MEMBER ASHBY: None at this 23 time, senator. 24 SENATOR BROOKS: Okay, thank you all Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 128 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 very much. We wish to thank each of you for your 3 presentation. The information you provided I 4 think that this is an ongoing discussion for the 5 needs of funding. I think we all recognize that, 6 that's something we have to look hard at. I give 7 co-chair Barrett an opportunity if she has any 8 closing remarks. 9 ASSEMBLY MEMBER BARRETT: Just no, I 10 want to thank you all for the work that you do 11 and thank you for making the time to be with us 12 and I think we're ready to move onto to the next 13 panel, thank you. 14 SENATOR BROOKS: Okay so -- 15 MS. CULHANE: Thank you. 16 SENATOR BROOKS: -- again, we thank you 17 all very much and if the folks associated with 18 panel 4 could be brought into the room that would 19 be great. It looks like we're missing one more 20 individual, not sure if they're available. 21 MALE STAFF: We're waiting for her to 22 turn on her camera. We can start as we wait for 23 that, senator. 24 SENATOR BROOKS: Okay, very good. Good Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 129 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 afternoon, everyone and we want to welcome you to 3 this hearing by the Veterans Committees of both 4 the Senate and the Assembly as well as well as 5 the Women's Veterans Committee. We're exploring 6 issues associated with the COVID virus and how it 7 impacted the various services that you provide to 8 our veterans. We thank you for the work you do 9 and the contribution you make to these 10 outstanding individuals. We'll try to move this 11 along at a good rate. We'll ask each of you to 12 make a five minute presentation and then when 13 everybody is completed we'll open up to questions 14 from the participants in the hearing and if you 15 can keep close to that five minutes it makes 16 things a little bit easier. I'd like to start 17 with Mr. Haynie and begin with his presentation. 18 MR. J. MICHAEL HAYNIE, VICE CHANCELLOR 19 OF STRATEGIC INITIATIVES AND INNOVATION, SYRACUSE 20 UNIVERSITY, INSTITUTE FOR VETERANS AND MILITARY 21 FAMILIES: Thank you so much, Major Brooks, Chair 22 Barrett, Chair Hunter, committee members, thank 23 you for the opportunity to present today and 24 thank you for your efforts on behalf of New York Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 130 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 City's veterans and military families. As often 3 happens in the face of economic and social 4 disruption, the veteran and military connected 5 community has been harder hit than others during 6 the COVID emergency. The, as evidence of that 7 the veteran unemployment rate in New York State 8 in July was nearly 15%, that's twice the national 9 average of veteran unemployment across the United 10 States. 11 Over the course of the summer in 12 partnership with the military times publications 13 the Institute for Veterans and Military Families 14 here at Syracuse University launched a series of 15 national polls among veterans and military 16 connected family members to understand 17 specifically the effects of COVID on the veteran 18 and military connected community. And the trends 19 we are seeing we believe then form our efforts 20 here in [unintelligible] [02:32:15]. I'd like to 21 share a couple of those key findings with you. 22 First, our polling indicates that women veterans 23 are much more likely to indicate pressing needs 24 related to social service and economic supports Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 131 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 in the context of the COVID health emergency. 3 Over half of the women veterans that responded to 4 the series of polls indicate inadequate mental 5 health support at a rate nearly twice that of 6 male veterans as one example. Initially, 7 veterans of color represented or reported higher 8 percentages of social and economic need in every 9 single resource category that we polled on, 10 that's compared to white veterans. Veterans of 11 color were more likely to report needing support 12 in areas of food, nutrition, housing benefits, 13 claims assistance and mental health. 14 You know, so all of this together we 15 were asking what do we do with this information. 16 What we did with it at the [unintelligible] 17 [02:33:14] really transitioned the structure of 18 our efforts in response to COVID in four key 19 areas. That the coordination of services within 20 communities here in New York State and outside of 21 New York State. Careers and skills training 22 preparation programs to support the employment 23 situation of veterans, support for veteran 24 entrepreneurs. Veteran business owners have been Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 132 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 hit hard by the COVID crisis many of them create 3 businesses that are consumer based and that 4 retail and service industry, you know, read of 5 failure of veteran business owners during this 6 crisis has been significant. 7 And then also doing what I'm doing 8 today, engaging with leaders across New York 9 State to advocate on behalf of veterans and 10 [unintelligible] [02:34:01] crisis. 11 Specifically, communities will play a critical 12 role. Our America Serves networks across the 13 country and in New York State are seeing a 14 shifting need from clients, veterans and their 15 families requesting more tangible services, food, 16 clothing, income support as opposed to what we 17 usually see, which is more focused on housing and 18 employment support. Our career skill training 19 program for [unintelligible] [02:34:29] we moved 20 all of those online to meet the ongoing 21 employment needs of transitioning service 22 members, military members who have labor market 23 connected credentials and certifications. We've 24 also worked to create virtual environments to Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 133 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 help veterans find ways to connect with new 3 opportunities. 4 Finally, we've also been heavily engaged 5 with leaders throughout New York State and our 6 participation in the governor's challenged and 7 veteran's suicide. Today with high unemployment 8 and tense social isolation and other stressors 9 this work is as critical as ever. So to wrap 10 this up, all of this is to say the underlying or 11 under [unintelligible] [02:35:07] theme what 12 we've learned about the veterans community from 13 this crisis is the need for tailored and systems 14 level of coordination of services and policies. 15 State government helping human services, labor, 16 veteran's affairs must work together with local 17 governments, nonprofits and [unintelligible] 18 [02:35:26] community across the state around the 19 common agenda. 20 Again, initiatives like the governors 21 challenge to end veteran suicide or a good model 22 for driving this sort of necessary of 23 collaboration, the legislation should help 24 sustain those solutions proposed throughout that, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 134 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 through that effort and I think in my final point 3 is that I think we all do well to remember that 4 this virus and the collateral damage that it is 5 causing is effecting many veterans in many ways, 6 but not all veterans equally. Our solutions must 7 be coordinated and tailored in response to that 8 fact. Thank you very much and I look forward to 9 the rest of the panel. 10 SENATOR BROOKS: Thank you very much. 11 Staff Sergeant Fitzgerald. 12 STAFF SERGEANT JAMES FITZGERALD, 13 EXECUTIVE DIRECTOR, NYC VETERANS ALLIANCE: I 14 appreciate being able to join you today. Thank 15 you to the Chairs and committees for this 16 opportunity to testify today. My name is James 17 Fitzgerald, I'm a 9 year veteran of the United 18 States Army, achieving the rank of staff 19 sergeant. My military career, my military 20 service career spans combat deployments to Iraq 21 and Afghanistan with various assignments with 22 well-renowned military units such as the 101st 23 Airborne. While deployed to Afghanistan with the 24 101st Airborne, I was seriously injured during Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 135 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 combat operations and after a hard felt recovery, 3 was medically discharged from active duty in 4 2014. 5 Experiencing many of the hardships and 6 obstacles firsthand, I was activated to stay with 7 my fellow veterans as they navigated many of the 8 same circumstances during their transition 9 journey. I live in Brooklyn and I'm proud to 10 call New York my home. I'm the Deputy Director 11 of NYC Veterans Alliance, a member driven, 12 grassroots advocacy and community building 13 organization that connects, advocates for and 14 empowers veterans and their family members to 15 make change as civic leaders. We work with more 16 than 150 different organizations serving 17 veterans, military members and their families in 18 the New York City metro area to consolidate 19 events and resources online at our veterans.nyc. 20 We advocate for veterans and families locally in 21 New York City and our members were instrumental 22 in the creation of the New York City Department 23 of Veteran Services as well as spear heading the 24 addition of protection for veterans and service Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 136 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 members in New York City's Human Rights Law. 3 The COVID-19 pandemic has resulted in 4 extraordinary impacts to the New York veteran 5 community since initial cases were reported in 6 early March 2020. A slowed government response 7 demanded community organizations pick up an 8 increased burden in order to feel essential 9 support gaps and provide the key resources needed 10 by families during the pandemic. On March 19 11 through 21st, NYC Veterans Alliance asked 12 veterans and family members for their feedback in 13 an online survey on how the COVID-19 emergency 14 was effecting them and what type of help they 15 required. The survey results from 208 16 respondents, spoke to wide array of growing 17 concerns with top responses being preventing the 18 spread of the Coronavirus to the their loved ones 19 and continuing to maintain food resources in 20 their household after losing their financial 21 security. 22 To manage these overwhelming community 23 needs, NYC Veterans Alliance launched the 24 Veterans Mutual Aid NYC Metro Program; a network Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 137 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 for in taking coordination of incoming request 3 from veterans and families and other members in 4 need. Veterans, military members and their 5 spouses and family members and gold star families 6 were able to receive the help that was notably 7 lacking from city agencies tasked with that 8 responsibility. To date over $15,000 in direct 9 assistance has been provided to over 140 veteran 10 families throughout the New York City metro area. 11 This aid includes over $6100 in groceries to 12 veteran families in need and over $7200 spent on 13 housing assistance for at risk homeless veterans. 14 Social isolation remained at high levels 15 during the pandemic also as a large portion of 16 the veteran community especially older veterans 17 lived alone or did not have immediate family 18 available. Our Veterans Mutual Aid Program 19 activated to perform the vital outreach to 20 distribute key information and provide a lifeline 21 to each veteran in need. With over 1800 recorded 22 veteran interactions, the pandemic has displayed 23 how fundamental social contact is to our lives 24 and how important it is to maintain open Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 138 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 communications channels to stay informed of 3 current community needs. COVID-19 underscores 4 the necessity of strengthening our city and state 5 outreach efforts to rebuild and sustain the 6 social needs of the veteran population, a task 7 that will be critical to our recovery from the 8 pandemic. 9 In order to gain a full understanding of 10 the impacts, I recommend a detailed study be 11 conducted and presented to the public addressing 12 COVID-19 related social isolation and loneliness 13 effects to identify working solutions from long 14 term and short term models. We created NYC 15 Veterans Mutual Aid to serve a community in 16 crisis. We've had more than 18 volunteer 17 veterans who are members of our organization 18 volunteering to make phone calls to coordinate 19 grocery deliveries, to talk to veterans worried 20 and in need and they've spent hours of their time 21 helping others with tasks that otherwise no one 22 would help with. Our program has been a last 23 resort. When we started up this program in March 24 NYC Department of Veterans Services wasn't Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 139 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 communicating directly with veterans about the 3 pandemic and veterans expressed to us that it was 4 difficult to get in touch, in touch with staff. 5 Meanwhile, veterans were telling us they were 6 jobless, hungry, worried about their health and 7 in some cases barely hanging on their housing. 8 We heard from one veteran that was 9 trying to get out of homelessness that NYCHA had 10 effectively stopped appointments for housing, 11 leaving him in limbo with no government agency 12 giving him and answers. He was left with no 13 options or financial means to safely shelter in 14 place until he connected with our volunteers. 15 Our Veteran Mutual Aid Program placements with 16 secure locations so we can safely shelter in 17 place; our support was needed for 25 nights 18 before additional support was available to move 19 him into more permanent housing. The need for 20 our extended support was due to the lack and 21 resources available to quickly and effectively 22 house our at risk homeless veterans. Without our 23 support this veteran would not have received the 24 necessary housing support for them to make it Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 140 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 through the pandemic. We also heard from a 3 disabled veteran who needed to move himself and 4 his children from one NYCHA apartment into 5 another at the height of the horrific death toll 6 in New York City with no resources at all offered 7 from the city. He cannot afford the expenses and 8 he was not physically able to even do the packing 9 he needed to make the move. We raised the funds, 10 coordinated with veteran movers, a local company 11 staffed by veterans and we paid them a very fair 12 price to do the job of helping this veteran get 13 his family and service dog moved into a new 14 place. 15 He said our assistance was invaluable to 16 his family and without our vital support he did 17 not know how he would get his family into their 18 home. This family needed additional resources to 19 ensure all household goods were transported 20 safely, but can find that additional support 21 through government services. 22 SENATOR BROOKS: Okay, we've exceeded 23 the time. I don't mean to interrupt you, but we 24 want to give an opportunity to give a Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 141 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 presentation and the question and answer period 3 we can, we can extend an opportunity for you to 4 address any issues if you want to do that. 5 Ashton? 6 MR. ASHTON STEWART, MANAGER, SAGE 7 VETERANS PROGRAM: Thank you Senator Brooks. 8 Thank you Assembly Member Barrett and also thank 9 you so much Senator Ritchie. I'm so sorry about 10 the loss of your father, my thoughts go out to 11 you for healing and peace for you and your 12 family. And I also wanted to take the 13 opportunity to thank you for your office giving 14 me a wonderful introduction to the 10th Mountain 15 Division this year at Fort Drum and we 16 participated in our very first pride month event 17 with the base and it was wonderful. They were 18 honoring the patriotism of the U.S. military for 19 LGBT members past and present who have fought 20 bravely to protect our nation and ensure equality 21 for all who call America home. 22 My name is Ashton Stewart, 23 [unintelligible] [02:44:16], I'm the SAGE Vets 24 program manager and SAGE Vets is a program that Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 142 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 exists thanks to the support from the legislature 3 and we help elder LGBT veterans get access to 4 programs to improve their lives and we also work 5 with veteran service providers to help them 6 address some of the unique challenges faced by 7 this group. Breaking down discrimination and 8 prejudice has always been a challenge in this 9 role working with SAGE and SAGE Vets, but it 10 seems like it's been kicked up a notch due to the 11 pandemic. I would attribute it to just people's 12 stress, people have been pushed to their limits 13 with this thing and there's just a little bit 14 more desperation out there. 15 So in order to address that, we've been 16 very careful to always let people share their 17 voices and I've always been open to hearing 18 comments about why people feel discriminated 19 against, LGBT veterans is okay or anybody in 20 general, but you know, I feel like it's important 21 to keep that dialogue going because what usually 22 happens is they start to say well I do have a 23 friend that's LGBT or a neighbor or a family 24 member and then suddenly you have that Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 143 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 opportunity to create change. A lots going on 3 with COVID, a lot of the speakers talking today 4 addressed a lot of these issues and yes, 5 isolation is key to all of this. It's something 6 that's effected elder LGBT adults historically, 7 but we're seeing it permeate into the whole 8 veteran service safety net. It's making 9 everything a little bit more challenging, the 10 whole thing of quarantining, working remotely has 11 really put a lot of agencies and service 12 providers in a whole new spotlight to try to 13 figure out how to deliver these services. 14 And in the meantime, we're seeing an 15 increase in anxiety and depression and certainly 16 suicide ideation. In fact, I was helping 17 somebody this week get enrolled in the VA, a 18 Marine who served in the first gulf war, he tried 19 to take his life last week and fortunately he did 20 not, so I've been working with him, I consider 21 him a friend, and the VA is most equipped at 22 dealing with depression and mental health issues 23 with the veterans and as also addressed today a 24 lot of veterans don't pursue health from the VA Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 144 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 for, for one reason or another. I'll get into 3 that a little bit more, and also they're not as 4 available to check in on veterans. So like the 5 Veterans Alliance we at SAGE have also been 6 reaching out individually to veterans, a Seige 7 Connect is the new SAGE initiative that links 8 volunteers to LGBT elders for phone support. 9 We also have made our veteran support 10 group available via telephone. We've lost 11 several veterans over the last few months, a lot 12 of them COVID related. Housing hasn't been that 13 big of an issue, but like I said mental health is 14 really up there. There are some tele-therapy 15 programs available but it would be nice to see if 16 that could become a little bit more so, a little 17 bit more available. The VA has struggled, the 18 home based primary care system the program there, 19 has been put on hold. They're still doing like 20 intakes and evaluations over the telephone, but 21 that was a big part of our program because a lot 22 of our veterans are elder and frail, in frail 23 health and they can't travel to the VA. And 24 somebody else also mentioned that the USPS is Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 145 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 causing medications to be delayed, yes, we're 3 seeing that as well. 4 Getting things notarized, we had to file 5 a case with the New York State Supreme Court for 6 a guardianship case and trying to get a notary 7 done was challenging, but we did it on line. And 8 the whole delay in the court systems is 9 appalling, this guardianship case is like a 10 priority. This veteran has no money and because 11 his current guardian hasn't been able to figure 12 out how to get him his money, so we're waiting 13 for that. The glory here right now is the 14 restoration of Honor Act, which we cannot thank 15 you enough for your support and hard work getting 16 this passed. It's just so inclusive, it's for 17 veterans with other than honorable discharge for 18 sexual orientation and gender identity, but it's 19 broader than that as you know, it's for people 20 with PTSD, MST or TBI, all who have other than 21 honorable discharge related to any of those 22 issues. This is a huge opportunity for us. 23 We've been hearing from more veterans 24 because of this legislation and we want to Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 146 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 continue that. I think focus first on finding 3 the veterans who have slipped through the cracks, 4 get them started and finding them services and 5 then figure out where we need to provide more 6 funding support to try to like broaden what needs 7 to be broadened at that time. I see I've gone 8 over my time, thank you so much for the 9 opportunity. 10 SENATOR BROOKS: Okay, thank you. 11 Laura? 12 MS. LAURA STRADLEY, EXECUTIVE DIRECTOR, 13 VETERANS OUTREACH CENTER: Well, good afternoon 14 everyone and thank you for inviting me to speak 15 today. As members of the veterans affairs 16 committees I imagine that you're all very 17 familiar with the term presumptive conditions and 18 I know that we discussed it a little bit earlier 19 this morning. This is important to talk about 20 though, because there's a correlation between 21 presumptive conditions and those who are at 22 higher risk for serious complications from COVID- 23 19. Vietnam veterans were exposed to Agent 24 Orange, Desert Storm veterans were required to Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 147 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 take anti-nerve agent bromide pills, which has 3 been linked to a series of conditions called the 4 Gulf War Syndrome. Post 911 vets were exposed to 5 burn pits in Iraq and Afghanistan and Marine Corp 6 veterans who served at Camp Lagune had 7 contaminated drinking water from 1957 to 1987. 8 So all of these exposures have led to 9 cancer, respiratory conditions, heart issues, 10 diabetes and other things that would put somebody 11 who test positive for COVID at very high risk for 12 serious complications. So veterans are 13 collectively in jeopardy of not being able to 14 recover from the physical effects of COVID-19 and 15 with that being said we're all also I think, too 16 keenly aware of the veteran suicide rate in our 17 country. We know that veterans are taking their 18 own life, you know, the figures vary, but between 19 20 to 22 veterans a day, which is nearly double 20 the rate of non-veterans in the United States. 21 And when we look at the risk factors for suicide 22 we can see again that the impacts of COVID-19 can 23 and will have a catastrophic impact on many in 24 our veteran population. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 148 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 So I'd like to share a little bit about 3 what we've seen at Veterans Outreach Center 4 regarding the mental health impacts of this 5 virus. We've operated a homeless shelter for 6 male veterans since 2001 and we typically have 7 maybe one physical altercation between the 8 residents per year. Since March of 2020, we've 9 had 12 altercations and one of which resulted in 10 a veteran needing to go to the hospital. In 11 addition, our residents have been unable to see 12 family members for many months, of course, we've 13 talked about that as well. In an effort to avoid 14 the spread of the virus throughout our shelter we 15 had to make that decision, too. But the 16 reunification of families and the healing of 17 relationships is a really key element for those 18 in recover and so, therefore, forward progress 19 has been quite slow for many of our homeless 20 veterans. 21 Relapses were kept at bay during the 22 strictly followed initial quarantine period from 23 March through June, but they rose almost 24 immediately when the quarantine began to lift. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 149 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Substantial back payments of unemployment and 3 stimulus checks resulted in a handful of our 4 residents going from having no financial 5 resources to having tens of thousands of dollars, 6 which is generally not healthy for people in 7 recovery. 8 Finally, in all of our years in 9 operation we've had only a couple of attempted 10 suicides thankfully, but one of them was this 11 year in April, and thankfully, the veterans 12 attempt was unsuccessful and he continues to 13 recover now with inpatient psychiatric care. But 14 as for our employment and training programs, I 15 can tell you that pre-pandemic we anticipated 16 serving approximately 60 veterans who were in 17 need of work between April and June, instead we 18 only served 33 and that was done virtually. Our 19 numbers are picking up for July and August, but 20 finding both available jobs and permanent housing 21 for many of these vets is even more challenging. 