The New York State Assembly held a public hearing on October 17, 2024, to discuss the Expanded In-Home Services for the Elderly Program (EISEP), focusing on the challenges faced by vulnerable populations, particularly LGBTQ+ older adults and those living with HIV. The meeting featured testimonies from various advocates and stakeholders who highlighted the urgent need for increased funding and support for these essential services.

The hearing began with a discussion on the societal perception of aging and disability. Advocates emphasized that older adults often lose value in society once they require assistive devices or services, which leads to systemic inequities. They argued that despite budget constraints, there are funds available that could address the growing waiting lists for EISEP services. The need for a collective effort to advocate for equity in care was a recurring theme.

Brian Cook, Director of Government Relations at Sage, presented critical feedback from the LGBTQ+ community, stressing that many older adults in this demographic lack family support and rely heavily on social services. He pointed out that funding shortages have led to extended waiting lists for EISEP, disproportionately affecting LGBTQ+ older adults who already face social isolation and health disparities. Cook shared a poignant story of an older adult living with HIV whose care hours were drastically reduced due to funding cuts, forcing them into difficult choices regarding their care.

Marcela Goheen, founder of Essential Care Visitor, also testified about her personal experiences as a caregiver. She recounted the struggles she faced while caring for her husband in a long-term care facility, emphasizing the emotional toll and financial burden of inadequate support systems. Goheen called for better awareness of programs like EISEP, which could have provided the necessary assistance to help her husband remain at home, thus preserving their quality of life together.

The assembly members acknowledged the emotional weight of the testimonies and the systemic failures that have led to caregiver stress and inadequate support for aging individuals. They expressed a commitment to addressing these issues and improving the EISEP program to better serve New York's elderly population.

In conclusion, the hearing underscored the critical need for increased funding and resources for EISEP, particularly for marginalized groups. The testimonies highlighted the real-life implications of funding shortages and the importance of creating a more equitable and supportive system for older adults in New York State. The assembly members pledged to take the insights gathered from the hearing into consideration as they work towards reforming the program and ensuring that all elderly individuals receive the care and dignity they deserve.