Negotiations surrounding the pay and working conditions of midwives in New York City took center stage during the recent Finance and Hospitals' Executive Budget Hearing. City officials emphasized the urgent need for the New York State Nurses Association (NYSNA) to engage in constructive negotiations with PAGNY, the organization employing the midwives.

The discussion highlighted the critical role of midwives, particularly those at NCB Jacoby, known for their exceptional service. However, concerns were raised about their compensation, which has not kept pace with city midwives who received raises. Officials urged NYSNA to respond to PAGNY's latest offer, stressing that counter-offers are essential for moving negotiations forward. “The importance is ultimately to agree,” one official stated, underscoring the need for both sides to reach a resolution to avoid further disruptions in midwifery services.

In addition to labor discussions, the hearing also addressed significant funding for flood mitigation projects at various Health and Hospitals (H and H) facilities. A notable $114.5 million capital project at Koller Hospital aims to enhance disaster preparedness, particularly in light of past events like Hurricane Sandy. Officials confirmed that FEMA funds are available, although a specific timeline for project completion remains uncertain.

Further flood mitigation efforts include a $90 million project for a flood wall at Bellevue Hospital and $24.4 million allocated for South Brooklyn Health, with completion expected by the end of 2026. Additional projects are planned for other facilities, including Woodhall and Elmhurst, to address ongoing vulnerabilities.

Lastly, the budget includes a one-time allocation of $3.6 million for mental health services in public schools, a collaboration between H and H, the Department of Health and Mental Hygiene (DOHMH), and the Department of Education (DOE). This initiative aims to provide comprehensive mental health support, including training for teachers to manage classroom challenges effectively.

As negotiations continue and funding projects unfold, the city remains committed to enhancing healthcare services and ensuring the well-being of both healthcare workers and the communities they serve.