22 Rent prices remain high, many people are not 23 moving and landlords are on hold with evictions. 24 Then, of course, many companies are reluctant or Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 150 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 unable to start hiring again at this point in the 3 pandemic. 4 So I'd like to just add also the 5 additional $600 per week of unemployment support 6 really seemed to have a discouraging effect on 7 workers from wanting to return to work. 8 Moreover, the lack of childcare remains an issue 9 and again, many veteran job seekers lack 10 computers and internet access, which I know we've 11 also discussed, to complete those online 12 applications and do virtual interviews. 13 Now I wanted to share a little bit about 14 what VOC has done to mitigate some of those 15 issues. We began offering and facilitating 16 virtual networking sessions for employers and 17 veterans. We've assisted clients without the 18 proper technology to complete virtual interviews 19 at VOC now that we're reopened and have 20 implemented a number of safety precautions. 21 We've also purchased cameras to give veterans who 22 have their own computers at home. We've linked 23 directly with the State Division of Veteran 24 Services to help veterans with unemployment Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 151 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 issues. Many vets ended up making dozens if not 3 hundreds of phone calls to the DOL themselves and 4 we're not able to get resolution, but through our 5 partnership with the Division of Veteran Services 6 we were able get those issues resolved 7 immediately. 8 We conducted 3200 buddy checks, which 9 entailed phone calls, texts and e-mails to check 10 on the welfare of our clients from March through 11 August. By way of comparison, all of 2019 we had 12 only a total of 2800 buddy checks. Our staff 13 created over 600 handmade cards and mailed them 14 to clients in March and April. We created 15 virtual peer support groups, some specifically 16 for men, some for women, even a book club. 17 Between March and August of 2019 we served 168 18 veterans with food baskets, hygiene items and 19 other essentials, but in the same time period of 20 2020 we served 317 vets, many of these service 21 episodes involved VOC staff delivering the food 22 directly to veteran's homes. We applied for a 23 grant and received funding to purchase 50 tablets 24 with two years of internet connection to provide Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 152 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 to our most vulnerable clients, this way they'll 3 be able to connect with their VOC case manager, 4 conduct telehealth appointments, attend substance 5 abuse groups online and connect with family and 6 friends. 7 We purchased two sound proof booths 8 under the same grant for our homeless shelters. 9 These booths are outfitted with a tablet for the 10 same functionality that I just described so that 11 vets can do those things with privacy, which 12 would otherwise be impossible in a community 13 living setting. And lastly, we created a number 14 of videos for our website and social media apps 15 that include tips for healthy eating on a budget, 16 fitness routines that can be done at home, 17 meditation ideas and more. So I'd like to share 18 with you if time allows in the question, how we 19 view the way ahead at VOC, but again I thank you 20 for your time and thank you for allowing me to 21 share today. 22 SENATOR BROOKS: Okay, thank you, thank 23 you all. Let me first apologize to my co-chairs 24 and rankers, I neglected to give you an Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 153 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 opportunity to say any opening remarks before we 3 began this panel discussion. So if there's 4 things you want to say additionally to the 5 questions, please free to do that and we'll begin 6 with co-chair, pardon me, Barrett. 7 ASSEMBLY MEMBER BARRETT: Thank you, 8 senator. No, I, I want to thank these panelists. 9 It's an outstanding group, all of whom I have the 10 privilege of working with before this and I'm 11 really am moved and touched by the particularly 12 from Ashton and James and Laura the very hands on 13 grassroots work that you've done and, you know, 14 then listening to Mike in sort of contrast, I 15 found myself thinking do we operate micro or do 16 we operate macro, do we look for, you know, 17 really local hands on solutions and fund at the 18 grassroots level or do we need to do, you know, 19 what sort of Mike suggested and systems 20 addressing things where we break down silos and 21 work across the for profit, not-for-profit and 22 government sectors and I just wondered, you know, 23 if any of you have some thoughts on that 24 listening to each other at this point? Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 154 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 MR. STEWART: Thank you, Assembly Member 3 Barrett. I would like to take a crack at that. 4 I think community is the best place to start, 5 grassroots in a sense. Communities are coming 6 together, we're hearing about parents starting to 7 form pods or bubbles or whatever you want to call 8 it to try to address the shortcomings of safety 9 with the schools reopening, being with people in 10 the streets protesting civil rights. There's a 11 lot of talk on the street about people coming 12 together and I think that that would be a really 13 good place to focus on, but as far as the macro 14 part the WiFi and providing some broadband in 15 some of the smaller communities is a wonderful 16 idea, too and I think that to me is more macro as 17 well, but then again it comes to the communities 18 right, it's still on a smaller scale. 19 ASSEMBLY MEMBER BARRETT: Great, thank 20 you. 21 MS. STRADLEY: I'd also like to add -- 22 oh, I'm sorry. 23 MR. FITZGERALD: Like I'd like to 24 continue with that note, but also emphasize that Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 155 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 I feel that both approaches are worthwhile to 3 take on. Community organizations will never not 4 be needed, so it's for us to, you know, continue 5 to have our finger on the pulse of the community 6 so we can better advise some of the government 7 agencies in, you know, forming these larger 8 systems, to approach the issues that are 9 currently facing the veteran community now. So 10 it's a continual partnership and no different 11 than we're having to close the gap between our 12 military and civilian divide. 13 We also need to do that same approach 14 when it comes to closing the divide between our 15 community organizations and our government 16 partners. 17 MS. STRADLEY: And I'd like to add to 18 that actually, that's a perfect lead in for what 19 I was going to say anyway about the divide 20 between the government agencies and the community 21 organizations. One of the things that VOC is 22 doing is we're partnering with our local veteran 23 service agencies and the county surrounding 24 Monroe County, the more rural counties in the Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 156 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Finger Lakes. And we are going to be delivering 3 some case management services and other 4 programming on site in their agencies on a 5 rotating basis with the staff that we have at VOC 6 because our staff are trained and they understand 7 all the ins and outs of case management and 8 mental health and all those kinds of issues, and 9 I think our veteran service agencies are 10 phenomenal at filing benefits claims and many, 11 many other things, but they're kind of being 12 inundated these days with the challenges of 13 trying to become case managers at the same time. 14 And so we're partnering up with them and 15 we're really excited about the ability to, you 16 know, take all of the work we do virtually into 17 some of those surrounding counties. 18 ASSEMBLY MEMBER BARRETT: Thank you, 19 Mike, oh okay, sorry. 20 MR. FITZGERALD: No, I apologize Chair, 21 I wanted to, you know, I had one small piece, 22 which is emphasizing the partnership that we've 23 currently been having with our government 24 partners. So New York State Division of Veterans Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 157 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Services has been amazing at, you know, 3 connecting with us so we can provide referrals 4 for veterans to receive consideration for their 5 VA service connected conditions and have a 6 sustained kind of support through those 7 mechanisms. So if we can continue to strengthen 8 those partnerships through not only our state 9 agencies, but our city agencies then I feel that 10 that's the best, the best path moving forward to 11 long term sustainable solutions to connect our 12 veterans with those types of services. 13 ASSEMBLY MEMBER BARRETT: Thank you, 14 James and Mike. 15 MR. HAYNIE: And I agree with all my 16 panelists, co-panelists. I do believe at the 17 community is where we're going to fight the 18 battle and win the war if you will. That said I 19 do want to make a point though, what I was 20 describing that macro sort of systems level 21 change that that I believe after 15 years of 22 doing this work that needs to happen, it isn't 23 just about the veterans serving community and 24 government. It is about engaging broadly, for Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 158 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 example, the state's employer community, it is 3 not engaging broadly the [unintelligible] 4 [03:00:27] using in the state. I would be 5 willing to bet that that all of my community 6 service partners, co-panelist here would 7 highlight that they operate at a resource 8 constraint environment. The extent to which we 9 can create diverse ways to bring resources to 10 community organizations such that it's not just 11 government, but it's all the citizens and 12 institutions that benefit from military service 13 in an era of an all volunteer force. It 14 shouldn't just be about government. It should be 15 about all of us collectively [unintelligible] 16 [03:01:05] the opportunity, the challenges that 17 are representing in this community that we're all 18 committed to serve. 19 ASSEMBLY MEMBER BARRETT: My times up, 20 but thank you all very much for your thoughtful 21 comments and for the work that you're doing. You 22 know, we really, we couldn't be doing this 23 without all of us doing our part, so thank you. 24 Pam, do you want to take over? Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 159 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 ASSEMBLY MEMBER HUNTER: Yes, thank you. 3 I have two questions, I guess, one for Mike and 4 one for Laura and I'm just going to ask the 5 questions and then you guys can answer when I'm 6 done. First Mike, in your statement you had made 7 mention relative to the work that you have 8 partnered with, Military Times, and I was 9 wondering relative to how the information rolls 10 out, it was a survey I guess, that folks had done 11 and I find it interesting because the buddy check 12 program that we instituted at my American Legion 13 was based on something I read on Military Times 14 and kind of sent it forward. And since IVMF does 15 a great job with best practices and gathering 16 information, how can we get a lot of that 17 information that you all are compiling down to 18 the grassroots level, to a lot of the not-for- 19 profit or maybe the state or government agencies 20 that could use that valuable information that you 21 all are gathering to be able to send out? 22 And then, Laura, you had talked about 23 the situation with the unemployment and the folks 24 getting the, I guess the additional $600 and your Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 160 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 homeless veterans, I was wondering if they had to 3 pay anything for where they live and also it's 4 interesting because you made mention about having 5 all this extra money and that's not necessarily, 6 you know, a good situation especially for people 7 in recovery. And I just wanted to kind of like 8 get a feel for, how does that work? Because if 9 they're not able to now find employment and you 10 have all this money it's like how are you working 11 through that process knowing that that $600 is no 12 longer there, maybe the money that they're 13 getting from employment is limited, they're not 14 able to find jobs. It seems to me, you know, 15 being able to have some sort of structured 16 financial management, it's concerning to me 17 because then the last panel we had huge, you 18 know, housing/tenant, you know, problems with 19 evictions. So I'm just trying to get a little 20 better feel for how is that working through. So 21 I don't know if Mike, you wanted to go first. 22 MR. HAYNIE: Thank you, Chair Hunter, 23 it's good to see you and I'll answer quickly so I 24 can leave a bit amount of time for Laura. We're Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 161 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 publishing all of the snap shot polls on that 3 data what Military Times. We do the analysis, 4 Military Times publishes some of it, what they 5 don't publish we push out in these snap shot 6 briefings. I will provide all of that data and 7 all of those briefings to your office and you can 8 certainly share with the rest of the committee. 9 ASSEMBLY MEMBER HUNTER: Thank you. 10 MS. STRADLEY: Thanks Mike, I appreciate 11 that, too. So our homeless veterans do not pay 12 for housing. They, we have partnerships with the 13 VA and we receive reimbursement on a nightly 14 basis for veterans who are eligible under a 15 couple of different funding streams through the 16 VA or through our local county DSS. So our vets 17 don't pay for their housing while they're in our 18 homeless shelters. For veterans who are, you 19 know, obviously living in their own permanent 20 housing, of course, they would have to be 21 responsible for their rent payments. But, you 22 know, with regard to the, having that kind of big 23 lump sum of money, I think that what happens, you 24 know, again is if you do have a veteran who's Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 162 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 living in, you know, our shelter for example and 3 really all their needs are being taken care of 4 during that time, but they're trying to get back 5 into employment, they're trying to get their life 6 back on track and then they get this big, you 7 know, back paycheck, it can really be damaging. 8 I mean, you know, somebody who doesn't have good 9 money management skills you can imagine many, 10 many ways that that's going to go, you know, 11 wrong. And so I know one of the things that the 12 VA does when veterans are applying for service 13 connected disability compensation, if it takes 14 the VA, you know, six or eight months to make a 15 decision that veteran is going to get a retro 16 check with all the back pay in there. But if 17 there's a question about the veteran's mental 18 health than typically they will require a 19 fiduciary to help oversee that big lump sum check 20 when it comes in. 21 The veteran won't get held up on getting 22 their monthly check when the VA makes a decision, 23 but they won't get that big retro paycheck until 24 they've got a fiduciary to oversee that. So I Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 163 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 don't know if that's an option, you know, moving 3 forward for folks that, but I don't even know how 4 you would even, you know, really regulate 5 something like that because, just because a 6 person has lost their job and they're collecting 7 unemployment, there's not necessarily any 8 indicator that they also have mental health 9 issues. You know, so I'm not sure how you would 10 legislate something like that if you even could. 11 But it's just, I guess it's just something to 12 consider, maybe there's some thought behind the 13 size of a retro payment that gets, you know, sent 14 to somebody just in general. You know, how 15 that's organized I don't know. 16 ASSEMBLY MEMBER HUNTER: Thank you. 17 MS. STRADLEY: You're welcome. 18 SENATOR BROOKS: Okay, Senator Ritchie. 19 SENATOR RITCHIE: Just a question for 20 Mike and I'm not sure this is exactly what you 21 said. So first for clarification, did you say 22 that for women veterans that there was an 23 increase in the request for help for mental 24 health services? Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 164 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 MR. HAYNIE: I did, at a significantly 3 higher rate than from male veterans during the, 4 this COVID health emergency. 5 SENATOR RITCHIE: So my question would 6 be I've heard from so many women who are just 7 dealing with childcare issues and trying to make 8 their way through online learning with regards to 9 their children's education, is that part of what 10 has driven the increase or, or do you know what 11 the reason is? 12 MR. HAYNIE: Yeah, you're intuition is 13 exactly right, you know, so when we look at other 14 data, complementary data that we collected during 15 this period when, when a very significant 16 difference between men and women with regard to 17 how they prioritize the needs that they're 18 identifying also is at the top of the list and I 19 think we found it and compliment it, if you will, 20 the mental health issue is childcare and 21 generally therapeutic if you will. Because in 22 many of these families that responsibility is 23 falling to women and I think there's a, there is 24 a correlation between the increase expressing for Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 165 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 mental healthcare and increased burden at this 3 time as related to childcare in particular and 4 given that so many childcare supports nationally 5 and around the state have shut down as a 6 consequence of COVID. A lot of this has been has 7 pushed into the huddle, if you will, so I think 8 there is a strong [unintelligible] [03:08:36]. 9 SENATOR RITCHIE: Thank you and I just 10 want to say thank you to all the witnesses, 11 appreciate the information. Thank you, Chair. 12 SENATOR BROOKS: Thank you. Assembly 13 Member Ashby. Oh, there we go, okay, good, 14 sorry. 15 ASSEMBLY MEMBER ASHBY: Thank you, 16 senator. Just a couple quick questions, the 17 first for Laura; when you were talking about the 18 job interviews that you've had kind of success 19 with setting up, you know, recently, can you get 20 into a little bit more detail in what that 21 entailed? 22 MS. STRADLEY: Sure, so we have operated 23 a program called Vet Net for years and typically 24 what that is, is we bring in employers once a Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 166 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 week on site to VOC and then job seekers who are, 3 you know, would be a good fit for those employers 4 for any open position those employers would have 5 and that's a requirement of, of what employers we 6 have come in. You know, we would have basically 7 a networking session and then from there, you 8 know, often times a veteran is encouraged to then 9 apply for the job that, you know, they've 10 discussed. We had to obviously put that on hold 11 during the initial shutdown in March and so we 12 tried to get that back up and running as quickly 13 as possible doing a virtual version of that. So, 14 you know, much like we are all here today on 15 Zoom, and that was successful. And then, you 16 know, similar to that we purchased a number of 17 cameras for veterans who had, you know, some type 18 of computer equipment at home, but just didn't 19 have the ability to do a virtual connection with 20 an employer. So that now they can do those job 21 interviews online as needed and then for veterans 22 who didn't have, you know, enough of the 23 equipment at home, but or maybe not internet 24 access either, we have them coming into our Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 167 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 computer lab and they can do those interviews, 3 you know, at VOC on the premises there. 4 And as I mentioned towards the end we 5 did purchase about 50 tablets so that again 6 veterans who didn't have internet access or 7 connectivity now have that and they can use those 8 as well and we've really set those aside for the 9 veterans we feel are most vulnerable in terms of 10 the social isolation and the, you know, mental 11 health issues. I don't know if that answered 12 your question. 13 ASSEMBLY MEMBER ASHBY: Was there, is 14 there a specific industry or trend that you're 15 seeing over the last couple months that veterans 16 have had more success entering? 17 MS. STRADLEY: Boy, that's a tough 18 question, I bet if I asked my employment and 19 training manger, she could probably get you some 20 information so I can follow up with you on that. 21 I think that, you know, we, our largest 22 employment and training grant funded program is 23 for homeless veterans. So we, of course, see a 24 lot of barriers to employment typically with that Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 168 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 population where, you know, they may not have 3 driver's license, transportation. There may be 4 felony convictions on their record and other 5 issues, you know, lack of college degrees and 6 things that would sometimes be a barrier. So I'm 7 not sure how that, you know, has really morphed 8 into which industries are, we're finding better 9 success with at this point than others, but I 10 can, I can certainly get back to you on that. 11 ASSEMBLY MEMBER ASHBY: I'd appreciate 12 that. And then this question for the panel as a 13 whole and I understand that, you know, some, many 14 of the individuals that you're working with, you 15 know, these veterans may not have family 16 connections at this point and, or great social 17 support and maybe a big part of the reason of why 18 they're finding themselves in the position that 19 they're in and why you're working with them. But 20 the ones that do have family and a support 21 system, so a significant other or friends, in 22 your experience have you gotten feedback from 23 them regarding the use of virtual support and its 24 effectiveness? Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 169 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 MR. FITZGERALD: So like we've gotten 3 quite a bit of feedback from our client load 4 about, you know, them being able to successfully 5 access broadband internet and also have the 6 technology tools available to perform telehealth 7 and stay communicated, but the issue that remains 8 kind of prevalent is having to spread that around 9 to, you know, additional family members because 10 those resources are in such short supply. So 11 like being able to identify those minority 12 communities more efficiently so we can give them 13 the support needed. So not only can they connect 14 with our medical professionals and the resources 15 in the city government that are needed, but also 16 so they can stay connected to their families and 17 not be overextended technology wise. 18 ASSEMBLY MEMBER ASHBY: Thank you, Staff 19 Sergeant. 20 SENATOR BROOKS: Okay, thank you. If 21 any of the other members have, would like to ask 22 a question if they could turn their video screen 23 on that would be helpful. Okay, Senator 24 Harckham. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 170 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 SENATOR HARCKHAM: Thank you, Mr. Chair, 3 Madam Chair. Thank you panelists, this is, this 4 is very informative. A lot of what I was going 5 to ask about has been discussed, but I just want 6 to go into it in a little more depth about 7 telehealth. Earlier, with the first panel we 8 were talking in depth about suicide prevention, 9 overdose, substance use disorder and I know from 10 my work on, on my committee, which oversees OASIS 11 and we work with OMH, the state agencies and 12 their partners have been able to transition 13 somewhat successfully to a telehealth model 14 depending on how we can get technology as you've 15 been saying into the hands of the people who need 16 it. Can any of you speak to whether the VA has 17 been able to make the same kinds of adjustments 18 that you've been making and state agencies have 19 been making? Has the VA changed its provider 20 model to telehealth and has it been successful 21 for your clients? 