December 11, 2018

No. 190: Incorporating Health Across all Policies into State Agency Activities

No. 190: Incorporating Health Across all Policies into State Agency Activities
No. 190
WHEREAS, it is well documented that social factors, including the conditions in which people are born, grow, work, live, play, and age, and the wider set of forces and systems shaping the conditions of daily life, have a tremendous impact on the health and well-being of all people;
WHEREAS, policies related to the environment, agriculture, housing, transportation, energy, parks and recreation, and economic development all significantly influence the public’s physical, economic, and social environments; in which principles of smart growth and sustainable development directly support improved health outcomes and age-friendly communities;
WHEREAS, the Health Across All Policies initiative systematically considers the health implications of decisions made by all government entities regarding public policies; avoids harmful health impacts in order to improve population health and health equity; and incorporates health considerations into policies, programs, and initiatives led by non-health agencies;
WHEREAS, it is the policy of the State of New York that all State government entities advise and assist the Governor in developing policies designed to help meet the needs of residents of the State of New York and to encourage the health, safety, and well-being of those residents;
WHEREAS, through the efforts of State government entities and others, New York State was designated as the first Age-Friendly State in the nation by the American Association of Retired Persons (AARP). This designation was based on the Eight Domains of Livability outlined by The World Health Organization (WHO) as follows: 1) Outdoor Spaces and Buildings; 2) Transportation; 3) Housing; 4) Social Participation; 5) Respect and Social Inclusion; 6) Civic Participation and Employment; 7) Communication and Information; and 8) Community and Health Services;
WHEREAS, New York’s designation as the first Age-Friendly State in the nation will bring increased attention to the Health Across All Policies initiative and the State’s consideration of the impact of State policies and procedures on environmental, economic, and social factors to influence the health and well-being of all residents, especially older adults; and
WHEREAS, the Prevention Agenda, New York State’s health improvement plan for improving health outcomes and reducing health disparities in and amongst racial, ethnic, disability, and low socioeconomic groups, as well as the populations who experience such disparities, has provided a blueprint that enabled the State to make substantial progress across numerous measures of public health and prevention.
NOW, THEREFORE, I, ANDREW M. CUOMO, Governor of the State of New York, by virtue of the authority vested in me by the Constitution and Laws of the State of New York, and more specifically, Article IV, Section 1 of the New York State Constitution do hereby order and direct as follows:
1. As used herein, “Affected State Entities” means (i) all agencies and departments over which the Governor has executive authority, and (ii) all public benefit corporations, public authorities, boards, and commissions for which the Governor appoints the Chair, the Chief Executive, or the majority of the Board Members, except for the Port Authority of New York and New Jersey.
2. All Affected State Entities shall incorporate the New York State Prevention Agenda priorities and the WHO Eight Domains of Livability, where practicable and feasible, into State plans, plans submitted to the federal government, as well as agency guidance, policies, procedures, and procurements, with guidance from the Health Across All Policies Ad Hoc Committee in order to further the goals of the Health Across All Policies initiative declared in the 2017 State of the State.
3. All Affected State Entities shall consider how best to incorporate the New York State Prevention Agenda’s priorities and the WHO Eight Domains of Livability when preparing contract solicitations, grants, submitting plans to a Federal Agency or entity, or developing State Plans under the applicable statutory and administrative criteria, where practicable and feasible. For appropriate best value procurements where price is not the determining factor, an Affected State Entity shall consider structuring the procurement to allow the award of additional technical points for proposals that address the State’s Prevention Agenda priorities and the WHO Eight Domains of Livability based upon set evaluative criteria.
4. To achieve the foregoing:
A. On or after January 1, 2019, Affected State Entities shall, where practicable and feasible, include in solicitations for best value procurements and grants where price is not the determining factor, a provision requiring contractors to describe how their proposals can improve community health and wellness in their execution of the contract, agreement and/or procurement, such as, promoting age-friendly job creation and economic stability, transportation mobility, and the ability to leverage investments that can have complementary benefits in more than one area;
B. Each Affected State Entity shall achieve this goal by incorporating, where practicable and feasible, the following considerations into the development of policies, guidance, regulations, and proposed legislation:
i. Opportunities for improved alignment and coordination of the New York State Prevention Agenda and age-friendly-related programs and policies across all State entities and among public and private partners;
ii. The impact on the ability of individuals to continue living in their communities in a manner consistent with their abilities and values;
iii. The opportunities for civic engagement and how to expand them;
iv. Strengthening infrastructure for home and community-based services;
v. Approaches that build toward a future in which every New Yorker can enjoy wellness, longevity, and quality of life in strong, healthy communities;
vi. Each community’s special strengths in technology, innovation, research, health care, and business, and how those strengths may be leveraged to support healthy aging and the work of family caregivers;
vii. The inclusion of healthy and age-friendly communities in programs that support community design, planning, zoning and development;
viii. Promotion of caregiver support;
ix. The provision of cost-effective, high quality services to New York residents, especially older adults, adults with disabilities, and their caregivers; and
x. Increased consumer accessibility to health and supportive services.
C. Within 30 days after the date of this Order, each Affected State Entity shall designate a Health Across All Policies Coordinator, who shall:
i. Be a liaison with the Health Across All Policies Ad Hoc Committee; and
ii. Be responsible for that Affected State Entity’s compliance with this Order.
D. All other government entities within New York State are encouraged to undertake similar consideration in their contracting, agreements, and procurements.
G I V E N under my hand and the Privy Seal of the State in the City of Albany this fourteenth day of November in the year two thousand eighteen.
Secretary to the Governor


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