Healthcare News: What does the Stabilization Fund Audit Mean for the UFT?

The big story: former New York City Comptroller Brad Lander conducted an audit, published just before his leaving office, that revealed billions of dollars from our Health Insurance Stabilization Fund1 were misused by the OLR and the MLC. You can read about it in detail here: TheCity – Lander Audit. Or better yet, read the actual report. Some of us at NAC (but this article should not be seen as an official NAC position) have read through both and have some key takeaways. A few of those takeaways differ in somewhat substantial ways from the opinions that have been circulated in other UFT circles.

As The City reported, “the probe paints a picture of the city and the unions using the fund as a virtual piggy bank, authorizing $4.3 billion from 2001 to 2024 in lump sum payments to the city and to union-administered general welfare funds, including $1 billion to cover the costs of raises, deferred layoffs and other benefits.” However, we should take the language of ‘piggy bank’ with a grain of salt. For one thing, union contracts have oscillated between pay adjustments that barely met cost of living increases to pay adjustments that lagged far behind them. At the same time, our healthcare has diminished in value, with employee-based costs like copays increasing dramatically even as premiums technically stayed flatly at zero. So there is not a question here of unions getting some sort of extra benefit from using funds creatively from the Health Insurance Stabilization Fund on top of an already generous base amount from traditional sources. The question is more why those traditional sources were not really used to fairly compensate workers such that labor representatives felt compelled to act creatively by using, and ultimately misusing, a now insolvent fund that had a specific purpose. 

Both the OLR/MLC argue that the aforementioned uses (i.e.  raises, deferred layoffs and other benefits) were legitimate uses of the fund. But, Lander’s office disagreed. That office additionally named a number of objections over issues with documentation/reporting, not to mention what they saw as insufficient action to try and replenish the fund after it was clearly becoming insolvent. Even if one takes the argument that a different comptroller might have interpreted the fund as being used validly (implicitly suggested by some of those involved), it’s impossible to see past many of the problems outlined in the report. One key here though, which you aren’t seeing in the versions of events being reported by some UFT opposition bloggers, is that the report made both the MLC and OLR look very bad. In some ways, it frankly appears that OLR, an actual office of the City, looks even less good than the MLC in this report, written as it is by another office of the City. But ultimately, in stark contrast to where UFT bloggers normally stand, which is to say so out of the loop that it is difficult to avoid straddling the lines between reporting, interpreting, and speculating, we are instead met with a deluge of data the likes of which we rarely have access. To some extent, then, we will need to read and reread the new information Lander’s former office exported before executing final critical judgements. In the meantime, the report does lead us to ask several questions.

  • Insomuch as many on the ground suggest that Lander’s report was politically motivated, why would a DSA-affiliated politician publish something that could have the effect of harming the unions? Our guess is that was not Lander’s intent. Notably, while Lander mentions that OLR is coming after the MLC to retrieve over three billion dollars in owed monies, he did not take the stance that the MLC owed that, in fact criticizing OLR again and again for their role in the debacle, and admitting that, for instance, former Mayor Adams himself gave up on one of the cost-saving measures (a MAP plan) to which the MLC and the OLR had previously agreed.
    • As an aside to this point, given that OLR sued the MLC to repay billions of dollars in unrealized savings and that one of the MLC’s best legal arguments against paying that money is that it wasn’t their fault the money didn’t go the City, but rather was outside of their hands due especially to the legal cases brought against the City by outside organizations, aren’t some of the demands being made by outside organizations and our own opposition groups, e.g. that a union division should somehow and impractically, officially support the very lawsuits that could be seen as being primarily responsible for preventing the realizations of savings, e.g. through the venue of amicus briefs, dangerous, legally, for the UFT and other MLC unions? Is it possible many in the opposition have been taking bad advice that would harm their members, especially in-service members, by making an arbitrator more likely to side with the OLR over the MLC by using what would look like official support for actions that caused the MLC/OLR deal(s) to implode as evidence that it was the MLC’s fault?
  • If, as Lander’s report suggests, even with MAP and the new in-service health plan we would not meet the agreed-upon savings, what other changes, both neutral and negative, might have been down the pipe?
  • What are the implications of the MLC promising savings which were contingent on major and unpopular healthcare changes that they were unable to execute even as the debt accrued? In addition to the democratic issues here, e.g. promising savings that hinged on, for instance, a MAP plan that unconsulted retirees clearly did not want, for many of those thinking through these issues, this is one of the most guilt-inducing aspects of the report where the MLC is concerned. 
  • Why would the MLC agree to subsidize our contracts again in 2018 when, according to this reading of this audit, it was clear as day that the agreement to subsidize our 2014 contracts was already killing the HISF?
  • What does it say about the style of unionism that MLC-affiliated unions, particularly DC-37 and UFT have, that we are left to salvage, apparently improperly, through a fund we need for specific purposes, just to get minor increments to our pay or no-layoff promises? What does this say particularly in the context of pattern bargaining? What could we do differently and what would that look like? What would it take?