22 MS. STRADLEY: I'm going to speak to 23 that one if you don't mind, because I can give 24 you some personal experience on that. So the VA Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 171 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 has had telehealth for many years actually and 3 they have had a great deal of success with it, 4 but I will just mention it, you know, on a 5 personal note, I'm a veteran myself and I 6 contacted the VA in April and May regarding what 7 I felt like was possibly either some, you know, 8 asthma or maybe even anxiety stress because my 9 heart was pounding a lot. And so I didn't have 10 an opportunity to see an in person provider and 11 the result was yes, you know, this is probably 12 asthma, we'll send you a nebulizer, and then in 13 July I collapsed on my back deck, actually, 14 because I have a heart condition I wasn't aware 15 that I had, the result is I broke three bones in 16 my face, you can still them healing a little bit, 17 they're on my cheek bone. And when I contacted 18 the VA after I got out of the hospital I was told 19 that, you know, my provider wasn't seeing people 20 in person until the middle of August. And I said 21 well that's not acceptable, I need somebody to 22 listen to my heart and somebody to listen to my 23 vitals because I have a more serious condition 24 and I ended up having to, unfortunately, go, you Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 172 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 know, up the chain of command and ultimately the 3 medical center director and I spoke directly and 4 he was incredibly supportive and they got me in. 5 But the unfortunate thing I think is and 6 I've heard this from many of my clients as well 7 and our veterans they have shifted so fully to 8 the telehealth model as much as they possibly can 9 in an effort to protect veterans who maybe at 10 high risk for COVID, that they're I think, 11 starting to kind of miss the boat on some things 12 that they really can't do by telehealth very 13 successfully. And so, you know, I am concerned 14 about that and we are having some conversations 15 with the VA about that, and I know they're 16 starting to bring some of their providers back a 17 little more frequently but it's still very hard 18 to get one of those in person appointments and I 19 think that the front line staff at the VA are 20 really putting up a stop sign on those, on those 21 in person appointments whenever possible. So 22 that's my view on that situation. 23 SENATOR HARCKMAN: Wow, well best, best 24 luck in your, your recovery and thank you for Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 173 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 that. 3 MS. STRADLEY: Oh, thank you, appreciate 4 it. 5 MR. FITZGERALD: Senator, just very 6 quickly I'd like to, you know, add a small piece 7 onto that. The vast majority of veteran 8 population is over the age of 55. So with this 9 humungous transition of the VA to telehealth, I 10 think we did miss the mark in providing adequate 11 training to those older veterans that may not be 12 as familiar with this technology, and has put 13 them in a detrimental position to where they have 14 lost that consistent connection to their medical 15 team and their, you know, care professionals that 16 are invested in their wellbeing, but not having 17 them adequately knowledgeable how to make those 18 connections or how to, you know, follow up and go 19 up that chain of command has been one of the 20 missteps that I feel that the large organization 21 of the VA's missed, but it is for community 22 organizations such as NYC Veterans Alliance who 23 continues to bring up those issues and support 24 our veterans until the larger system can Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 174 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 accommodate them. 3 SENATOR HARCKMAN: Thank you. 4 SENATOR BROOKS: Assembly Member 5 Mantkelow. 6 ASSEMBLY MEMBER MANTKELOW: Thank you, 7 Senator. Laura, good to see you today. 8 MS. STRADLEY: You, too. 9 ASSEMBLY MEMBER MANTKELOW: I pray for 10 your recovery and your healing. 11 MS. STRADLEY: Thank you. 12 ASSEMBLY MEMBER MANTKELOW: I only have 13 three minutes so I'll make this quick and I'll 14 get my questions out to you. You talked about 12 15 altercations when you first came on compared to, 16 I think, one or two previously, that's my first 17 question, you know, what's driving that? Is it 18 because they were locked up, you know, being held 19 inside is that part of the reason why? 20 MS. STRADLEY: I think so, you know, we 21 serve 28 males vets in our shelter at any given 22 time and you know, when you take away the ability 23 for them to get those, those supports that they 24 have outside the shelter because family members Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 175 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 now cannot come in, they're, you know, not able 3 to go see family members. For many of them there 4 was job loss involved as well and for others I 5 think we just, you know, we had to put a lot of 6 new rules in place. You have to wear masks, you 7 know, we can't have everybody eating in the 8 dining room at the same time and all these things 9 together when you've got a challenged population, 10 it's just an awful lot for them to absorb. And, 11 of course, you know, it took a little while I 12 think for a lot of different systems to get 13 everything up and running and so, you know, some 14 of the online substance abuse recovery groups 15 weren't immediate and so you had some other 16 measures of support that, you know, kind of got 17 taken away. So tension was just very high and 18 tough, you know. 19 ASSEMBLY MEMBER MANTKELOW: So my 20 question is, you know, I am absolutely concerned 21 about the mental health of our veterans that we 22 as a state are not doing enough for our veterans 23 and I know going into the winter months here in 24 upstate New York, it can somewhat be depressing Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 176 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 as well, with just the cloudiness and the way the 3 weather is and we're also talking about a 4 possible second wave. What can we do from the 5 stateside at this point to catch you geared up to 6 help you in everything that you do at your 7 center? I mean, your center is remarkable, I've 8 been there on many occasions and the work you do 9 there is just awesome. 10 MS. STRADLEY: Oh, thank you so much, I 11 appreciate that. You know, I know one concern 12 that is always in the back of my mind is hoping 13 that we'll be able to receive that support that 14 was approved in the state's budget this year. 15 You know, at this point we, of course, have not 16 received it and so in order for us to be able to 17 continue doing the work with the staff that we 18 have, you know, we count on that operationally. 19 So obviously, that's one thing and I know 20 everybody is saying, you know, finances are tight 21 and we all need support, but so that would be 22 something and I guess, you know, just as we 23 continue to move forward, I mean, we've 24 identified a number of things that have helped Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 177 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 this situation we have converted some spaces 3 outside of the shelter, but on that same campus 4 into zones where families can come in and we can, 5 you know, have immediate family, you know, only 6 or whatever. They meet with the veteran, they 7 spend maybe an hour and then we have cleaning 8 processes and things like that. So, you know, I 9 think we're identifying some of those ourselves 10 at this point, but, your continued support, yeah, 11 thank you. 12 ASSEMBLY MEMBER MANKTELOW: Alright, 13 thank you, thank you all for your service and 14 dedication to our veterans and may God bless and 15 please stay safe. 16 MS. STRADLEY: Thank you, you too. 17 SENATOR BROOKS: Okay, thank you all for 18 your participation. I know we've all 19 collectively recognize there are many challenges 20 ahead for us in dealing with the veterans. We 21 appreciate your time. To the hearing, to the 22 hearing group we're a little more than half way 23 through. We're going to take a 15 minute break 24 to give you an opportunity to take care of Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 178 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 whatever you need to take care of and we'll, 3 we'll re-adjourn in 15 minutes, thank you. We 4 all good? 5 ASSEMBLY MEMBER BARRETT: Yes and thank 6 you, thank you senator and thank you all. 7 SENATOR BROOKS: Okay, good afternoon 8 everybody. We're going to open with originally 9 first panel discussion. Benjamin, we welcome you 10 here and I want to give each of our members an 11 opportunity say a few words. I'll start with co- 12 Chair from and ranker from the, I'm sorry. Chair 13 from the assembly, co-Chair Barrett, if you want 14 to have some remarks? 15 ASSEMBLY MEMBER BARRETT: I just want to 16 welcome Benjamin and thank you for accommodating 17 us, I know you had a busy day today with training 18 and it's just really important that we have an 19 opportunity to hear from the Division. I hope 20 you had a chance to hear from maybe some staff 21 that on listening some of the issues that were 22 raised, but you know, there, there, we have had 23 some great panelists already and look forward to 24 hearing your testimony. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 179 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 SENATOR BROOKS: Assemblywoman Hunter. 3 ASSEMBLY MEMBER HUNTER: Yes, thank you, 4 senator. I'd just like to, you know, offer to 5 Benjamin as you're the, I guess, sole 6 representative here today from the Division. The 7 panels that we've had today actually have been 8 very exemplary, you know, not having had some of 9 the other folks that maybe would have been able 10 to answer a little bit more specific questions 11 that we would have related to, you know, health 12 or COVID. And obviously, now the Division is 13 here that really if you have an opportunity to 14 speak with your staff or speak with Division 15 staff who were able to be on the call to listen 16 to the hearing. There's definitely been pleas 17 for assistance and help and hopefully, that 18 translates back to the Division to really hear 19 what's happening to Veterans during COVID and, 20 you know, I feel like sometimes they're a really 21 bit under represented and unheard especially 22 during COVID. And so we have really have had an 23 opportunity to get very specific information 24 relative to how COVID is effecting veterans so I Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 180 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 look forward to hearing your testimony and maybe 3 some of the questions that we were not able to 4 get answered you may have answers to or 5 definitely be able to relay that back up the 6 chain. So thank you. 7 SENATOR BROOKS: Senator Ritchie. 8 SENATOR RITCHIE: Just that I appreciate 9 you being here. There are a number of questions 10 that I had for the Division of Military Naval 11 Affairs and some that you may not be able to 12 answer, but during the portion where we do ask 13 questions I probably will proceed just so you can 14 take them back and pass the on because they are, 15 they are important questions that it would be 16 very helpful to get some response to. Thank you. 17 SENATOR BROOKS: Assembly Member Ashby. 18 ASSEMBLY MEMBER ASHBY: Thank you for 19 being here today. I know that it's been an 20 uphill battle for the division to connect with so 21 many municipalities and counties out there to 22 serve our veterans and I look forward to hearing 23 your testimony. 24 SENATOR BROOKS: Thank you. Ben, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 181 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 welcome, we appreciate you being here and we'll 3 run the operation, we'll give you five minutes 4 for presentation and then we'll open it to 5 questions from members. You know, we've had a 6 lot of good discussions so far, of course, 7 everybody's looking for money and that's going to 8 be one of the big challenges, but collectively, 9 we all recognize how critical the veteran 10 community is to all of us and the support that we 11 have an obligation to provide it. So we'll let 12 you begin your presentation. 13 MR. BENJAMIN POMERANCE, DEPUTY DIRECTOR 14 FOR PROGRAM DEVELOPMENT & LEARNING, NYS DIVISION 15 OF VETERANS' SERVICES: Thank you and good 16 afternoon. Thank you for having me here today 17 and thank you for accommodating the scheduling so 18 we can finish up this morning's training. To 19 those who spoke before me who have served in our 20 military, thank you for your service to our state 21 and our country and to all of the great advocates 22 from whom you've already heard, thank you for 23 your continued service to veterans and their 24 families. A lot of familiar names on that list Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 182 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 and so I'm sure the panelists have been 3 fantastic. The past 75 years the mission of our 4 State Division of Veterans' Services has been and 5 remains to assist all veterans, members of the 6 military and their families, with access from the 7 local, state and federal benefits that they have 8 earned by virtue of their military service. I'm 9 proud to share with you that in the face of an 10 unprecedented health and economic crisis and the 11 ensuing logistical challenges, our staff still 12 works tirelessly on behalf of New York 680,000 13 veterans and their families. 14 In fact, our division still brings in 15 more than $63 million per month in recurring 16 federal benefits, which comes to more than three 17 quarters of billion dollars annually towards New 18 York's veterans and their families, and we have 19 ensured that the veterans of our state still get 20 these benefits throughout the COVID-19 crisis. 21 This money is important more so than ever in 22 these current circumstances. It is a lifeline as 23 you've already heard today to veterans and 24 families facing an uncertain economy as well as Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 183 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 their communities, businesses, schools and the 3 state economy as a whole. 4 Since the COVID pandemic began our staff 5 kept on service New York's veterans community 6 through virtual benefits advising sessions and 7 where safe and appropriate in office visits. 8 Even during these times of uncertainty we stay 9 steadfast in our mission to ensure that all New 10 York's veterans, military members and their 11 families are accessing the benefits that they 12 have earned. All division employees have kept on 13 working remotely and performing their normal job 14 duties during the COVID-19 crisis, which means 15 that services have kept on without interruption. 16 For veterans who are not linked with VA 17 healthcare we keep assisting them in accessing 18 healthcare through our digital benefits 19 advisement. We can do this because early in 2020 20 the division established New York State's first 21 ever digital pathway to submit claims and appeals 22 for veterans services to the Federal Department 23 of Veterans Affairs. This permits us to serve 24 clients remotely and to ensure that claims are Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 184 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 submitted in a timely manner despite the VA 3 regional offices is closed to the public, and it 4 allow DVS to complete claim now for benefits 5 without printing a single sheet of paper, which 6 of course, reduces our environmental footprint as 7 well. So we keep on finding creative solutions 8 to meet the needs of veterans and their families 9 during these times. 10 We also keep on investing in our 11 partners abilities and county government and city 12 governments to keep on serving veterans during 13 these difficult times. During the COVID-19 14 pandemic, the division has led trainings not only 15 for our own staff, but also for county and city 16 veteran service officers across New York State. 17 These trainings have increased the knowledge base 18 and the resources and connections of the veteran 19 service officers who assist veterans and their 20 families. In fact, I just finished administering 21 our semi-annual training with 162 attendees right 22 before this testimony. These have included semi- 23 annual trainings with 141 who have taken part in 24 the first, the 162 for this one and then three Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 185 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 weeks ago a week long accreditation training for 3 county partners with 12 counties taking part, all 4 of them receiving accreditation under the state's 5 POA, with more to come. 6 Beyond ensuring that veterans receive 7 the benefits that they are owed in the wake of 8 the pandemic, division helped out veterans and 9 their families who are facing food insecurity 10 during these challenging times. We engaged in a 11 collaboration arrangement with the Hello Fresh 12 Corporation, USDA's Farmers to Families Food Box 13 program, the Campaign Against Hunger in Brooklyn, 14 Black Veterans for Social Justice in New York 15 City and Western New York Heroes near Buffalo to 16 utilize resources from Governor Cuomo's COVID-19 17 philanthropic fund to deliver nourishing food to 18 veterans and their families. This endeavor has 19 delivered more than 50,000 healthy meals to 20 veterans and their families across New York and 21 is designed to continue until at least the end of 22 September. 23 We also see that during these difficult 24 times personal outreach is more necessary than Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 186 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 ever. While we could not meet in person, the 3 division contacted more than 30,000 veterans 4 online since the COVID-19 period began to conduct 5 buddy checks during the pandemic. We used these 6 check-ins to provide needed comfort to those who 7 were socially isolated as well as using it as a 8 chance to assist them in accessing their 9 previously untapped benefits. We also led an 10 online gathering for gold star families on 11 Memorial Day providing these families who have 12 lost ones in military service to this country a 13 much needed gathering place where they could be 14 in community with one another. 15 As a result, some of these gold star 16 families were linked with benefits and services 17 about which they previously were unaware or had 18 applied for before and been denied. In a time 19 that makes it difficult to feel like a community, 20 the division has bridged the gap for those who 21 sacrificed and lost so much on behalf of our 22 state and nation. These are just some of the 23 initiative and corrective steps we have taken to 24 support veterans and their families in these Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 187 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 difficult times. The staff of Division of 3 Veterans Services remains proud of the work that 4 we do each and every day. In support of the 5 governor, the legislature and our many community 6 partners, we will keep on working tirelessly to 7 fulfill the promise we made to those who've 8 served by taking care of them upon their return 9 to New York State. And I'm happy to pause for 10 any questions you might have. 11 SENATOR BROOKS: Thank you very much. 12 I'd like to give co-chair, pardon me, excuse me, 13 Barrett an opportunity to ask the first question. 14 ASSEMBLY MEMBER BARRETT: Thank you, 15 senator and thank you Benjamin for your testimony 16 and for all of the wonderful things that the, 17 that the division has been doing under 18 challenging circumstances. You have this sort of 19 dubious role of being the only person here 20 representing, you know, the state offices and 21 the, you know, the governor's office and so I 22 know, and you also, we heard from, you know, many 23 other people and organizations before. So even 24 though the wonderful numbers that you gave are Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 188 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 impressive, we know that there are huge parts of 3 our veteran communities in the state that were 4 going hungry, that don't have housing, that are 5 struggling with mental health despite all of the 6 efforts of the division. 7 I just want to ask a couple pointed 8 questions because I know that that and I know 9 that you're not the, it's, the division is not 10 responsible for the nursing homes, the veterans 11 nursing homes and I'm sure you'll hear from 12 others about this, but the one takeaway that I, 13 you know, every time I hear this and maybe you 14 can use some influence on this, is why do we not 15 let people in our veterans nursing homes get 16 their hair done and get their hair cut? This, 17 this sense of dignity that comes from that and 18 they've got people right there on their on the 19 staff, if there's any way that you can have that 20 conversation, you know, with the Department of 21 Health or with the, the forces that be I think 22 that that would go a long way to, you know, maybe 23 making people feel good about, about themselves 24 in a very challenging time. So I ask you that Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 189 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 and then the other piece that I would say is we 3 have heard a lot about the need and I know it 4 personally in my district for adequate broadband 5 when so many of the things as you said you're 6 doing, you know, remotely and you know, we have 7 other challenges where, you know, where people 8 are not necessarily tech savvy, but we don't have 9 adequate broadband in our state so I, I ask you 10 to join forces with others. And I said this to 11 the state education department as well, in this 12 state we've got to get this done, this is like 13 electrification arose in New York State, but to 14 make our veterans, you know, depend on inadequate 15 service and, and not be able, you know, to access 16 remote programs or telehealth or things like that 17 is, you know, is really rubbing salt into the 18 wound. So I'll stop there and let you respond. 19 MR. POMERANCE: Sure, I'll take those 20 two questions in the order they presented, if 21 that's okay. With the state's veterans homes 22 exactly as you said the best answers and the 23 referral of that question would go to our partner 24 agencies, would it be the State Department of Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 190 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Health and then the State University of New York 3 who oversees the state veterans homes. We are, 4 of course, committed to working with our partners 5 at those homes to ensure the veterans within them 6 and the veterans' spouses within them are able to 7 access all of their veteran's benefits, we 8 frequently interact with the residents of the 9 state's veterans home to ensure that the benefit 10 side of the house is being served and with regard 11 to your question, we can absolutely pass it up 12 the ladder to our partners in state governments 13 over at DOH and SUNY for the homes that they 14 oversee. 15 With regard to broadband and really more 16 broadly veterans in highly rural areas of the 17 state, one piece of good news that I can offer 18 with regard to broadband, is the last numbers 19 that we have seen from the FCC, The Federal 20 Communications Commission, you say that in New 21 York State there are 96% of veterans living in 22 the state to have broadband access, which 23 certainly seems to be a good news piece; however, 24 there's still that 4%, right and you want to make Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 191 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 certain that no one is without access to benefits 3 and services. One of the things that our 4 division has done, certainly as long as I've been 5 there, which is since 2013, I think for a long 6 time before that is we have put structures in 7 place to find alternative ways to get to veterans 8 and their families. We have offices in rural 9 areas, when save and when able we can do home 10 visits, there's a process for that, which of 11 course, now there's certain measures due to 12 COVID-19 that might be required, but certainly it 13 could be on the table as an option. 14 We can go through the traditional postal 15 system if need be, you know, we'll take the extra 16 steps and go the extra mile to make certain that 17 veterans are able to get access to the benefits 18 they've earned. Broadband or no broadband, but 19 the numbers from the FCC certainly are 20 encouraging with regard to broadband access 21 specifically for the veterans population of the 22 state. 23 ASSEMBLY MEMBER BARRETT: I hate to sort 24 of pop your bubble there, but unfortunately, that Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 192 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 FCC information is really misrepresentative of 3 the actual coverage because if there's even one 4 home in a census block that is served the FCC has 5 it as fully served. So, unfortunately, and, you 6 know, I've spoken to several congress members 7 offices and they're, you know, they're equally 8 frustrated about this because it doesn't -- I 9 mean, I think we are under the false impression 10 that more people have coverage than actually do 11 because of the way these census blocks work. And 12 obviously, we're also now challenged with a 13 threat to the post office as another way that 14 veterans are receiving information and 15 medications and jobs, with so many, highest, one 16 of the highest employers for veterans and veteran 17 families is the U.S. Post Office. So, I mean, I 18 think we have a number of different areas that we 19 need your advocacy to support our veterans on. 20 So thank you. 21 MR. POMERANCE: Thank you. 22 SENATOR BROOKS: Assemblywoman Hunter. 23 ASSEMBLY MEMBER HUNTER: Thank you so 24 much. I, just looking back through my notes and Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 193 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 just want to make sure that we get this on the 3 record. So one of the first panelist we had an 4 extensive conversation relative to comorbidities 5 and then people who have been effected by Agent 6 Orange and they have service related 7 disabilities, and then we heard high numbers of 8 people who had died in the veterans homes, I 9 guess, 70 in Montrose and over 80 in Suffolk 10 County. And one of the things that they had 11 brought forward was that there's not a universal 12 death certificate across the state and so because 13 of that if, if COVID is, is put on the death 14 certificate as the cause of death that service 15 related benefit, death benefits aren't paid 16 because they didn't die from Agent Orange or the 17 health related issues because of these toxins, 18 the death is related to COVID. 