Albany Times Union

Restore a crucial safety net for adults with cystic fibrosis

- By Michael Fox

As many New Yorkers celebrate the end of the public health emergency, I’ve been playing a three-year waiting game for my return to “normalcy” in the form of the Adult Cystic Fibrosis Assistance Program.

The program’s eliminatio­n in the state’s 2020-2021 budget left

Michael Fox lives in Breezy Point, Queens. adults like me, who are living with cystic fibrosis, without a safety net — making it more difficult to access necessary medication­s amid a global pandemic.

Cystic fibrosis is a rare genetic disease that affects about 970 adults in New York. It causes the body to produce a thick, sticky mucus that clogs the lungs and digestive system and can lead to life-threatenin­g infections that can cause irreversib­le damage, significan­tly impacting length and quality of life.

The financial distress of living with cystic fibrosis is enormous. For over three decades, the state allocated around $800,000 per year to patients like me, allowing us to maintain our private health insurance, jobs and — most importantl­y — our independen­ce. The ACFAP filled in gaps in health coverage, and it was the only financial assistance program of its kind in

New York.

Shoulderin­g the high cost of a chronic pulmonary disease alone has forced me to make difficult decisions: leaving my job, no longer being able to afford my home, and ultimately going on disability. I am not alone. Others have delayed necessary medication­s, putting them at a greater risk for lung exacerbati­ons and costly hospital stays due to the progressiv­e nature of the disease.

The Legislatur­e tried to do right by New Yorkers living with cystic fibrosis by allocating funds in recent budget cycles, but funding is not enough. The funds have not been distribute­d to the intended recipients because there is currently no longer a program in place to carry this out. Without reactivati­ng this vital program, there is no applicatio­n form, no administra­tor to call, no disburseme­nt process, and a dwindling sense of hope that these funds will

ever make it to the intended recipients.

We need the New York government to do more. The state Department of Health has been working with a third-party administra­tor to distribute the funds, and we ask state leaders to see that this process is completed swiftly. Additional­ly, bills currently introduced in this year’s session (A3089/ S6521) would stabilize the Adult Cystic Fibrosis Assistance Program’s future by restoring it into statute.

New York needs to follow through on its commitment to the cystic fibrosis community by restoring the ACFAP and helping to alleviate the burden for those of us who live with this disease.

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