These are just some of the questions we have at this juncture. More to come.

Footnotes:

  1.  The Health Insurance Stabilization Fund (HSF) is critical to how our health insurance is funded. The City is legally required to cover our healthcare up to the HIP HMO rate. Most city employees are/were enrolled in the GHI CBP healthcare plan. In years when the HIP HMO rate was higher than the GHI CBP rate, the City placed the difference into our HISF. In years when the GHI CBP plan was more expensive than the HIP HMO, money was taken from the HISF to pay back the City. This is called equalization. It’s super important because it basically protects us from paying premiums, higher deductibles, higher copays, etc. straight from our paychecks.  At one point, the HISF was flush with cash – billions. We used some of that money to create additional benefits, specifically the PICA program that covers chemotherapy, injectables, etc. However, now the fund is insolvent. ↩︎

Welcome Back 2025: A 20-Year Retrospective and a Strategy to Win

It seems as though a new school year always begins with divided hearts. On one side, the joy of greeting new students, the excitement of a fresh start, and the energy that comes from doing the work we love. On the other, the weight of familiar anxieties — overcrowded classes, endless paperwork, disrespect from management, and the creeping sense that too little has changed. There is much confusion about the source of this malaise afflicting our profession — but its roots are not mysterious.

This year marks a sobering milestone: twenty years since the 2005 contract reshaped teaching in New York City. Many of our newer colleagues may not know what was lost — but every educator today feels its impact.

What Was Taken in 2005?

  • Time: The work week was lengthened by 150 minutes — adding up to more than 120 hours a year taken from teachers and students.

  • Seniority: Transfer rights were abolished, giving principals unchecked control and fueling favoritism.

  • Job Security: When schools closed, educators were left without guaranteed placements — scattering chapters and undermining union cohesion.

  • Grievance Rights: Protections against micromanagement were gutted, leaving teachers vulnerable to harassment.

Why It Matters Today

The conditions newer educators see as “normal” —extended days, principals holding all the cards, colleagues shuffled without security — were not always normal. They were imposed in 2005. That contract set a pattern of concessions we are still living with.

The Aftermath Inside Our Union

The 2005 contract didn’t just hurt our classrooms — it hurt our union. It created bitterness, hard feelings, and deep divisions. Veterans who fought against it felt betrayed. Newer members grew up in a union where lowered expectations became the norm. And when schools closed, whole chapters were broken apart, scattering members and weakening solidarity at the very point where unity was most needed. That fracture has weakened us for twenty years. The only way to heal it is to fight together — not just to restore what was lost, but to improve on it.

Have There Been Gains Since?

Yes. Through bargaining and pressure, the union has fought to win back pieces of what was lost — modest changes to transfer rules, small adjustments to the workday. But these steps have been partial and incomplete. Two decades later, we are still far from the protections and respect teachers had before 2005.

What We Need Now

New Action’s platform is clear:

  • Restore the time that was stolen from teachers and students.

  • Rebuild seniority rights and fair transfer protections.

  • Win back strong, enforceable grievance rights with broader scope — giving teachers real tools to fight back against abusive administrators.

The Path Forward

Contracts are not just pieces of paper. They reflect the balance of power between management and labor. In 2005, we lost ground. Since then, we’ve clawed back only pieces. In 2025, we must demand more — and win it back fully.

As we start this school year, let’s be clear with ourselves and each other: twenty years is too long to wait. It’s time to take back what was stolen, heal the divisions of the past, and fight forward together. If we get organized, there is no ceiling on what we can achieve. The sky is the limit when educators stand together with clarity and determination. Together, through our chapters, we can build the power to win back our profession. Join New Action in this work — to rectify these outstanding problems and to build a stronger, more democratic union that can finally deliver the schools our students and educators deserve.

Some Initial Thoughts and Questions About the New Healthcare Proposal

UFT members received an email on August 28th alerting us to the fact that a tentative agreement has been reached with EmblemHealth/UnitedHealthcare to replace GHI-CBP, which covers about 730,000 participants when factoring in “active city workers, pre-65 retirees, and dependents.” This is obviously a matter of tremendous importance for many of us, as well as our families. 