19 And so, you know, that's a lot of 20 appeals process that our service members have to 21 go through, or actually their family members have 22 to go through because there is no universal death 23 certificate. So I wanted to bring that up and 24 for you to be able to maybe comment on that. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 194 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Another thing that had been brought forward and I 3 thought this was really good because especially 4 if you are talking about training, one of the 5 people from the VSOs had mentioned that in some 6 of these smaller areas especially in some of the 7 towns and rural areas, many of the judges are not 8 lawyers and that there's been huge eviction cases 9 where people have unemployment or evictions or, 10 you know, lots of different issues and especially 11 that they're not versed in the law and so if 12 there is any training mechanisms that maybe the 13 Department can send down to, you know, local 14 municipalities to work them through, especially 15 how it works with veterans in front of them. 16 And I'm going to just give my 17 impassioned plea, I know with the division of 18 budget that they are not releasing funds, but if 19 we're talking about a financial burden one of the 20 VSO's was saying just the minimal $10,000 and I 21 know if hundreds of agencies are saying well, 22 it's only $10,000 that eats up, you know, adds up 23 to a lot of money, but we're talking about people 24 who served our country and you know, basically Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 195 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 the foundation of our freedoms are from these, 3 these folks that clearly if there are any 4 agencies who, who deserve to get the first kind 5 of release of money is definitely is our veteran 6 service organizations. So if you could speak to 7 the death certificates and maybe comment on 8 training since that is in your area I would 9 appreciate that. 10 MR. POMERANCE: Certainly, very 11 important points, I'm glad you raised them. With 12 the death certificates and the cause of death 13 issue more generally; I led a training on this 14 right after the COVID-19 outbreak happened. 15 There is case law from the U.S. Court of Appeals 16 for Veterans Claims on point here saying that 17 even though the primary cause of death listed on 18 a death certificate might be, for instance, 19 COVID-19, not a service connected condition, that 20 there is still a pathway for showing that, for 21 example, that Agent Orange condition, right, that 22 ischemic heart disease, that respiratory 23 condition; that was a contributory cause of 24 death, whether or not it's listed on a death Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 196 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 certificate. And so the work that we do in our 3 agency, the work that our county colleagues, our 4 city colleagues do, we prepare his applications 5 for these survivor's benefits even if it says 6 COVID-19 on the death certificate, we do our 7 detective work to make certain that we get the 8 evidence in place to show, okay, yeah, it says 9 COVID-19 here. However, this person had ischemic 10 heart disease due to Agent Orange exposure and 11 [unintelligible] [03:42:48] 12 ASSEMBLY MEMBER HUNTER: Right, I just 13 want to interrupt you for one second because the 14 folks who were on before actually made mention of 15 doing the exact same thing that you're talking 16 about as far as like going through the process, 17 you know, with the process with family members of 18 saying, you know, they do have a pathway, 19 obviously, to getting their benefits, but that 20 takes a while. We're talking about the 21 bureaucracy of government where if there was some 22 mechanism when someone perishes, that, you know, 23 on the front end that there could be something 24 related to on the death certificate this person Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 197 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 has a service related issue, something. I'm not 3 a doctor, I'm not a lawyer, but it seems like 4 even though there is a pathway to get to that 5 point, putting family members through the ringer 6 for months and months in order to get there seems 7 excessive. 8 MR. POMERANCE: That definitely would be 9 a concern. I guess the good news piece I can 10 offer to that is by filing the claim up front 11 that shows how those dots are connected, right, 12 how that, for example, the Agent Orange condition 13 is connected to the increased likelihood of 14 morbidity from COVID. We've had good success in 15 getting those claims through without it taking 16 months and months by doing it sort of right the 17 first time, making certain the evidence gets up 18 front in the original claim for dependency and 19 indemnity compensation and not waiting for the VA 20 to deny and then to appeal. 21 So I think there is a pathway there that 22 we are able to utilize even in absence of any 23 change to the vital documents. 24 ASSEMBLY MEMBER HUNTER: And the Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 198 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 training for the judges? 3 MR. POMERANCE: Yes, I'm glad you 4 mention that as well because I do serve on the 5 New York State Bar Association's Committee on 6 Veterans and one of the things that we've been 7 talking about with the chair of that committee, 8 Jessica Parker, is linking judges and attorneys 9 with trainings through an online based program 10 called Syke Armor [phonetic]; maybe the panelist 11 this morning mentioned it. Syke Armor is an 12 excellent online training initiative where you 13 have really short burst videos, not an all day 14 thing, but short snippets of information about 15 military cultural compensate. And that's what it 16 comes down to, right, and not just in the 17 practice of law, but in every profession, making 18 certain that people are as equipped as they 19 possibly can be to engage meaningful dialogs with 20 veterans; to understand veterans experiences 21 better; to know what to ask, what not to ask; to 22 have a better working knowledge of the benefits 23 spectrum out there. 24 Syke Armor provides that and they do it Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 199 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 in an online format so you can be in the comfort 3 of your home, you know, in your bathroom and 4 slippers and take those trainings. So more on 5 that to hopefully come soon, but it's definitely 6 a topic of interest that we are in discussions 7 about right now. I'm glad you brought it up. 8 ASSEMBLY MEMBER HUNTER: Thank you. 9 SENATOR BROOKS: Okay, Assemblyman 10 Ashby, Ashby. 11 ASSEMBLY MEMBER ASHBY: Thank you, Mr. 12 Chairman. Thanks for being here today, Ben. My 13 questions, I know that DVS works hand in hand 14 with the state nursing homes in a limited 15 capacity in some way with the state veteran homes 16 and I know that there's not, may not be direct 17 oversight with them, but I know that they partner 18 in different, in different ways. And so I was 19 just wondering the administrators that I had the 20 opportunity to speak with said that some of the 21 limitations that they faced were in relation to 22 PPE initially, and it sounded like they ended up 23 getting enough PPE later on. Obviously, the 24 visitations we've heard from many people today Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 200 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 stating that this is still an issue, and staffing 3 as well. I'm wondering in terms of the 4 visitations and what DVS does in terms of veteran 5 outreach and connecting people to so many 6 different resources out there and families, in 7 particular. Is there, is there a way or is 8 there, maybe something DVS could be doing an 9 initiative to help initiate visitations, whether 10 its online, you know, through a virtual setting 11 or in person in some way that the division could 12 be working on with our state nursing homes? 13 MR. POMERANCE: So, of course, any kind 14 of frontline question on that for state veterans 15 home is best suited for Department of Health or 16 for SUNY given their oversight rule of those 17 facilities. However, I can tell you that we do 18 have a limited partnership on the benefit side 19 especially with the state veterans homes. We do 20 remain in contact with directors of those homes, 21 with Medicaid coordinators at those homes and 22 remain in touch with them throughout the COVID-19 23 pandemic. For example, this past week in our 24 training, one of our speakers is based in Queens Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 201 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 at our St. Aubin's Queen's office and he was 3 talking about work that he has done to make 4 certain that benefits continue flowing to 5 veterans who are eligible for them who are in the 6 states veterans home, and that same level of work 7 and advocacy applies statewide. As far as the 8 visitation piece, specifically, again that would 9 be best suited for DOH for pursuing; however, if 10 there's anything that, you know, the division can 11 do to get materials into homes or anything like 12 that, to get the information out there about our 13 services we're always ready and willing to do 14 that. 15 ASSEMBLY MEMBER ASHBY: I'm not asking 16 it, I'm not asking in consideration of revising 17 policy or anything like that, but in terms of 18 outreach, I mean, these residents are veterans, 19 right? 20 MR. POMERANCE: Absolutely. 21 ASSEMBLY MEMBER ASHBY: And DVS 22 coordinates with veterans whether they're in a 23 nursing home or not and it would make sense to me 24 and I think many other people out there that Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 202 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 these are veterans, they're in a state veterans 3 nursing home and I, and we've heard over and over 4 again today and, you know, really for many people 5 each day that, you know, the visitations are 6 really a big issue right now and I think it's an 7 opportunity for the division to maybe put an 8 extra effort in there to connecting veterans with 9 support systems, right. We have all these 10 nonprofits and other agencies out there trying to 11 connect people, you know, who don't have a good 12 support system. 13 Well, here we have a number of veterans 14 who are in state run veterans nursing homes and I 15 think the division could maybe take a harder look 16 at trying to connect these veterans to their 17 family members right now, and I'm wondering if 18 you would be willing to do that? 19 MR. POMERANCE: We would do anything to 20 improve connections between veterans and their 21 families and that goes beyond the nursing home 22 context, and one of the things I've been 23 grabbling with as a division during the COVID-19 24 pandemic has been the issue of isolation. You Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 203 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 know, one of the things we've done during this 3 time is we're now part of SAMSHA's governor's 4 challenge focusing on suicide prevention among 5 veterans and their families, and probably the 6 most frequent issue discussed in those meetings 7 has been isolation for veterans in nursing homes 8 or not in nursing homes during the COVID-19 9 period. You know, isolation, loneliness, not 10 having the same level of social interaction that 11 one is used to, that can be a predictor, 12 unfortunately, of suicide or self-harm, and 13 anything that we can do as a division to try and 14 avoid isolating circumstances from occurring, we 15 are happy to take a look at and to do whatever we 16 can to make that happen. 17 Again, the clinical decisions, I'm not a 18 doctor, I don't play one on TV, but that's 19 [unintelligible] [03:50:37] to DOH and SUNY with 20 regard to running their homes. The broader 21 question of isolation and our division's 22 commitment to outreach to avoid isolating 23 circumstances from occurring, we absolutely are 24 happy to do whatever we can in that regard. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 204 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 ASSEMBLY MEMBER ASHBY: I appreciate 3 that and I will relay that to the administrators 4 that I have been in contact with that the 5 division plans on helping with that, with best 6 effort. Thank you. 7 SENATOR BROOKS: Senator Ritchie. 8 SENATOR RITCHIE: Thank you, I'd just 9 like to follow up with the assemblyman's 10 comments. I think that visitation, we're at a 11 dire time and that someone has to step up to the 12 plate and look for a solution there and I would 13 hope that your office would be a champion for 14 that. Like I said earlier, I can't imagine 15 families being apart that long and I certainly 16 can't imagine the families who didn't get to say 17 goodbye to their loved ones. So someone's going 18 to have to step up to the plate. I would also 19 like to comment on Assemblywoman Barrett's 20 comment on broadband. I understand the numbers, 21 but I can tell you each and every day I have 22 multiple calls to my office, especially now with 23 school online that broadband it's certainly not 24 97% or the numbers that appear on that report are Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 205 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 not accurate at least in my district. So that's 3 something else I'd like you to take back. 4 The next questions, unfortunately, for 5 you you're the only representative here from the 6 executive so they have to do with the quarantine 7 and our military and the National Guard. I've 8 heard from a number of individuals who have not 9 been able to come home because of the quarantine, 10 even one whose wife was having serious surgery, 11 even though I would deem them essential. Some of 12 the guards have not been able to go back to work 13 because they were told even though they were 14 essential they still had to quarantine even 15 though they were serving the state, so that's an 16 issue. There's been a question about how many 17 missions have they been on, has anyone been 18 infected, did they have enough personal 19 protection equipment? So that's something else I 20 would hope that you could pass on and get the 21 information. 22 And finally with the pandemic going on 23 there's a real concern that the guard number has 24 dropped from 3600 to 2812 and that's something I Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 206 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 hope someone to speak to. And then the last 3 question as you have said earlier is best 4 directed at the Department of Health, they're not 5 here. There is a real concern over the veterans 6 and the number of deaths at nursing homes and the 7 difference between our veteran homes and also 8 the, the nursing homes at large. So that is 9 something that I wish that you could take back 10 and get some information for us. Those are 11 questions that I came prepared to ask, they're 12 questions that I've heard from people not only in 13 my district, but across the state and questions 14 that I hope at some point will get an answer too. 15 MR. POMERANCE: And I apologize that I 16 cannot answer them for you. I'm not a doctor or 17 a general officer of the National Guard I'm 18 afraid and so to speak on their behalf as far as 19 military personnel decisions would be not only 20 improper, but also inaccurate, and I would not 21 want to give you information that is not correct 22 and on point. But certainly I can take those 23 questions back as best as I can. 24 SENATOR RITCHIE: And certainly I Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 207 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 understand that, but I also wanted to make sure 3 that they were on the record because these are 4 questions that I continually have been asked, so 5 thank you. 6 MR. POMERANCE: Understood and thank 7 you. 8 SENATOR BROOKS: Thank you and first if 9 there's any other participants in the hearing 10 that has a question please turn on your video 11 screen. Ben, we've talked in the past about a 12 number of issues. I agree with all of the points 13 that have been made just now in this conversation 14 and I think we do have to get the broadband up to 15 speed. And the death certificates is a critical 16 issue, too and visitation is a critical issue. I 17 wonder if we recognize what's happened here and 18 our ability to suddenly do distance functioning 19 of different types, learning and everything else, 20 if this doesn't open up an opportunity from a 21 training standpoint and from veterans programs 22 standpoint, to reach some of the areas in the 23 state in the past that it was a little more 24 difficult. If we're not in a situation where, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 208 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 you know, sometimes at the end of the dark tunnel 3 there is a little bit of light and maybe the 4 opportunity to do distance programs through the 5 internet can start, you know, if someone could 6 touch someone if you will, visually at least that 7 we haven't touched in the past. So my question 8 to you is do you see the opportunity to change 9 some programs to capture, if you will, the 10 benefit of distance, distance activity via the 11 internet? 12 MR. POMERANCE: Senator, I would say if 13 there's not only a little bit of light, but 14 actually a lot of light at the end of that 15 tunnel. We've been doing that since the COVID-19 16 outbreak began. We have shifted to a far more 17 virtual agency than we ever have been before and 18 we have worked with our partners in county 19 government, in New York City's government, in the 20 not-for-profit sphere to find ways to partner 21 with them in doing the same. The training from 22 this past week is a perfect example. There are 23 162 people taking part in that training from 24 their homes, obviously safe, obviously socially Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 209 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 distant, but still getting the information across 3 to them. Not only that you were able to bring in 4 speakers for the trainings that we've had during 5 the COVID period who are national experts. We 6 probably couldn't have been able to pay for 7 travel and hotel and everything else to bring to 8 New York State, but through distance learning we 9 were successful in having people like the chief 10 judge of the Court of Appeals for Veterans claims 11 and the chairman of the U.S. Board of Veterans 12 Appeals, and just today, probably the leading 13 pension attorney in the country training us as a 14 group about how do to our jobs better and more 15 effectively for the veterans of our state. 16 Same goes for our work with the veterans 17 themselves, you know, the traditional model of 18 sitting across the table in the office is a 19 little bit different now than it used to be, 20 obviously, we've had some office that have 21 reopened when it's been deemed safe to do so with 22 the proper precautions in place, we're talking 23 Plexiglas, we're talking PPE, we're talking 24 social distancing, all those measures to keep Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 210 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 safety for our own colleagues and for the 3 clients, but those areas that we have not been 4 able to reopen fully yet, we have improved our 5 digital work tremendously, starting with that 6 outreach by e-mail. Those buddy checks, you 7 know, 30,000 e-mails going out saying hey, we 8 know you're a client of ours, you gave us your e- 9 mail, just checking in. How are you doing? What 10 are your needs? What are things that we can 11 assist with? And we got a lot of feedback from 12 that. 13 One example that comes to mind right 14 away was there was a veteran's widow in the 15 Albany area who had never applied for a benefit, 16 financial benefit for tax free monthly dollars 17 from the federal government that she was eligible 18 for and had been for some time, but never had, 19 you know, reached to anyone about it. That e- 20 mail, that connection with her opened the doors 21 for our veterans benefits advisor in that county 22 to work with her virtually, remotely, get the 23 paperwork together, file the claim to the VA and 24 get that benefit approved. And the last piece of Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 211 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 this is with our case management software and I'm 3 particularly proud of this as are my colleagues. 4 We worked from the outbreak of COVID onward on a 5 rush order if you will, with MicroPath [phonetic] 6 the vendors who built our case management 7 software called Vedox [phonetic] to imbed in an 8 electronic interface in that system, you were 9 their first clients in the country to request 10 this. And that allows it, you know, like I 11 mentioned in the testimony, to file that claim 12 with the VA, to work with the client remotely and 13 to get the claim package into the VA remotely 14 without a single in-person appointment being 15 needed, not a single sheet of paper being printed 16 and by doing that we actually get a date stamped 17 receipt right away from the VA after submission 18 showing yeah, it was received and here's official 19 verification of the date and time on which it was 20 received. 21 So it's actually has improved our 22 processing because of the fact that COVID-19 23 forced us to become a more digitally inclined 24 agency. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 212 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 SENATOR BROOKS: Thank you. 3 Assemblywoman Buttenschon. 4 ASSEMBLY MEMBER MARIANNE BUTTENSCHON: 5 Thank you for the opportunity to all the chairs 6 and to our panelists. I just have a couple 7 questions and first the comments that I reconfirm 8 as my colleague stated the importance of ensuring 9 the possibility of getting family members 10 connected to veterans in our state nursing homes 11 as well as the quarantine issue that was brought 12 up earlier has been a concern that has been 13 addressed within our office. In regards to your 14 testimony today, I just want clarification. You 15 stated that you had 12 counties that received the 16 accreditation from the state. Is that correct? 17 MR. POMERANCE: That's correct, from our 18 last training. 19 ASSEMBLY MEMBER BUTTENSCHON: So how 20 many counties total have it? 21 MR. POMERANCE: We have more than 20 22 counties that have it now and there are more 23 upcoming, probably in September to have another 24 round of that accreditation training who are in Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 213 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 the process of doing the first steps right now, 3 the online training through the VA called Trip, 4 who will then be sort of the next group to go 5 through that process. 6 ASSEMBLY MEMBER BUTTENSCHON: So right 7 now there's 20 that have completed it and it's an 8 annual training? 9 MR. POMERANCE: It's, well so there's a 10 couple of different layers to the training side 11 here. What I was talking about was the training 12 that we needed to provide them to actually get 13 them their accreditation under the state's 14 division's power of attorney. There also was a 15 semiannual training we provide, obviously twice a 16 year, once in May, once in August this year; both 17 of those were handled virtually and those 18 counties took part in that as well. Those two 19 trainings are open to any county that wants to 20 take part regardless whether they have the 21 accreditation from the state or not. The 22 accreditation from the state opens up certain 23 additional pathways, certain additional services 24 and accesses if you will by virtue of that state Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 214 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 accreditation, but for the semi-annual trainings 3 anybody can take part regardless of accreditation 4 affiliation. 5 ASSEMBLY MEMBER BUTTENSCHON: So prior 6 to COVID is that a general standard that only 20 7 counties participate overall or I mean, we're in 8 August I just wondered when you said this is 9 annually. 10 MR. POMERANCE: So to be specific, 11 talking about the semi-annual trainings? 12 ASSEMBLY MEMBER BUTTENSCHON: No, the 13 annual training that you addressed in your 14 testimony. 15 MR. POMERANCE: This was the first time 16 we had this type of larger scale accreditation 17 training for a bunch of counties taking part in 18 it at one time. So that's a larger number, that 19 group of 12 counties taking part in the training 20 together, that was our first time doing that 21 large group. Typically, what we've done in the 22 past, for example, earlier this year we had 23 Genesee County, Orleans County and Seneca County 24 all coming online around the same time. My Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 215 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 colleague, Sue Done [phonetic] who is the 3 associate training technician for the western 4 region of the state and I, went out to Batavia 5 and out to Waterloo and we did that kind of 6 training in person with those county agencies to 7 get up to speed with the tools and technologies 8 that they needed. Obviously, with COVID-19 that 9 kind of travel and in person training wasn't 10 feasible, so it turned into a larger scale online 11 group with multiple counties taking part. 12 ASSEMBLY MEMBER BUTTENSCHON: I just 13 think it's a valuable service for our veterans 14 and I would like to see it, all counties involved 15 as much as they would be interested in and I 16 just, to me I just wondered the participation 17 seemed to be low. 18 MR. POMERANCE: With this last week of 19 training, which is open to any county regardless 20 of affiliation, we had close to 40 county 21 partners taking part. So of our American Legion 22 accredited, some of Veterans of Foreign Wars 23 accredited. It doesn't matter, the doors are 24 open for them with those semiannual trainings to Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 216 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 have them participate and we saw large numbers 3 for that. We saw large numbers for our 4 semiannual training in May and we've had multiple 5 sort of mini trainings in between on topics like 6 clear and unmistakable error cases and topics 7 like un-employability claims, and we have seen 8 widespread county participation for that as well. 9 ASSEMBLY MEMBER BUTTENSCHON: Okay and 10 just finally, if you were to rank your three, 11 prioritize your three challenges from, from one 12 to three, what are they? 13 MR. POMERANCE: Are we talking 14 challenges just because of COVID-19, challenge 15 overall. 16 ASSEMBLY MEMBER BUTTENSCHON: As an 17 agency, yeah, just as today as you 18 [unintelligible] [04:04:32] in the office, what 19 do you see? 20 MR. POMERANCE: I think one challenge 21 that we have in New York State is the fact that 22 there's a lot of veterans who do no self-identify 23 as veterans for a variety of reason. One of 24 which I think is that New York State law has Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 217 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 varying definitions of that term including the 3 law that governs our own agency, which refers to 4 a veteran being a person who served in a war 5 declared by congress. There hasn't been one of 6 those for a while and people do not feel that 7 they self-identify with that status because of 8 those types of disconnects; that's one concern. 9 Second concern that we certainly have 10 and I believe it was mentioned in the earlier 11 panels is services for veterans who have a less 12 than honorable discharge, who have often been 13 told by governments and often have been told by 14 other veterans you don't qualify as one of us. 15 And yet, in fact, there could be benefits 16 available that they're leaving on the table and 17 we want to make certain that we continue to reach 18 out to them more effectively in a wider number 19 than we are already doing to make certain that 20 they know we're here to serve them, we're not 21 going to judge them about what their DD214, they 22 discharge paperwork says. New York State's 23 advocacy agency is for all veterans, underscore 24 all, regardless of character of discharge and Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 218 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 will work with them on upgrade cases, with 3 character of discharge determinations at the VA 4 level, whatever it is, to make certain they get 5 linked with the benefits and the services that 6 they need. 7 And if I were to pick a third matter to 8 which frankly, I do not have an answer, but it's 9 one that's very important. It's a question of 10 transportation, right, and this goes back to the 11 questions asked earlier about rural areas and 12 what challenges exist for veterans in those 13 areas. There certainly are services, the 14 Disabled American Veterans, for example, have 15 their vans that go to VA facilities. Certain 16 counties have transportation systems in their own 17 individual county. But I would say overall and 18 you probably heard this earlier from some of the 19 counties that spoke, there are transportation 20 challenges that exist for veterans in getting to 21 a VA hospital or getting to a VA outpatient 22 clinic just because of the nature of where some 23 of these veterans in our state lives. 24 That's three kind of right off the cuff Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 219 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 that we've seen as challenges that we'd like to 3 all work together to address. 4 ASSEMBLY MEMBER BUTTENSCHON: Thank you. 5 MR. POMERANCE: Thank you. 6 SENATOR BROOKS: Okay, Ben, we all thank 7 you very much for participating today and we all 8 look forward to working with you as the year 9 continues to unfold and the new session begins, 10 so thanks very much. 11 MR. POMERANCE: Thank you for the work 12 that all of you do and your advocacy on behalf of 13 veterans. We always appreciate all that you do 14 within our state division. Thank you. 15 SENATOR BROOKS: Okay. 16 ASSEMBLY MEMBER BARRETT: Thank you, 17 thanks for being here. 18 SENATOR BROOKS: So if the control room 19 would bring in the folks from panel 5 that would 20 be great. 21 MALE STAFF: All present. 22 SENATOR BROOKS: Alright, great thank 23 you. Good afternoon, everyone. We want to 24 welcome you to the, our veterans hearing today on Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 220 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 the impact and effect of the COVID virus. We're 3 going to ask that each of you give a 4 presentation, try to limit that presentation to 5 five minutes in time and then we will have 6 questions. I want to give an opportunity to the 7 chairs and ranking members to make some opening 8 remarks, we'll begin with our co-chair from the 9 State Assembly, Assemblywoman Burnett, please. 10 Barrett, I'm sorry. 11 ASSEMBLY MEMBER BARRETT: Barrett, 12 changing my name on me here. 13 SENATOR BROOKS: I, yeah, sorry. 14 ASSEMBLY MEMBER BARRETT: Thank you, 15 thank you all for being here, this has really 16 been an informative and powerful day of testimony 17 and I think one of the key themes here has been 18 mental health and suicidal ideation and how this 19 whole COVID situation has exacerbated that for 20 many of our veterans and so I, you know, I know 21 that that's the wheelhouse that many of you work 22 in and look forward to hearing your thoughts and 23 ways that we might be able to work with you to, 24 to, you know, to help that situation. So thank Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 221 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 you again for being here. 3 SENATOR BROOKS: Okay, Assemblywoman 4 Hunter, please. 5 ASSEMBLY MEMBER HUNTER: Good afternoon, 6 welcome all of you for being here today. I 7 definitely look forward to hearing to your 8 testimony. Many of your agencies I'm very 9 familiar with and interested to hear what you 10 have been able to provide relative to some of the 11 outdoors and some of the activities that are non- 12 traditional for our veterans definitely during 13 COVID, so thank you so much for coming today. 14 SENATOR BROOKS: Senator Ritchie. 15 SENATOR RITCHIE: I to would just like 16 say thank you for being here today. Some of you 17 I am very familiar with the services you provide, 18 others not so much so I appreciate you being here 19 and look forward to hearing what you're able to 20 provide our veterans, thank you. 21 SENATOR BROOKS: Assemblyman Ashby. 22 ASSEMBLY MEMBER ASHBY: Thank you, Mr. 23 Chairman. Thank you to everyone in the panel for 24 coming in today. For those of you who are prior Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 222 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 service, thank you for your continued dedication 3 to our veterans and their families in a time 4 right now when its desperately needed. We are so 5 grateful for your continued service, look forward 6 to hearing from you. 7 SENATOR BROOKS: Thank you and again we 8 all, everybody here in this, in this hearing is 9 very, very committed to providing for our 10 veterans. This is one area there are no 11 political lines here, everybody understands the 12 service that our veterans have provided and our 13 responsibility to them. So if we could, we'll 14 start with Marcelle and work our way through all 15 of you, thank you. 16 CMSGT. MARCELLE LEIS, DIRECTOR OF 17 VETERANS SERVICES, ASSOCIATION FOR MENTAL HEALTH 18 AND WELLNESS: Thank you, Senator Brooks, co- 19 chair Barrett and the entire committee for the 20 invitation to speak on behalf of the veterans we 21 serve in our communities. I also want to take a 22 moment to thank my colleagues on a panel, 23 especially those veterans that are working to 24 support the health and wellbeing of those who Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 223 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 have served in our nation's Armed Forces. As a 3 military member, a career airman, I spent 24 4 years in the New York Air International Guard so 5 I'm familiar with the culture and the commitment 6 that our veterans service agencies have to 7 helping through the integration process. 8 I would like to take this opportunity to 9 discuss the medical and mental health concerns in 10 the veteran population as we are seeing it as a 11 result of COVID, as well as the essential social 12 support systems through peer engagement. As some 13 have already mentioned today, veterans are 14 already in an increased risk for suicide, 15 substance use disorders and homelessness. I 16 bring this perspective today to the conversation 17 that comes from the veterans we serve here on 18 Long Island and recognition of the impact the 19 pandemic is having on our region. With social 20 isolation many did not have access to telehealth 21 services as they were not connected through 22 technology. Therefore, we were not able to 23 receive appropriate medical and/or mental health 24 treatment. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 224 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Subsequent comorbidities in the veteran 3 population increased the risk of contracting 4 Coronavirus. We also know that social isolation 5 can increase the risk of alcohol and/or substance 6 use. Financial concerns are another major 7 component of the increased levels of stress. 8 Many working in what were deemed non-essential 9 work places no longer have the financial 10 stability nor the sense of purpose to get up each 11 day. Although we cannot pinpoint one single 12 cause for suicide, it most often occurs when 13 stressors and health issues converge. Depression 14 and substance abuse are known to be significant 15 risk factors. According to a veterans group that 16 recently testified on Capitol Hill, the challenge 17 of serving the mental health needs of at risk 18 veterans have been compounded by the fact that 19 many veterans, particularly older vets, do not 20 have access or can't afford necessary technology, 21 including high speed internet. 22 This version of the digital divide 23 reduces access to vital mental health care, 24 including access to medication and can increase Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 225 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 the risk of suicide. The VA's national center 3 for posttraumatic stress disorder identified that 4 symptoms can be magnified by the COVID-19 5 pandemic to include intense feelings of being 6 unsafe or unguarded with veterans struggling with 7 PTSD, that can increase anxiety. Veterans that 8 want to avoid other people are more than usually 9 worried about contracting the virus. Hearing 10 others talking about the pandemic as if we're 11 fighting a war or battle with COVID-19 may bring 12 up uncomfortable feelings and memories, thereby 13 triggering negative emotional responses. 14 Therapeutic coping skills are not 15 available because we're forced to spend less time 16 outdoors, gyms, movie theaters and concert venues 17 have been closed and spending time with friends 18 in close quarters was not recommended. So why is 19 this so crucial to understand? As you are all 20 aware some of the additional issues in the 21 veterans population include PTSD and TBI, in the 22 post-911 era, that is the signature root of 23 combat operations. It causes people to feel 24 anxious, unsafe or on high alert. They may see Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 226 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 the world as dangerous or worry about the ability 3 to handle difficult situations. Trusting others 4 and being intimate with others can be 5 challenging. Chronic pain that many veterans 6 experience can lead to self-medication and abuse 7 of prescription pain killers, street drugs, 8 alcoholism and other substance use disorders. 9 All these conditions are intensified during 10 periods of extreme stress such as the pandemic, 11 coupled with the social isolation there is a 12 cause for concern. 13 We must also recognize the aging veteran 14 population, our most vulnerable and significantly 15 largest cohort of veterans in our nation. 16 Vietnam veterans, in particular, are at greatest 17 risk with regard to chronic service related 18 conditions and there is no debating the increase 19 in suicide among the veteran population, the 20 reasons behind suicidal thoughts or attempts are 21 complex, but among veterans the most commonly 22 cited factors leading to increased suicide risk 23 are experience more social isolation, limited 24 access to healthcare and increased risk of mental Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 227 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 health and substance use disorders. These are 3 factors that were amplified during COVID. 4 There's also an increased risk of homelessness. 5 Some factors to be associated with veterans' 6 homelessness are mental illness, extreme poverty, 7 unemployment, combat and traumatic experiences, 8 substance abuse and PTSD. 9 Many of the homeless veterans we see in 10 our communities are not cognizant of safety 11 protocols that reduce the spread of coronavirus 12 and with many in the higher risk category are 13 sitting targets. We saw an influx of veterans in 14 our emergency homeless shelters. With COVID 15 there was significant reduction of access to 16 services that would allow them to move forward in 17 the system and find appropriate permanent 18 housing. Our agency was able to secure smart 19 devices for those shelter residents that did not 20 have access to internet or telehealth, DSS 21 appointments or online peer support groups. We 22 found many of the residents were not compliant 23 with the governor's stay at home order and there 24 was no enforcement of the policy. Most residents Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 228 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 that were not compliant presented with mental 3 health issues. I'm happy to report that we did 4 not have a single case of COVID in our housing 5 programs. We did take a substantial financial 6 hit with the additional measures put in place to 7 ensure public health and safety. We have applied 8 for FEMA grants to assist with the financial 9 burden. 10 SENATOR BROOKS: Okay, I hate, I hate to 11 interrupt, but we've exceeded our time limit, but 12 we'll go back to some things when we get a 13 chance. Alex, if you would give us your 14 presentation, please. 15 MR. ALEXANDER J. BEHM, EXECUTIVE 16 DIRECTOR, CLEAR PATH FOR VETERANS: Thank you, 17 Chairman Brooks and members of the Senate 18 Committee on Veterans Homeland Security & 19 Military Affairs, Chairwoman Barrett and members 20 of the Committee on Veterans Affairs, Chairwoman 21 Hunter and members of the Subcommittee on Women 22 Veterans. Thank you very much for the invitation 23 and opportunity to appear before you this 24 afternoon. I serve as the executive director at Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 229 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Clear Path for Veterans in Chittenango. I'm a 3 post-911 Marine Corp Veteran and I'm honored to 4 serve fellow veterans, military members and their 5 families in my role at Clear Path for Veterans. 6 Our staff of 24 provide essential programs and 7 services to 23 counties in upstate New York. Of 8 the 24 staff members 12 are veterans, all of whom 9 have served in one or more major conflicts. I 10 highlight these figures as they define how our 11 programs and services are built on the foundation 12 of peer support and community engagement. 13 COVID-19 brought and continues to bring 14 many hardships to Clear Path for Veterans and 15 those that depend on our organization's essential 16 programs and services. Key points that have been 17 discussed throughout the testimony, social 18 isolation, unemployment and the lack of access to 19 resources have grossly impacted those in the 23 20 counties Clear Path actively serves, especially 21 in rural communities. Due to the rapid changes 22 in our environment because of COVID-19, our 23 leadership team established the Clear Path for 24 Veterans COVID-19 community taskforce and we Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 230 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 focused on three main deliveries of services; 3 emergency food assistance, career services 4 support and social engagement programming, along 5 with mental health triage services. 6 The emergency food assistance we 7 provided was in response to a large request from 8 our rural communities in the 23 counties. We 9 delivered emergency food boxes to almost 600 10 families in the last three months. This also 11 included fresh meal kits we prepared in our 12 kitchen to subsidize the families who cannot gain 13 access to immediate food resources. As far as 14 career services and social engagement programming 15 our warriors working program provides career 16 assistance to those facing unemployment and 17 looking to get back to work. We worked with over 18 200 veterans in the last two months providing 19 those essential services as well. 20 As far as social engagement we were 21 forced to discontinue our onsite events such as 22 our canteen lunches every Wednesday with over 200 23 veterans that visit our facility. Many of them 24 in the demographic of 60 years and older, leaving Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 231 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 them at home and in isolation. That also led us 3 to create a buddy check program that I've also 4 heard been talked about in previous testimony. 5 This program allowed staff to reach out to all 6 the veterans we serve and also allow the veterans 7 in our community to reach out to Clear Path to 8 simply talk to somebody on our staff as well as 9 our mental health clinician when needed. And it 10 also allowed us to provide those necessary 11 referrals other community resources. 12 As far as virtual programming, we 13 delivered classes such as cooking classes, family 14 support sessions, physical fitness events; all 15 these were live through social media platforms 16 and the taskforce continued to connect with the 17 community members who we could no longer serve on 18 site. The buddy check program reached 733 19 veterans in less than two months just recently, 20 so it has proven to be very effective. The 21 taskforce continues to deliver services, since 22 March we've worked with just short of 2000 23 veterans and their families in our 23 counties. 24 We have been mobile so we're deemed essential Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 232 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 staff who are out in the communities, especially 3 the rural communities, knocking on doors, making 4 sure veterans we serve are still in good health 5 and meeting any needs they may have. 6 One specific program that was our 7 flagship program at Clear Path, our canine 8 training program designed for veterans with 9 posttraumatic stress and military sexual trauma. 10 It has seen short mid, and potentially long term 11 effects due to COVID-19. We're not able to 12 deliver some of the socialization to the actual 13 canines with their trainers so we are losing 14 traction in that area, and trying to get creative 15 doing it virtually, but that's one of the 16 programs that we do need to have, the physical 17 veteran on site so we've been trying to do what 18 we can while practicing social distancing. 19 Lastly, as many of the panels have 20 mentioned are funding, we do rely on some of the 21 funding from the state and the budget and we are 22 also losing traction with our local funding, 23 private donors, which we heavily rely on as well 24 as community businesses have declined in Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 233 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 donations. So we have retained all of our staff 3 at this time, but we are seeing shortfalls due to 4 not being able to have fundraising events on site 5 and I'll just close with thanking Ben Pomerance, 6 who I watching speak earlier and the State 7 Division of Veterans Services. They've been very 8 responsive to our needs and we've done a lot of 9 great work with them during COVID and we would 10 like to continue that great partnership with the 11 state and other local agencies as well. So thank 12 you again for giving me time today and I'll look 13 forward to questions at the end of the panel. 14 SENATOR BROOKS: Okay, thank you, Eva. 15 MS. EVA USADI, EXECUTIVE DIRECTOR, 16 TRAUMA AND RESILIENCY RESOURCES, INC.: Yes, 17 thank you very much for inviting me, Chairman 18 Brooks and everybody else, pleasure to be here. 19 My name is Eva Usadi and I'm the founder and 20 executive director of Trauma and Resiliency 21 Resources. We're a public charity based in New 22 York and we run programs in [unintelligible] 23 [04:23:16] of New York. Our main program is a 24 seven day intensive residential treatment Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 234 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 approach to suicide prevention as well as trauma 3 resolution for combat veterans and we work with 4 veterans of all eras. And since this pandemic we 5 have not been able to conduct one program. We 6 cancelled our program in March that was fully 7 enrolled. We cancelled our program in June that 8 was also fully enrolled because people keep 9 having their enrollment transferred from one 10 program to the next and really our next iteration 11 is scheduled for October, but we're seriously in 12 doubt that we're going to be able to do that. 13 And largely because our program is a 14 very intimate approach, it's a very intensive 15 approach. We don't work with the numbers of 16 veterans that many of you do and I really applaud 17 you for the amazing things that you do in the 18 community. It's a very intensive, dedicated and 19 targeted approach primarily to repairing moral 20 injury and because we live together, we eat all 21 our meals together, most of the program 22 modalities are done in group. We have very close 23 contact and we just recognize that we really 24 can't safely do that especially because we have Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 235 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Vietnam veterans in every program and we know 3 that they are at higher risk for complications, 4 especially with exposure to COVID-19. 5 So the other thing that we have been 6 doing and we are the recipients of a VA adaptive 7 sports grant as of last year and so we've also 8 been doing trainings for professionals, we call 9 them Train the Trainer events. We've only been 10 able to do one in person, which was a very well 11 attended January suicide prevention summit that 12 we had clinicians and veterans service providers 13 from seven states come to spend three days with 14 us, and we've had to cancel Train the Trainers in 15 June, July, also in April, but we are going to be 16 doing this virtually; these we can do virtually. 17 And because of the pandemic the VA's adaptive 18 sports desk permitted us to transfer deliverables 19 from our warrior camp face to face programs that 20 we can't conduct into a webinar series. And the 21 webinar series highlights, each webinar is on one 22 particular aspect of our program and it 23 highlights very specifically how that works and 24 why we do it and how we conduct it from EMDR to Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 236 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Yoga to equine assisted psychotherapy, very good 3 explanations with a teacher and also a combat 4 veteran who's been through a program on each 5 webinar. 6 And we just concluded our 7th last night 7 and we are going to continue these and this was 8 very much a way of us reaching out to the 9 community to keep people connected, to overcome 10 the isolation that we're very concerned about. 11 And I just wanted to highlight a couple of things 12 that make us quite different in terms of the way 13 we work and the first is that we decided early on 14 that we would work with combat veterans of all 15 eras. We would work with suicidal veterans and 16 we actively recruit them and we work with 17 veterans with bad paper. So that's an important 18 thing for all of you to know, if you don't know 19 where services are, we never question what has 20 happened to somebody during their service and we 21 also know that a lot of these bad paper 22 discharges are based on posttraumatic stress. 23 So we have been conducting our warrior 24 camp program since 2013. We have zero suicides Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 237 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 post program. We are still able to say that as a 3 statistic we have lost nobody post program, and 4 we think that this is very much because we focus 5 on military moral injury and I can talk a little 6 bit more about that if people are interested, but 7 we think it's paradigm shift away from PTSD 8 because it really undercuts what's underneath 9 that, the wounding to the heart and soul that 10 happens for so many people who serve in combat. 