In this document, we attempt to look at what is currently known about the proposal as even handedly as possible, and within the context of the larger healthcare agreements from which this proposal stems. As we’ll see, many aspects of the proposal look very good. For example, it seems as though there will be expanded access to healthcare providers outside of NYC for UFT and city employees who live further out. Still, other questions remain unresolved or are answered ambiguously in the FAQs.  Without delving into history, it’s a fact that we owe hundreds of millions of dollars in healthcare savings to the City. Those promised savings are going to color how many of us see this plan. Many of us, understandably, will have at least some skepticism. Indeed, some of our first questions, are not answered by the FAQ:

  1. What percentage of the promised savings are met through this agreement?
    1. How are those savings met and to what extent (if any) is that done by reducing quality/quantity of care? To what extent (if any) are the savings met by setting the conditions for potential reductions of quality/quantity of care down the line?
  2. What savings, if any, still need to be met to be in compliance?
    1. If the answer to the aforementioned question is anything more than 0, what does that mean for how care might change down the line?

So in addition to the obvious questions…

  1. Based on what we know, what is good about the plan?
  2. Based on what we know, what is not so good about the plan?
  3. What don’t we know about the plan that is either good or bad?

…without more information relating to questions 1 and 2, it is impossible to understand whether the new healthcare plan is the only healthcare news we’ll see over the next few months and years or whether new surprises might later transpire. Interestingly, we see some hints of that potential news in the FAQ, which can be accessed by clicking on the link at  the bottom of the August 28th email. So, without further ado, after reading the FAQ section (screenshots below), and without being accusatory, we have some thoughts and questions about the new healthcare proposal:

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The possibility of tiered hospitals in the future should scare everybody. That would mean that the “better” hospitals would charge higher co-pays, forcing us and our families to go to mid-tier (which would still charge co-pays) or lower-tier (little or no co-pays) hospitals. Besides the obvious disadvantage of not getting the best treatment available, there is also the distinct possibility that the nearest hospital to your home is the one who will charge you an arm and a leg for medical care, should tiered hospitals be implemented down the line.

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“We don’t really know if your current doctors will be part of the new city health plan. You should ask them… but they may not know either since they’re not aware of the NYCE PPO.” Perhaps everyone’s doctors will be in-network but this answer leaves a lot to be desired.

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This doesn’t sound terrible, but we would like to know what 2% of prescriptions currently filled by pre-Medicare retirees will have to be changed to an alternative. Same goes for the 1% of prescriptions that are currently mandated by the ACA and NYS law. 

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The words “not changing at this time” are never comforting, especially when it comes to cancer treatment and injectables. 

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This is a carefully worded, soft-pedaled definition of prior authorization. What is not mentioned here is the fact that health insurance companies hold our collective fate in the palm of their hand. They can choose to delay or deny procedures on a whim because they profit heavily from doing so (procedures cost them money – if they authorize fewer procedures, they make more money). 

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We would like some clarification on this. The information is technically not incorrect (i.e. GHI CBP requires prior authorizations for MRIs), but we would like to know, specifically, which procedures and services currently require prior authorizations under GHI CBP, and which procedures and services will require prior authorizations under the proposed NYCE PPO plan. 

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This sounds like a bunch of gobbledygook. There are no specific timelines given for approvals, denials, or appeals. Right off the bat, it says “The providers would regularly monitor how decisions are made, how quickly the approval process happens, how often care is approved and how well it supports your health care needs.” These are the same providers who make money by delaying and denying treatment.

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This sounds like our plan can be altered at any time if the healthcare providers and city aren’t happy with the arrangement. The MLC will be there but a) They’re outnumbered, b) We’ve been stung by them before – will they really defend us from catastrophic changes?, and c) Who would be the arbitrator? We consistently lose arbitration decisions. Currently, the most infamous arbitrator is a power player who has tried to diminish our health insurance for years and has been consistently unfriendly to us.

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Which procedures, specifically, will receive fewer denials? There is no wording here that explains which procedures may be denied more frequently under the new plan. Will denials be down all across the board, or will there be an increase in denials in certain areas? 

As you can see, although there are some benefits in the new healthcare plan, there are many questions and concerns that have not yet been thoroughly addressed. Hopefully, in the coming weeks, we will get some more clarification. This impacts the vast majority of UFT members and city workers. We need to pay attention and we cannot be afraid to ask questions and voice our thoughts. There can be no ambiguity when it comes to health coverage that protects us and our families.


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