11 So, you know, what I think we really 12 need in terms of reaching out to more veterans 13 given the fact that we, so many programs are not 14 able to function face to face, I think that we 15 need to start thinking about expanding telehealth 16 to almost a national license for qualified 17 therapists who are able to provide trauma therapy 18 remotely like I've been doing this since March in 19 my private practice. But, you know, there is a 20 reason that a lot of people from underserved 21 states and communities come to our program and 22 it's because they can't get these services 23 elsewhere. So I think this is a conversation 24 that really, you know, could be had in terms of Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 238 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 expanding services to people that don't have 3 access to the, especially now. Thank you very 4 much. 5 SENATOR BROOKS: Okay, thank you very 6 much. Aaron. 7 MR. AARON LEONARD, CAMPAIGN 8 REPRESENTATIVE, SIERRA CLUB MILITARY OUTDOORS: 9 Thank you for the opportunity to testify today. 10 My name is Aaron Leonard, I've served in the Army 11 from 1997 until I retired in 2014. I currently 12 work in the outdoor, in the venture education 13 fields with the Sierra Club Military Outdoors. 14 We offer veterans and nature based programs to 15 help them transition from the military to a 16 healthy and purposeful civilian lifestyle often 17 through simple day hikes or short three day trips 18 in the New York parks and public lands. The 19 thought [unintelligible] [04:28:34] was my 20 experiences and observations as a senior Army 21 leader where I saw many service members struggle 22 both during their time in the military and with 23 their transitions back into civilian life 24 regardless of when or where they served. For Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 239 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 today's testimony I'm going to share an example 3 of the effects our program has had on two female 4 veterans that are living in New York City. 5 Prior to the pandemic our program model 6 for female veterans provided community based 7 volunteer led opportunities for veterans and 8 their families who join us for single or multi- 9 day trips where most participants saw 10 improvements in their sense of belonging, self- 11 esteem and reduced sense of loneliness and 12 overall improvement with their sense of 13 wellbeing. In March all outdoor programs in the 14 Sierra Club was indefinitely postponed now 15 extended through the end of the February of 2021. 16 One concern, obviously, for us is the 17 effects that halting our outdoor program for a 18 year or more has had or will have on our 19 participants. Two women, Charmain Denise and 20 Sheila Hudson, both veterans living in the Bronx 21 are allowing me to share some of their personal 22 story with you today as an example. Charmain is 23 a single mother, an African-American and a combat 24 vet who grew up in Belize and Queens. She Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 240 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 enlisted in the Army in 1989, served in Desert 3 Storm with the first infantry division and was a 4 basic training drill sergeant at Fort Jackson in 5 South Carolina. Finally, retiring from the Army 6 in 2014, Charmain moved to the Bronx following 7 her retirement because as she says, I wanted to 8 be near Harlem and the Bronx Zoo. 9 Charmain is a disabled veteran who 10 struggles with depression and anxiety, often 11 finding new environments and meeting new people 12 to be especially difficult. Before she joined 13 our outings group it was not uncommon for 14 Charmain to isolate in her apartment for days at 15 a time. Charmain was very purposeful in joining 16 in us in that she knew participating would help 17 her to regain her life and join in exploring the 18 natural world with a group of female veterans 19 with whom she shared so many similar experiences 20 was liberating for her. I remember dropping 21 Charmain off at her apartment in the Bronx at the 22 end of our first trip, what I did not know is 23 that she didn't sit outside her apartment for a 24 time to avoid losing that experience. Charmain Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 241 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 went on to participate in many outings us 3 recruiting other women like her in the months 4 that followed. 5 Charmain tells us that the experience 6 that she was having with nature and in nature 7 with other women helped her to get outside daily 8 and be more present and mindful in her life, 9 eventual allowing her to reduce her medication 10 dosage for depression and anxiety symptoms, which 11 she attributes to spending more time in nature. 12 Unfortunately, Charmain reports that her 13 depression and anxiety has returned to their 14 previous level shortly after our program was put 15 on hold during this pandemic. She has had to 16 make some life changes including increasing her 17 medication dose to again manage her returning 18 symptoms. 19 Clearly, a concern we have for all 20 participants in not only our program, but any 21 social programs across New York. Shelia Hudson 22 is also a black woman, single mother and a 23 military vet. Her family moved to Brooklyn in 24 '73 and she enlisted in the Army as a cook in Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 242 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 1978, serving in both Fort Jackson and in Germany 3 during the Cold War. She moved back to Brooklyn 4 after leaving the Army and did not identify as a 5 veteran until after she had moved into the 6 Franklin shelter in the Bronx, which allowed her 7 to transition into a homeless shelter for 8 veterans and eventually recapture her dependence. 9 Shelia met Charmain in the Bronx VA where 10 Charmain invited her to participate in our 11 outings group. Shelia tells us that meeting 12 Charmain, our volunteer leaders and the other 13 female veterans in our group helped her to 14 understand that she really was a vet and could 15 heal through exposure to nature with other women. 16 For the first time in her life she was 17 participating in outdoor activities and doing so 18 with women that she felt safe with. By 19 participating in these activities with other 20 female veterans and seeing how other women like 21 her were benefiting from these [unintelligible] 22 [04:32:35] with nature, Shelia learned it was 23 possible for her also to recover from decades old 24 wounds connected to her military service. In Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 243 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 this group she felt the same increase in 3 depression and anxiety that Charmain has 4 reported. She misses being around the other 5 women and longs for that sense of comradery she 6 felt during her outings. She's struggling today 7 and like so many veterans in New York City she 8 feels completely overwhelmed. 9 Without the social program like ours to 10 be part of Shelia feels her healing has been 11 damaged and that she no longer matters. The 12 Sierra Club Military Outdoors looks forward to 13 being able to restore our outings program with 14 veterans like Charmain and Shelia. We have 15 reimagined our work to mitigate the constraints 16 of COVID, but offering virtual outings, but those 17 in their own course offer a lot of barriers. 18 Challenging for reasons to include lack of equity 19 regarding parks and accessible public lands in 20 and around communities of color. And with the 21 average age of the military veteran being 65, 22 different barriers of technology that we see in 23 the older veteran population has prohibited them 24 from participating in our virtual work. Thank Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 244 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 you again for allowing me time to testify. 3 SENATOR BROOKS: Thank you and Kirby. 4 You got to unmute, Kirby. 5 MR. KIRBY HANNAN, LEGISLATIVE ADVOCATE, 6 NEW YORK STATE VETERANS COUNCIL: Okay, can you 7 hear me? 8 SENATOR BROOKS: Yep. 9 MR. HANNAN: Alright, great. This 10 hearing is propitious beyond my wildest dreams 11 because as the legislative advocate for the New 12 York State Veterans Council and also the VFW, 13 I've been working closely with both organizations 14 on almost a weekly basis and from everything from 15 keeping the posts open to conditions under which 16 we might be able to open and all of the 17 challenges of social distancing. Having said all 18 of that, I know that you've all had five hours 19 now and you should be complimented and you've 20 probably memorized my testimony so I can go right 21 to the close, which occurred on the second page, 22 and basically say that we stand to lose 20%, 23 maybe 25% of the facilities and probably 24 permanently. And I say that because Chair Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 245 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Barrett mentioned earlier that, you know, there's 3 a macro delivery system and a micro delivery 4 system and I'd like to look at the posts as the 5 micro delivery aspect of this. And if we, if we 6 lose the post there's probably 800 to 900 posts 7 in the state, American Legion and VFW, etc., 8 about half of them may be have a facility. 9 If you use that place, lose that place 10 of congregation then the micro delivery system is 11 gone so that all the rest of the, the legal aid, 12 the homelessness, the unemployment and all of the 13 agencies that we hear from so far, the posts 14 become their feeder mechanism, the vets like to 15 talk to vets, and so they don't want to go to get 16 help, not even to the VA sometimes unless there's 17 somebody at the post level that's reaching out 18 for them and encouraging them to find what they 19 need by way of help. 20 So having said that I think that losing 21 the facilities in any percentage, but certainly 22 the threat that we have the, I'll speak to the 30 23 and maybe as much as 40% of federal benefit, 24 which is garnered by veteran service officers, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 246 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 that's on hold right now. I mean, no new clients 3 because it requires an in depth interview and 4 it's one that's best done person to person. I'll 5 use this hearing as an example. We'd all rather 6 have a hearing in person than we would to do it 7 this way I suspect, but nonetheless, you know, 8 the veteran service officers and you heard from 9 the Division of Veteran Services, the veteran 10 service officers are responsible for millions and 11 millions, probably conservatively $350 million of 12 federal benefits going to New York veterans. And 13 so be it, be it the VFW's veteran service officer 14 or the county veteran service officer, they're 15 absolutely instrumental in terms of keeping that 16 revenue flowing. 17 So, you know, I think what we need to do 18 and I will close with this, is, you know, stand 19 firm if you can and it's not going to be easy, in 20 terms of the budget cuts because if, if, if we 21 lose this portion of this infrastructure the 22 ultimate bill on down the line and you've heard 23 this before, I know, but the ultimate bill down 24 the line is going to be huge because right now Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 247 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 with all that self-funding, all that veteran to 3 veteran service that's happening at the post 4 level, if that goes away we're going to be 5 depending almost completely on all of the 6 agencies that are supported by the state. Every 7 one of them we love and respect, but we're going 8 to be depending on them completely and that bill 9 is going to be shocking. So that's my message 10 today. 11 SENATOR BROOKS: Okay, thank you very 12 much. So I'd like to open this up to some 13 questions. I'd ask that, excuse me, Chair 14 Barrett, open the questioning session. Yeah, 15 there you go. 16 ASSEMBLY MEMBER BARRETT: Thank you, 17 thank you, had to unmute myself. I thank all of 18 you for your testimony. I mean, the range of 19 expertise and perspectives on this panel was, was 20 particularly noteworthy. I want to zero in 21 because this has been issue of my own, you know, 22 legislatively on what Aaron and Eva had to say. 23 You know, I'm a huge proponent of 24 [unintelligible] [04:38:35] RX, you know, the Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 248 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 therapeutic benefits of nature and we saw this 3 in, during this pandemic that what people did was 4 go out and take walks or turn to nature or 5 discover, you know, birds or biking or hiking or 6 things like that. So I would really like 7 understand from and maybe Alex has some thoughts 8 on this, too, how can we do -- how we can break 9 down those barriers. It seems like rather than 10 advancing these, you know, these concepts we've 11 kind of lost them in, in this, during the shut 12 period and, you know, whether it's, you know, 13 equine therapy or working with horses or, you 14 know, walks and hikes in state parks. So can you 15 talk about how we might do something to break 16 down these barriers at the, you know, at our 17 level at this point or, you know, in partnership 18 with, you know, you all. 19 MR. LEONARD: I would love to address 20 that, Assembly Member Barrett. Obviously, with, 21 if Outdoor RX is signed into law it will do, it 22 will go a long ways towards us being able to 23 better coordinate and synchronize across the 24 different state agencies, the parks, and the Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 249 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 different organizations like mine that work in 3 the state. But the barriers are many and some of 4 them I think you would find surprising. I know 5 that you and I have spoke about this at length, 6 but for those that were not in the room at the 7 time, barriers to accessing the natural world are 8 state parks and public spaces have a lot to do 9 with equity and not having access to 10 transportation is obvious, but less than obvious 11 is the lack of education or knowledge around 12 where to go, what to do, why they would even 13 participate in outdoor activities to begin with, 14 and what to do when they get there. These are 15 all barriers that can be addressed through 16 outdoor education that the state already provides 17 at some level just not in a coordinated way 18 targeting the most vulnerable or marginalized 19 population. 20 ASSEMBLY MEMBER BARRETT: Thank you, 21 Eva, do you have some thoughts on this? 22 MS. USADI: Yes, thank you so much, 23 Didi, I do. I mean, my first thought and I don't 24 mean to be, you know, I don't know what the right Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 250 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 word is, but we need a vaccine and I mean, 3 clearly we have to have treatment available 4 that's going to allow people to be able to be 5 close enough even outside and feel safe about it, 6 and you know, an example is that the horse farm 7 that we work out of is still closed and they 8 don't know when they're going open. And really 9 they're closed for the right reason because they 10 recognize that if their staff gets sick they're 11 not going to be able to care for their animals. 12 And so, you know, even if we wanted to 13 go there and do some things outside we don't have 14 access to that. I know a lot of programs 15 throughout the state that use horses as we do, 16 are in the same boat. So I think that all of 17 these are issues, transportation to get there, 18 people understanding why they should do things in 19 nature. Last night we had a webinar on our 20 Native American Sweat Lodge ceremony and we had, 21 we were very well attended and it was a very good 22 conversation, but that is not something we can do 23 remotely, and people really need to be able to 24 have the experience and it's profoundly healing Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 251 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 to be in that experience with a native healer, 3 and many of these things just can't be done 4 remotely. 5 We're doing our best, you know, we can 6 do narrative medicine, we can do some other 7 things remotely, but we can't, you know, 8 facilitate people being outdoors through a Zoom 9 meeting, it's just not the same. 10 ASSEMBLY MEMBER BARRETT: This is so 11 tragic because these are -- obviously mental 12 health is such a huge issue and it's something 13 that's right there, it's the great outdoors is 14 and nature is just right there. So to feel like 15 we're constrained and don't have access to it 16 for, you know, for veterans and their families 17 just seems tragic. Any other, anybody else? 18 MR. BEHM: Yes, Assemblywoman Barrett, 19 to echo the sentiment from earlier we actually 20 had a great partnership with an equine program we 21 set up in February. We are getting ready for our 22 first class to start and then had to cancel it 23 because the facility shut down. We have tried to 24 adapt, in central New York we have some great Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 252 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 local state and county parks so we've been 3 meeting veterans in a group maintaining social 4 distance and going on walks, taking the canines 5 out to do the same thing with veteran groups. 6 We've also been able to, once golf course 7 restrictions eased a little bit, we were able to 8 use some of our transportation resources to have 9 veterans meet at a golf course, again socially 10 distance and walk the course for some comradery. 11 So we're trying to get unique, but with 12 the restrictions it has been tough to do what we 13 normally do. 14 ASSEMBLY MEMBER BARRETT: Right, okay. 15 Thank you all, thanks very much. Senator. 16 SENATOR BROOKS: Assemblywoman Hunter. 17 Are you good, okay. Senator Ritchie. 18 SENATOR RITCHIE: Just thank you for 19 your testimony and I have no questions at this 20 time. 21 SENATOR BROOKS: Okay, if there's any 22 other legislators that have questions if they can 23 turn on their video screen that would be great. 24 ASSEMBLY MEMBER BARRETT: I think, I Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 253 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 think Assembly Member Ashby has -- 3 SENATOR BROOKS: No, yeah, no, that was 4 a lead so I could do him next so get a chance, 5 assemblyman, go ahead. 6 ASSEMBLY MEMBER ASHBY: Thank you. 7 Thanks Didi, and thank you chairman. It was a 8 great, great panel and Eva to your point, I found 9 it interesting over the last couple months and a 10 lot of friends of mine in the veteran community, 11 there's been almost an over population we've seen 12 of people on trails, at fishing access points and 13 it's almost become difficult to find access for 14 everybody and, you know, I know a lot of my 15 veteran friends out there have expressed kind of 16 the same thing because we go out into nature to 17 find that refuge and now it's, it's difficult to 18 find it and sometimes difficult to find parking 19 just to, just to go do it. And I'm wondering if 20 you guys in your experience are seeing veterans 21 have, you know, have those similar difficulties 22 and what are they, and what are they doing now 23 because of that, that's been effective? 24 MS. USADI: Are you asking me, Jake? Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 254 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 ASSEMBLY MEMBER ASHBY: The entire 3 panel. 4 MS. USADI: Yeah, well I, you know, I 5 think it's a great question. I can tell you from 6 our staff, our staff are all combat veterans, our 7 support staff, that they're really trying to do 8 things where they know they're not going to be 9 running into a lot of people because that's the 10 other thing. You know, we don't want our 11 veterans to be isolated, but they also don't do 12 so well with civilians and especially crowds of 13 civilians. So it's not helpful that people are 14 crowding to the few places that are open, a lot 15 of, you know, state parks and national parks are 16 still closed. So my people are trying to find 17 places that they can go with a friend, you know, 18 one person who knows some remote area and they're 19 really trying to protect themselves in that way 20 even more so with these conditions. 21 ASSEMBLY MEMBER ASHBY: Thank you. 22 CMSGT. LEIS: If I may -- 23 MR. LEONARD: I would add that it's 24 almost a like a, if, it feels like there's, that Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 255 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 increase usage and things have gotten crowded, 3 but the reality is that the sheer size of the 4 population does not equate to most of them 5 getting outdoors because of their age. Because 6 the average age of the veteran is 65, many of the 7 200,000 vets in the city don't really know how to 8 get to these placed because they've grown up in 9 an urban environment where spending time outdoors 10 is not something that they were encouraged to do 11 or taught to do or that they feel comfortable 12 doing. The need for outdoor education has 13 definitely not decreased just because we see more 14 people with access to cars and maybe some 15 experience in knowing how to get outside, 16 primarily white families in the State of New 17 York, having that opportunity is something 18 they've grown up with. 19 When we look at the marginalized, the 20 under-represented veteran populations, especially 21 those in the urban environments in the cities, we 22 don't see an increase in their participating in 23 outdoor activities. We see the same percentages, 24 which is almost 75% of the veterans that we say Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 256 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 we surveyed in the Bronx still do not have access 3 to the natural world other than what they find on 4 the blocks that they live on. 5 ASSEMBLY MEMBER ASHBY: Thank you. 6 CMSGT. LEIS: I was just going to say, 7 through our agency in particular with the Joseph 8 Dwyer project, we've been able to put together a 9 few virtual run series. Many of our younger 10 veterans who want to stay physically active, like 11 I said before the gyms were closed, we've been 12 able to put teams together and from a socially 13 distance perspective, go into state and local 14 parks to be able to do those runs and physically 15 see people from a distance, but that's been 16 helpful for them to get out, out in the outdoors 17 and the environment again and feel healthy. 18 ASSEMBLY MEMBER ASHBY: Okay, thank you 19 all. 20 SENATOR BROOKS: I'd just to like say, 21 I'm sorry, assembly member, are you done, I 22 apologize? 23 ASSEMBLY MEMBER ASHBY: I am, Chairman, 24 thank you. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 257 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 SENATOR BROOKS: Okay, you know, each of 3 you are kind of in a different situation all of 4 which is greatly driven by the virus and that is 5 that the norm is not there anymore. Where you're 6 working with group activities or outside 7 activities, we, the term, you know, the real 8 solution I guess is a vaccine at the end of the 9 day, but we've got such challenges and as we, as 10 we realize that there may well be another wave to 11 this virus, how are you going to change your 12 programs if that's, if that's going to be the 13 case and then to Kirby, we've talked about this a 14 lot, but the ability to save those facilities 15 that we have and fund them and it's become even 16 more challenging where they might have a rental 17 activity or something, opportunity rather, 18 they're not available. So how much thought are 19 you giving to the next six or eight months if 20 there's, if you will a COVID-2 in terms of the 21 outbreak of this, we see a re-visitation, what 22 that, what is that going to do to your programs? 23 MR. HANNON: Well, I can speak for the 24 VFW and the 30 some odd organizations that belong Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 258 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 to the New York State Veteran's Council and that 3 is that if they have a facility then the -- and 4 the facility can operate even on a part time 5 basis then they'll certainly pursue that. I 6 think that they'll also pursue other forms of 7 outreach and probably beef up the electronic 8 capability of the posts that remain financially 9 solvent. The ones that don't remain financially 10 solvent, obviously senator, are going to go by 11 the wayside and I think the same is true even 12 though the county facilities house the veteran 13 service officers, the same would be true. I 14 think there's going to be a big augmentation of 15 electronic outreach, there's going to be training 16 type of challenge that is like never existed 17 before in terms of trying to conduct in person 18 interviews and the like so that we can continue 19 to get that stream of federal dollars for New 20 York State veterans for the things like COVID 21 deaths, which was discussed earlier. 22 So I think our plans are evolving and 23 certainly we can probably use help with a lot of 24 that, but the bottom line, senator, I think is Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 259 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 that we got to change the way we do business and 3 hopefully, we can do business in some fashion or 4 another. 5 SENATOR BROOKS: Anyone else? 6 MS. USADI: Yeah, from my perspective, 7 you know, there are aspects of our program we can 8 do remotely and we have considered, we're having 9 a meeting in a couple of days because we thought 10 about maybe this group that is registered for our 11 October program that we don't think we'll be able 12 to conduct that we could start meeting with them. 13 As a group we could do some group, you know, as a 14 trauma therapist I don't like to bring people 15 together and then actually not be able to treat 16 them because it's not very helpful. So we want 17 to be able to do some things that will be 18 therapeutic and that will really move people to a 19 different place in terms of their own, you know, 20 challenges from service. 21 And so we're thinking very carefully 22 about what we could do. One of the challenges we 23 have and I know I had a conversation with Ms. 24 Barrett about this a while go is that, you know, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 260 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 because of the restrictions about how people are 3 able to use their licenses. For example, we have 4 people coming, registered for our October program 5 who are from all over the country and some of 6 them are from under serviced areas, especially 7 the south and the southwest where they just don't 8 have access to good enough services; and so, of 9 course, we have some from New York as well. But 10 even if I wanted to do a group MDR session 11 because this can be done in a group and I'm 12 qualified to do it, I don't have permission to 13 treat a veteran from a different state where I'm 14 not licensed. 15 So it's like every step along the way we 16 run into some kind of obstacle, which we're 17 trying to think through. And it's also an issue 18 with TriCare who, you know, there's certain 19 sections of the country where when we have a 20 veteran coming from not TriCare East we actually, 21 you know, can't bill for that. We can't bill 22 anyway, yet. So I think there are a number of 23 different levels of complications in terms of us 24 being able to do what we do best, but we are Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 261 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 working, you know, creative response given the -- 3 we don't think this is going to change any time 4 soon. And the other thing that we're doing is 5 that this has given us a little bit of an 6 opportunity to kind of regroup because we're 7 still looking for property. We have property 8 that we're working on buying and so that during 9 this period when we're really slowed down we can 10 get ourselves positioned properly so that when 11 the pandemic lifts we will be able to really 12 increase our operational tempo. 13 And that is something that we're working 14 very seriously on so that when things open up 15 we're not going to be doing a couple programs a 16 year, we're going to be doing a lot of programs 17 and so then we will hopefully be able to pull in 18 people that have been waiting not just for us but 19 for anything, you know, that could be helpful to 20 them. 21 SENATOR BROOKS: Any other comments? 22 Okay, we thank you all. 23 MR. LEONARD: Yeah, oh I'm sorry, 24 senator, I was going to add one -- Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 262 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 SENATOR BROOKS: Oh, go ahead. 3 MR. LEONARD: Which I think is relevant 4 for this conversation. The strategy that we put 5 in place over a year ago was to support the 6 passage of Outdoor RX that Assemblywoman Barrett 7 sponsored to the assembly, and then Senator 8 Benjamin in the senate and since that's passed 9 and its waiting for it to be signed into law, of 10 course, and then the pandemic hit all about the 11 same time. So our strategy has not changed 12 because passing that bill allows us to take our 13 work to a different level regardless of how we 14 deliver it, the bill would allow us to improve 15 the ability for us to coordinate outdoor 16 education, especially amongst communities who 17 aren't currently receiving them. 18 There are all different avenues that we 19 can reach into these communities. That bill is 20 going to let us study the different ways the 21 state and other organizations can work better 22 together to teach people and themselves how to 23 get out and enjoy our states parks and public 24 lands, and not rely on organizations like mine to Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 263 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 come in and personally take them out on trips. 3 Because what do we touch a year in New York, 500 4 people out of 800,000 veterans, that's an 5 insignificant number of the population. So for 6 us to have a positive, but real effect on the 7 population we absolutely want to still see that 8 bill signed so that can working on solutions with 9 the DVS. 10 We're not changing our strategy so even 11 though we're not leading trips any more, we're 12 just switching to a virtual form of outdoor 13 education and trying to teach folks how to get 14 out there on their own to enjoy the benefits that 15 like our women's veterans group has enjoyed, but 16 to do that on a large scale we have to have help, 17 we can't do that by ourselves. 18 SENATOR BROOKS: Okay, well, we thank 19 you all very much for what you do and the time 20 you've given us today and collectively we'll all 21 continue to work to make the lives of our 22 veterans better. So we thank you very, very 23 much, and if we can bring in the participants of 24 our final panel that would be great. Thank you Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 264 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 again. 3 ASSEMBLY MEMBER BARRETT: Thank you all 4 very much, be well. 5 MS. USADI: Thank you. 6 MR. LEONARD: Thank you. 7 SENATOR BROOKS: Okay, we got everybody? 8 MALE STAFF: All present. 9 SENATOR BROOKS: All present and 10 accounted for. Good afternoon, we welcome you to 11 our veterans' hearings associated with the, the 12 virus. We've had an opportunity to hear from a 13 number of panels, you're actually the final panel 14 of the day. I want to give each of our chairs 15 and ranking members an opportunity to provide you 16 with some opening remarks and then we'll move 17 forward the program. So if Chair, Chair Barrett, 18 I'm losing my voice here, would give us some 19 opening remarks that would be great. 20 ASSEMBLY MEMBER BARRETT: Sure, thank 21 you, Senator. I guess it must be time to wrap 22 this up because you're losing your voice. But I 23 just want to thank you very much for 24 participating. I, this is has been a very strong Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 265 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 series of panels and I'm sure that that, that you 3 will continue that trend and we look forward to 4 hearing what you have to say and thank you for 5 making the time to be here. 6 SENATOR BROOKS: Okay, Chair Hunter? 7 ASSEMBLY MEMBER HUNTER: Good afternoon, 8 I know they were saving the best for last so I 9 know you're going to bring it home on this last 10 panel. Hopefully, you all had had an opportunity 11 to hear the testimony from others so definitely 12 interested in seeing either or hearing maybe 13 something new or something different that maybe 14 some of the others maybe had forgotten to mention 15 or some areas that there are gaps and 16 reinforcing, obviously, some of the things that 17 have been said, especially you folks who are 18 working the legal services area. I know that 19 funds are very, very tight and you are our first 20 defense in helping those who don't have many 21 resources and you're basically our last 22 opportunity for help. So definitely looking 23 forward to hearing from you, thank you. 24 SENATOR BROOKS: Okay, Assemblyman Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 266 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Ashby. 3 ASSEMBLY MEMBER ASHBY: Thank you, 4 Chairman. I want to thank this panel for hanging 5 in there for the last bit of it, grateful that 6 you're here and I look forward to hearing your 7 testimony. 8 SENATOR BROOKS: Okay and Senator 9 Ritchie. 10 SENATOR RITCHIE: I'd just like to add 11 the same sentiment. Thank you for staying with 12 us all day, we appreciate your time and I look 13 forward to hearing from all of you. 14 SENATOR BROOKS: Okay, so what we're 15 going to ask is each of you give a five 16 presentation, and then we'll go through a series 17 of questions. We truly appreciate you're being 18 here and, you know, you're the end of the line, 19 but as said we save the best to last. So there 20 have been a problems expressed today. We are the 21 assumption you're going to provide solutions to 22 each of them within your five minute 23 presentation, but we welcome to hear what you 24 have to say. So Meghan if we could start with Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 267 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 you. 3 MS. MEGHAN BROOKS, STAFF ATTORNEY, NEW 4 YORK LEGAL ASSISTANCE GROUP: Certainly, Chair 5 Brooks, Chair Barrett, Chair Hunter, committee 6 and staff, good afternoon and thank you for the 7 opportunity to join you here today. My name is 8 Meghan Brooks, I'm an attorney with the Veterans 9 Practice of the New York Legal Assistance Group, 10 which is a nonprofit law office dedicated to 11 providing free legal service and civil matters to 12 low income New Yorkers. And I [unintelligible] 13 [05:00:19] Legal Health Veterans Initiative 14 operates legal clinics in the Bronx, Manhattan 15 and the North Port VA Medical Centers and it 16 includes the nation's first legal clinic focused 17 entirely on women veterans. 18 Meanwhile our veterans practice is a 19 community-based program, it provides 20 comprehensive services to veterans and their 21 families regardless of their discharge status and 22 eligibility to use the VA healthcare system. 23 Across our practices we've certainly seen COVID- 24 19 bring new challenges, but more so the pandemic Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 268 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 has compounded the already serious economic and 3 mental health challenges that New York's 800,000 4 veterans already faced. I actually would like to 5 recognize that just an hour ago I learned that a 6 client of mine died likely by suicide yesterday. 7 Simple fact is that veterans mental 8 health challenges are exacerbated by the stress 9 of poverty. New York veterans have a lower 10 educational attainments and a lower income of the 11 national average. Only 17% of New York veterans 12 receive disability benefits. It's significant 13 lower than the national average of about 24%. 14 This gap suggests that more than 50,000 New York 15 veteran families lose tons of millions of federal 16 benefits dollars and accompanying healthcare 17 benefits every year. These benefits are needed 18 now more than ever yet even in good times 88% of 19 low income veterans report receiving inadequate 20 or no professional legal help for their civil 21 legal problems. NYLAG seeks to close that gap 22 despite ongoing resource constrictions and we 23 continue to do so during the pandemic. When the 24 pandemic hit we demanded that VA quickly issue Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 269 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 COVID responsive policies nationwide and we won. 3 On the ground we established a COVID-19 legal 4 resource hotline. Through the hotline we have 5 assisted more than 1500 individuals and their 6 families to date, including many veterans. 7 The three biggest issues we've been 8 seeing relate to housing, employment and of 9 course, benefits. On the housing front shelters 10 have experienced a veterans surge during the 11 pandemic with estimates that nearly 25% of New 12 York City renters are not current on rent, much 13 of the burden of preventing veteran homelessness 14 will fall on legal services. I understand that 15 as of today the courts have extended the eviction 16 moratorium through October 1st, but we know this 17 pandemic will last far longer than that and 18 temporary measures do not stem my client's 19 housing anxieties. Regarding employment an 20 estimated 14% of all veterans employed before the 21 pandemic have since lost work and since veterans 22 begin their careers later and because their 23 military background does not always translate to 24 the civilian workforce, it takes them longer to Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 270 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 find new employment. Veterans will need legal 3 advocates to help them navigate the unemployment 4 system and to access VA educational, job training 5 or monetary benefits until they can get back to 6 work. 7 As always assistance with VA benefits 8 and healthcare access remains a prominent unmet 9 need. In fact, a lot of the income and 10 healthcare related issues that we see tend to be 11 at the root of the other legal issues our 12 veterans are encountering. Veterans who have 13 been improperly denied critical benefits need 14 attorneys who are well versed in the complexities 15 of the appeals process to help them put together 16 well documented claims that will result in 17 receiving the benefits they've earned. 18 And so there are two main ways we would 19 encourage New York State to respond. First, New 20 York should expand its transformational 21 Disability Advocacy Program or DAP, which funds 22 legal services to fight social security denials 23 to veteran's benefits. Just as DAP actually 24 generates revenue for New York by bringing in Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 271 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 federal Social Security dollars, a veterans DAP 3 would help bring New York veterans VA benefits 4 access to the national average. Similarly, 5 bringing federal dollars to New York and more 6 importantly delivering benefits and healthcare to 7 New York veterans and families when they need it 8 most. 9 Second, this body should pass bill 10 #A10093, which would provide a civil right to 11 counsel for veterans at or below 400% of the 12 federal poverty line who are facing common state 13 law issues. These are issues that push veteran 14 families further into poverty if unresolved. And 15 broadly speaking the issues are foreclosure and 16 eviction proceedings, public benefits hearings, 17 wage theft cases and child support proceedings. 18 As New York works to recover from the impact of 19 COVID-19 civil legal services will continue to be 20 critical and state support for these services 21 will help veterans get back on their feet. Thank 22 you and I'd be happy to answer any questions. 23 SENATOR BROOKS: Thank you, Logan. 24 MR. LOGAN CAMPBELL, PROJECT COORDINATOR, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 272 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 CITY BAR JUSTICE CENTER'S VETERANS ASSISTANCE 3 PROJECT: Good afternoon, everyone, thank you so 4 much for having me here and Meghan, I'm very 5 sorry to hear of the loss of your client. I'm 6 Logan Campbell, I'm the project coordinator of 7 the City Bar Justice Center's Veterans Assistance 8 Project, also known as VAP. VAP helps low income 9 disabled veterans in New York City by providing 10 pro bono legal assistance on issues related to 11 their claims for benefits from the VA. 12 In fiscal year 2020, we helped our 13 clients obtain over $850,000 in [unintelligible] 14 [05:05:27] benefits and nearly $20,000 in monthly 15 recurring benefits. I've served in this role for 16 over two years and I'm the first point of contact 17 for all veterans seeking assistance from VAP. 18 I'm testifying here today as representative of 19 the City Bar Justice Center, I'm honored to 20 highlight parts of the City Bar Justice Center 21 longer in testimony. 22 The most prevalent and concerning trend 23 of the City Bar Justice Center has noticed among 24 New York City's low income veteran population, is Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 273 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 the sheer volume of issues they are facing. We 3 have spoken with too many veterans who have lost 4 their jobs or have had to drop out of school. 5 Too many veterans concerned about whether they 6 will have housing next month, who have suddenly 7 been tasked with serving as caretakers for their 8 elderly and ailing family members. All this in 9 addition to managing the service connected 10 disabilities from which they suffer. 11 Given the genuine impressing crises 12 these veterans are facing, it should no surprise 13 that some are opting not to pursue VA benefits 14 claims at this time. VAP has seen multiple 15 potential clients decide not to proceed with 16 receiving assistance under VA benefit claim 17 because they do not presently have the time to 18 devote to it. It is well known among the 19 veterans community how absurdly long the process 20 can take. Many veterans do not have the time to 21 navigate such a process as the need they are 22 facing are immediate. What good are retroactive 23 benefits to someone who needs the money to deal 24 with the issues in the present? Veterans fear Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 274 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 they won't get to use benefits for years or even 3 in their lifetime. Unfortunately, this fear is 4 not unfounded as VAP has already lost one client 5 to COVID while they were in the middle of their 6 claims process. 7 However, for each veteran who decides 8 not to pursue a claim with VAP there are at least 9 as many if not more seeking VA benefits because 10 it offers a stable income source in these 11 tumultuous times. The demand for our services is 12 currently so high that we have had to close our 13 intake line for the second time in the last two 14 years. The causes of this urgent demand beyond 15 VAP's capacity we believe are two-fold. The 16 first being the need for a steady source of 17 income these benefits provide. The second is 18 then an already arduous process has only become 19 more onerous on our clients. Though, the VA has 20 shifted to a remote work model in a relatively 21 successful manner there is still increased 22 obstacles for our veterans such as an indefinite 23 delay to many compensation and pension exams, 24 which the VA requires a significant amount of Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 275 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 veterans undergo before adjudicating their claim. 3 Even outside the VA this process has become more 4 difficult for our clients. 5 Many of our clients have limited access 6 to the internet or in some other manner lack the 7 necessary resources to sign documents digitally. 8 With the extra steps our office now has taken to 9 send -- now has to take to send and receive mail 10 coupled with the ailments of an embattled post 11 office, our clients are experiencing even greater 12 delays. This is just one example of the many 13 logistical obstacles that have arisen. Our 14 office is actively working to mitigate delays and 15 avoid these obstacles. For instance, we have 16 completely shifted our entire pro bono model, 17 which used to rely on an initial in person 18 meeting between the client and their attorneys to 19 a complete remote model. We have started 20 obtaining most of our clients records using the 21 VA's online database, developed retainers that 22 can be texted to clients and signed using 23 Smartphones and found a host of new ways to 24 communicate with clients while remote. However, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 276 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 despite all this some delays are still 3 inevitable. 4 The City Bar Justice Center's Veterans 5 Assistance Project is doing our best to overcome 6 these obstacles and answer the surge in demand, 7 but given our current staffing and funding levels 8 we cannot increase our capacity to match. As 9 this pandemic continues to proof unpredictable, 10 veterans will continue to seek stable sources of 11 income such as VA benefits. Unfortunately, these 12 benefits are only becoming more challenging to 13 obtain and veterans will increasingly need 14 assistance to get them. We hope that when they 15 do the state ensures there are enough resources 16 available to them. Thank you for your time and 17 attention today. I'm happy to answer any 18 questions you may have. 19 SENATOR BROOKS: Thank you very much, 20 Peter. 21 MR. PETER KEMPNER, LEGAL DIRECTOR & 22 ELDERLY PROJECT DIRECTOR, VOLUNTEERS OF LEGAL 23 SERVICE: Thank you, good afternoon. My name is 24 Peter Kempner and I'm the legal director of Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 277 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 Volunteers of Legal of Service, also known as 3 VOLS. VOLS was established in 1984 and our 4 purpose is to leverage private attorneys to 5 provide free legal services to low income New 6 Yorkers to help fill the justice gap. I'm also a 7 member of the veterans committee at the Statewide 8 New York Legal Services Coalition. The coalition 9 consists of 50 legal services providers who 10 collectively serve every single county in New 11 York State. My testimony today is on behalf both 12 of VOLS and of the coalition. 13 In addition to my duties as director of 14 Volunteers of Legal Service I founded and 15 supervise the VOLS veterans initiative. I also 16 created and teach the Veteran's Justice Clinic at 17 New York Law school. I sit on the New York City 18 Bar Association's Committee on Military and 19 Veteran's Affairs. I'm a member of the New York 20 State Bar Association's Veteran's Committee and I 21 co-chair the New York City Legal Services working 22 group and I've held many past positions focused 23 on the civil, legal needs of low income veterans 24 in New York State. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 278 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 We thank the committee for, the 3 committees for holding this critical hearing to 4 examine the impact of COVID-19 on New York's 5 veterans and my testimony today will focus on two 6 legal issues faced by New York's veterans in the 7 wake of COVID-19 crisis and how it is more 8 important than ever to ensure that veterans have 9 access to free legal services in order to fend 10 off potential devastation. Those two issues are 11 eviction and homelessness prevention and the 12 other one is planning for the future and end of 13 life planning. Prior to the COVID-19 outbreak, 14 the VOLS veterans initiative conducted weekly 15 legal clinics at the Manhattan campus of the VA 16 Hospital where we provided free civil legal 17 services to low income veterans age 60 and over. 18 After the crisis shut down the VA 19 Hospital to outside visitors, we shifted our 20 services online and launched a legal hotline for 21 low income elderly veterans to reach us. The 22 number one legal issue that is faced by the 23 veterans we serve is eviction and homelessness 24 prevention. Over the past decade New York State Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 279 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 alongside the legal services community, county of 3 veterans services agencies, veterans service 4 organizations, the VA and other community 5 partners have made tremendous strides in 6 addressing veteran homelessness using a 7 combination of federally funded programs like 8 SSVF, HUD BASH Section 8, Ransom Per Dium in 9 combination with local programs like the 10 Universal Access to Counsel Program in New York 11 City, New York has cut its veteran homeless 12 population significantly. 13 But the COVID-19 crisis has the 14 potential to undo much of the progress which we 15 have made and return us to the days where veteran 16 homelessness was much more prominent and 17 widespread. It's estimated that tens of 18 thousands of New Yorkers may face homelessness 19 when the current moratoriums on eviction filings 20 and eviction executions are lifted. Undoubtedly, 21 there are scores of veterans among those facing 22 homelessness, and many of these veterans are the 23 most vulnerable. They have mental health issues, 24 substance abuse issues, they were formerly Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 280 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 homeless and if evicted making these veterans 3 will end up in shelters and on the streets. 4 To prevent his backslide, we have to do 5 everything we can to prevent the eviction of 6 veterans and accessing free legal services has 7 proven to be a critical tool to prevent this from 8 happening. It's also essential that veterans who 9 are most vulnerable to poor health problems if 10 infected with COVID-19 can engage in proper life 11 planning. A core part of our work is to provide 12 free wills and advanced directives to low income 13 senior veterans. These critical documents ensure 14 that the wishes of senior veterans are clear and 15 carried out by the people that they love and they 16 trust the most. Veterans infected with COVID-19 17 may find themselves in a medically induced coma 18 and on a ventilator for weeks or months. During 19 this time, rent will go unpaid, bills will pile 20 up and in the case of long term and 21 incapacitation loved ones may have to file costly 22 and unpleasant legal proceedings such as 23 guardianship. 24 A veteran who has the ability to put a Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 281 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 proper plan in place by completing a power of 3 attorney, a healthcare proxy and other advanced 4 directives can ensure that the negative 5 consequences of an incapacity are minimized or 6 even avoided by empowering their loved ones with 7 the proper tools to handle their affairs while 8 they battle the virus, they could focus on 9 healing instead of worrying about whether or not 10 they'll have a home to return to when they're 11 released from the hospital. The common thread 12 that brings these things together as I think 13 you've heard repeatedly over the course of the 14 day is how access to free civil legal services 15 counsel is transformative for veterans. If 16 needed, eviction prevention, life planning, 17 access in critical government benefits and on so 18 many other fronts having access to free civil 19 legal services helps abate the negative impact of 20 COVID-19 on New York's veteran community. Thank 21 you for allowing us to submit this testimony and 22 for holding this hearing and I'm happy to answer 23 any questions that you have. 24 SENATOR BROOKS: Thank you. So we'll Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 282 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 begin our questioning with Chair Barrett. 3 ASSEMBLY MEMBER BARRETT: Thank you, 4 Senator. Thank you, all three of you, first of 5 all Meghan, my condolences on the loss of the 6 client, that's got to be -- 7 MS. BROOKS: Thank you. 8 ASSEMBLY MEMBER BARRETT: -- a pretty 9 traumatic experience, somebody that you've been 10 working that closely with. And thank you all, 11 and clearly you're all very passionate about the 12 work that you do and it's obviously really 13 important work and I feel like I'm already 14 depleted in a day of asking of questions to come 15 up with some new things to ask, but I do want to 16 sort of touch base with Peter. The, what I heard 17 from you that was particularly new today was 18 about the end of life planning and you know, kind 19 of like Pattie, I lost my mother in the last few 20 weeks and so it's kind of fresh in my mind to 21 deal with, you know, how all of the complexities 22 involved in, you know, in that. Were these 23 experiences that you specifically had during 24 COVID with clients or is, is your, you know, vast Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 283 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 knowledge and expertise kind of anticipating that 3 these are, you know, these are situations that 4 that veterans need to be prepared for and, you 5 know, and others in a crisis like this. 6 MR. KEMPNER: So our organization has 7 had a practice focused around life planning for 8 over two decades. We had started it in our 9 elderly project and just created it in our 10 veterans initiative about two years ago to extend 11 those services in a focused way on veterans and 12 doing outreach at the VA Hospital and other 13 VSO's. During the crisis, we actually also 14 launched a COVID-19 frontline in healthcare 15 workers initiative to provide free life planning 16 documents to people who are working on the 17 frontlines during the COVID-10 crisis, both in 18 hospitals and other healthcare settings, home 19 care workers and the like. So this issue is 20 something that has been important to our 21 organization for a long, long time, but it really 22 brings it into stark relief now about why this is 23 so important when we see folks who are unable to 24 get to their loved ones in the nursing homes. To Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 284 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 see people who will become incapacitated and 3 their loved ones don't have the tools that they 4 need to deal with the banks and deal with their 5 landlords and deal with government agencies in 6 order to access Medicare and Medicaid and VA 7 benefits and whatever it is. 8 And so for us it just reinforces why 9 this practice is so important and you see so much 10 in the free legal service world, no choice but to 11 be defensive, right. So much of the practice is 12 around representing tenants who are facing 13 eviction, but this practice is something that's a 14 little more proactive, to have people plan for 15 the future. We want them to have the right tools 16 in place and hope they never have to use them, 17 but sometimes they do. 18 MS. BROOKS: And I would just like to 19 second that at NYLAG we're also seeing a huge 20 uptick in advanced planning needs and like Peter 21 said you can be offensive in a lot of these, 22 offensive in a lot of these circumstances, but 23 unfortunately, COVID has put us on the defense on 24 a lot of situations as well and there have been Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 285 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 several instances where unfortunately, a client 3 had COVID and we just weren't able to get there 4 in time due to various technologies and things 5 like that. 6 MR. KEMPNER: Right and this echoes back 7 to some of the conversations from earlier with 8 broadband access and access to technology 9 particularly for older veterans who aren't tech 10 savvy and don't have that access that some of the 11 other ones do. Thank goodness the governor had 12 issued multiple executive orders allowing for 13 remote notarization, remote witnessing of these 14 documents and recently both houses of the state 15 legislature passed the bill that will simplify 16 their power of attorney law and hopefully, 17 Governor Cuomo will sign that bill. But we want 18 to make these things as accessible as possible. 19 Technology is important, making the process 20 simple is important, but there are those barriers 21 that are still there especially when we can't 22 meet our clients in person. We would often do 23 hospital visits and home visits, we can't do 24 those right now. Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 286 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 ASSEMBLY MEMBER BARRETT: Thank you, 3 thank you all very much. 4 SENATOR BROOKS: Chair Hunter. 5 ASSEMBLY MEMBER HUNTER: Yes, thank you 6 and again I want to extend my condolences, you 7 know. I've had opportunity at my own American 8 Legion Post that, you know, there's a couple 9 folks that we watch very, very closely because of 10 PTSD and during this time, you know, as we 11 instituted a buddy check program, you know, is to 12 make sure that we are really trying to keep an 13 eye, but you know, it's very difficult. 14 Resources are slim and, you know, we have our own 15 families in some ways to take care of and 16 obviously, these are your clients and it's just 17 ever more important it seems that we do have to 18 be proactive and I'm just wondering, you know, if 19 there's any way, you know, again, I know it 20 always comes to resources throughout, you know, 21 all of the work that you all are doing, if 22 there's any way to even be more proactive. I 23 know, Pete, you were saying about advanced 24 planning, you've been that for 20 years, but it Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 287 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 seems to me, you know, there has been a run to, 3 you know, making sure people's, you know, wills 4 are in place and things are in order. 5 The folks that are most indigent and who 6 need the most need, I know I need my eviction 7 notice taken care of right now, but it's being 8 able to have a calm conversation about and what 9 about all of these other things, because when you 10 get to the hospital during a high peak of COVID 11 time and the person presents at the door, that 12 could be the last time you see that person. 13 You're not allowed inside, you can't and you 14 know, you're talking with them by the phone and 15 it just seems to me we're talking about veterans 16 now. If we know who they are and I know that's 17 been a huge concern with the agency, not knowing 18 who the veterans are, but at least with this 19 small population if we could get to them and kind 20 of assist them, especially the ones who need help 21 in advance, it seems like some of the things that 22 you all are going through right now definitely 23 could be, you know, minimized for the next wave 24 of COVID or for the next, you know, pandemic or Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 288 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 for the next whatever happens going forward. 3 It just seems having these conversations 4 all today we've definitely seen gaps, but it's 5 incumbent upon many of your legal service 6 organizations to, you know, to be their front 7 facing for all of these veterans. So, you know, 8 that's not necessarily a question unless you all 9 had a comment on that, but it seems to me if 10 there's any way that we could be more proactive 11 knowing that this is going to, you know, keep 12 continuing your agencies are at the frontlines to 13 be able to do that. 14 MS. BROOKS: Absolutely, I would agree 15 with that and I would just add that when it comes 16 to being proactive some of the most difficult 17 things to do are identifying what someone is 18 eligible for. We often see in legal services 19 especially for folks who aren't veteran providers 20 specifically, people just aren't issue spotting 21 for the types of things that could be available 22 not only to veterans, but to veterans spouses, 23 veteran survivors, things like pensions, things 24 like dependency and indemnity compensation, Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 289 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 things like HUD BASH vouchers like Pete 3 mentioned. It's really about issue spotting, 4 which its why it's very important to get someone 5 who's well trained in veterans issues and 6 familiar with what's going on to take a look at 7 clients coming through the door to see what else 8 can be done to help that person reach stability 9 economically with regards to their health, the 10 list goes on. 11 MR. KEMPNER: And I'll add to that. I 12 think that education piece is critically 13 important for all legal service providers to be 14 thinking about what is unique about serving 15 veterans. One of the things that I have always 16 pushed is making sure that legal service 17 providers and frankly, and other organizations 18 are screening for military service when they're 19 intakes with clients. And so you have to ask the 20 question to know whether or not the person that 21 you're working with has served in the military, 22 and you also have to know how to ask that 23 question. I know that that folks have said 24 earlier today and I think Benjamin actually said Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 290 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 it, was that some of these people won't say I'm a 3 veteran, but if you ask in a manner that says, 4 have you served in the military, they might say 5 yes to that, but they won't say yes to being a 6 veteran because of their discharge status, 7 because of when they served. And so it's 8 important to educate around that. 9 We're actually doing a program in 10 conjunction with Fordham Law School in a couple 11 of weeks to train housing attorneys statewide in 12 veteran and military cultural competency. So to 13 teach them to ask the questions, teach them why 14 it's important. I know in my practice through 15 the years, you know, finding out that somebody 16 had served was the key to solving the problem. 17 I've had clients who said to me well, I can't 18 afford the rent and I learn that they're veteran 19 and I'm able to get them on VA pension or some 20 other benefit and then they are able to stay in 21 their home. And I know this has been hinted at 22 before, and Meghan said it in different words, 23 but I always say that the problems of low income 24 people are an interconnected web. When somebody Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 291 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 presents to you with a housing problem, it's 3 often a benefits problem. If somebody presents 4 to you with a benefits problems, it's often a 5 family law problem because of child support like 6 Dao Sun had said earlier today. 7 And so to have that holistic view and to 8 make sure that everybody is screening for 9 military service will allow us to serve the 10 veteran community better. 11 SENATOR BROOKS: Ranking member Ashby. 12 ASSEMBLY MEMBER ASHBY: Thank you, Mr. 13 Chairman. Thank you to the panel, it was great, 14 great testimony. Ms. Brooks, I'm very sorry to 15 hear of the loss of your client. 16 MS. BROOKS: Thank you. 17 ASSEMBLY MEMBER ASHBY: I really 18 appreciate you being here and taking the time to 19 do this despite, despite that loss. I imagine 20 this is the reason why, this is the reason why 21 you're doing it and thank you for that. Earlier 22 in your testimony you talked about only 17% of 23 our state's veterans receiving federal benefits. 24 I'm curious just to know where you got that Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 292 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 figure from. 3 MS. BROOKS: Sure, it's from a legal 4 services corporation survey that was conducted a 5 couple years ago. 6 ASSEMBLY MEMBER ASHBY: Okay. 7 MS. BROOKS: I believe it's cited to in 8 my written testimony. 9 ASSEMBLY MEMBER ASHBY: Okay -- 10 MR. KEMPNER: It was actually, it was 11 actually by the New York City Bar Association who 12 conducted that survey. 13 ASSEMBLY MEMBER ASHBY: Okay. 14 MR. KEMPNER: Logan's organization was a 15 partner to Logan's organization. 16 MS. BROOKS: Apologies, Logan. 17 [unintelligible] [05:25:48] written. 18 MR. KEMPNER: It's a May 2018 study that 19 the New York City Bar Association published. 20 ASSEMBLY MEMBER ASHBY: Okay, well, I'm 21 really, really grateful for that figure and it's 22 very, it's very concerning; very concerning that 23 still over half a million of our, well over half 24 a million, over 600,000 veterans would not be Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 293 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 receiving federal benefits that they need and I'm 3 wondering what we could do a better of in terms 4 of screening and augmenting the Division of 5 Veterans Services and their capability to 6 identify veterans of, you know, I think the 7 Department of Transportation and, you know, let's 8 say they were a fraction of the agency that they 9 were, would they be as efficient as they are in 10 maintaining our roads, making sure that people 11 have driver's licenses and implementing all those 12 things. The elevation of the Division of 13 Veterans Services to a full state agency, which 14 would make them more eligible for a lot of the 15 federal funding then I would imagine many states 16 are receiving now could have an impact on this 17 number. You, what are your thoughts on that? 18 MS. BROOKS: Certainly, that would make 19 a lot of sense. I would also note like you had 20 mentioned earlier, one of the barriers that we 21 see so often is folks not identifying as veterans 22 because they received a "bad paper discharge." 23 So one thing that could really be focused on is 24 reaching out to those veterans the screening Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 294 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 question should be did you ever serve in the U.S. 3 military. And also funding, discharge upgrade 4 and similar work, again, thanks to Chair Barrett 5 for her incredible work on the Restoration of 6 Honor Act, that's something that we'll be 7 focusing on and NYLAG as well actually the 8 clients interested in the vendor's license in the 9 city that could help out with. And so it's sort 10 of reaching these populations that haven't 11 historically been reached that I think could help 12 bring those numbers up quite a bit, in addition 13 to other more [unintelligible] [05:27:46] 14 ASSEMBLY MEMBER ASHBY: Thanks for your 15 response and input. 16 MR. KEMPNER: And can I also echo 17 something that Meghan had pointed out earlier and 18 there is a program in New York State already the 19 DAP program, the Disability Advocacy Program for 20 Social Security Benefits. New York has 21 recognized that having counsel in these hearings 22 for federal benefits is an incredibly smart 23 investment. You spend a little money to provide 24 representation and then you get somebody benefits Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 295 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 for a lifetime, and its trickle up economics 3 where people who are low income immediately take 4 that money and they spend it on rent, they spend 5 it at a local grocery store and they spend it on 6 other goods and services in the local economy, 7 which then creates tax revenue for New York 8 State. And so these, these programs pay for 9 themselves and also any veteran who is on state 10 benefits, public assistance benefits, or other 11 state or local funded programs, once they get on 12 VA benefits like the work that Logan does, then 13 they come of off those state benefits and so we 14 have less veterans on our local welfare rolls and 15 less money coming out of local coffers and more 16 federal money in the local economy. 17 MS. BROOKS: Absolutely. 18 ASSEMBLY MEMBER ASHBY: Go ahead, Logan. 19 MR. CAMPBELL: Could I just add a bit to 20 that? I just want to dive a little bit deeper in 21 the numbers to show just how far behind that 17% 22 puts New York State and this is all coming from 23 the City Bar report that Pete mentioned. We're 24 at 17%, the national average fluctuates 23 to 24% Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 296 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 of veterans receiving these benefits, whereas you 3 have large states like Texas and California 4 receiving 29 and 25% respectively. So the 5 investments Meghan and Pete are talking about 6 there's a lot of room for New York to improve in. 7 There's a lot of benefits to give our veterans. 8 ASSEMBLY MEMBER ASHBY: I'm wondering in 9 that study that you all had cited earlier, the 10 generational makeup of it, so are you finding 11 that post-911 or I'm sorry, OIF, OEF veterans are 12 more likely to be receiving benefits versus Gulf 13 War, Vietnam era, Korea and World War II 14 veterans? 15 MR. CAMPBELL: That was one of the 16 things we were more concerned about. I think a 17 lot of people have referenced how New York has a 18 relatively older veteran population -- 19 ASSEMBLY MEMBER ASHBY: Right. 20 MR. CAMPBELL: -- which our intuition 21 was they're older, they're more likely to have 22 disabilities and their disabilities are more 23 likely have become severe. So we expected that 24 those veterans should be getting those benefits Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 297 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 whereas they're just for some reason not. So I 3 don't want to give a definitive answer to yours 4 just because I haven't parsed that out of the 5 data specifically, but it's definitely a very 6 concerning trend. 7 ASSEMBLY MEMBER ASHBY: Appreciate it, 8 thank you. 9 SENATOR BROOKS: Okay, if there are any 10 members on that have a question if they could 11 turn on their video, that would be great. Ranker 12 Ritchie. 13 SENATOR RITCHIE: I would just like to 14 say to Meghan, I'm sorry for your loss too and I 15 certainly appreciate your compassion for those 16 that you represent along with the other two 17 panelists. It's certainly, it's certainly comes 18 across. I know that I have been, I think 19 astonished, shocked, I don't know what else to 20 say about the number of veterans that keeps 21 coming across that have not applied for any 22 services that are struggling. And, you know, I'm 23 trying to think what I can do just in my own 24 little world up here on my end to try to Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 298 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 advocate, try to get information out. Any kind 3 of correspondence to the people that I represent 4 in my district to make sure that they know that 5 they can check because the 30% number is just so 6 hard, hard to fathom that there's that many 7 people out there who could be receiving benefits 8 especially now in such trying times and they've 9 not applied for anything or they don't know how 10 to apply or it's too complicated. And I'd just 11 ask in closing is there anything that you think 12 locally because I think you, I'm, my part of the 13 state is probably quite a ways away from where 14 most of the people you're taking care of or 15 trying to help are, what can we do state wise to 16 try to raise the level of awareness of what might 17 be out there and the people who are falling 18 through the cracks? 19 MS. BROOKS: Thank you, you represent 20 Fort Drum area, is that right? 21 SENATOR RITCHIE: Yes. 22 MS. BROOKS: I actually, I have spent 23 4th and 5th grade up at Fort Drum, it's a great 24 place. But I will say that and just on that note Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 299 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 we are seeing a surprising number of recently 3 separated service members. So folks who've just 4 gotten out of the military, who for some reason 5 and DOD is supposed to be doing this, but for 6 some reason their service benefit applications 7 aren't getting in or they're just not being 8 hooked up to the benefits they need to be hooked 9 up with. So even in your district like if 10 there's a large military installation there and 11 being many other districts in the state where 12 there are military installations, those sorts of 13 localized, I think, I think [unintelligible] 14 [05:33:24] could be very useful in addition to 15 any other sort of broad statewide efforts. 16 SENATOR RITCHIE: Thank you. 17 MR. KEMPNER: And I know there was a 18 discussion earlier about discharge and, and what 19 kind of information folks are given and how, what 20 DOD does is frankly just insufficient and so I 21 think much of it should be coming from the 22 federal government, where they should make sure 23 that veterans are connected to, to not only the 24 VA, but also local veteran services organizations Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 300 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 that they're given information going forward and, 3 and maybe even turn that information over to the 4 state DVS and local DVS's in order for them to 5 have the list so they could follow up with them. 6 SENATOR RITCHIE: Thank you. Thank you 7 all for your time. 8 SENATOR BROOKS: First, Meghan, let me 9 join with everyone else and our condolences for 10 your loss. And let me say to all of you you're 11 sincerity and your commitment to what you're 12 doing was very, very clear. Meghan, when you 13 told us the situation you could see, see it in 14 your eyes, you could see it in your face. We 15 have work to do, there's no question about that. 16 The virus itself has made, if you will, their 17 lives much more complicated and the fact that 18 people aren't aware of their benefits we've got 19 to get that information to them multiple ways. 20 And we have to recognize many times when people 21 are separating from service, they're really not 22 ready for the change that's about to come about. 23 You know, we heard from many, many people today 24 and there are some suggestions and we have to Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 301 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 find all the solutions that we need, but it's 3 people like you that are putting in the 4 dedication and the commitment and when something 5 doesn't go right feel the sense of loss that 6 Meghan did, that's going to help us get to where 7 we have to get to. 8 Everyone that's on, on this, everybody 9 that serves in these committees is very, very 10 committed to helping the veterans of this state, 11 as was for many, as we said they're not aware of 12 what they're entitled to and we have to change 13 that. The confusion sometimes with people when 14 they don't understand that they are a veteran or 15 they don't step forward to say they were a 16 veteran, or unfortunately, in some cases maybe 17 too proud to ask for assistance when they need 18 it. We have to change that mindset. So I thank 19 you for what you do and some of you I had an 20 opportunity to talk with earlier, we have a lot 21 of work to do, I think all of us are committed. 22 If you got a suggestion you want to make as we 23 close this hearing, we'd be glad to hear it. 24 Okay, again, we thank you very, very much for Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 302 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 your time and we thank all those that 3 participated today and to everyone on the line I 4 think we've had a long day, but a very 5 informative day and you know, we have some time 6 now to think about what we heard today and 7 collectively work together to build a better 8 bridge, to build a better house, to make some 9 folks lives a lot better and a lot easier to 10 prepare for the challenges that's still to come, 11 and to recognize as we listened today just how 12 much this virus, the economic and job related 13 issues that are out there and the stress it's 14 been put on people, have really, really affected 15 the lives of our veterans. And you can see on 16 these three people, in particular, how its 17 affected their ability to do their job. That 18 extra, that extra piece of the puzzle they have 19 to figure out now is challenging. 20 So we thank everyone very much and I 21 guess we'll bring this to the close, if you guys 22 are all in agreement. 23 ASSEMBLY MEMBER BARRETT: Yes, thank 24 you, senator, for your leadership and thank you Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 303 1 Joint Hearing, Impacts of COVID on Veterans,08/14/2020 2 to my colleagues, to Pam and Jake and Patti for 3 being part of this journey with us and thank you 4 all for hanging in there to be our last panel and 5 I think it was really pretty substantive and 6 extraordinary amount of information that was 7 shared and a lot to process as you said. 8 SENATOR BROOKS: Yes, indeed. 9 MS. BROOKS: Thank you. 10 SENATOR BROOKS: Alright, everyone, 11 thank you. 12 ASSEMBLY MEMBER BARRETT: Thanks to 13 everybody, thanks to the committee who is still 14 on, bye, bye. 15 SENATOR BROOKS: Yes, bye, bye. 16 ASSEMBLY MEMBER BARRETT: Be well 17 everyone. 18 SENATOR BROOKS: Yes, everybody, be 19 well, take care. 20 (The public hearing concluded at 3:39 21 p.m.) 22 23 24 Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018 Page 304 CERTIFICATE OF ACCURACY I, Claudia Marques, certify that the foregoing transcript of the New York Joint Senate And State Assembly Virtual Public Hearing on the Impacts of COVID-19 On New York's Veterans on August 14, 2020 was prepared using the required transcription equipment and is a true and accurate record of the proceedings. Certified By Date: August 31, 2020 GENEVAWORLDWIDE, INC 256 West 38th Street - 10th Floor New York, NY 10018 Geneva Worldwide, Inc. 256 West 38 t h Street, 10 t h Floor, New York, NY 10018