In the midst of the constitutional showdown over his pandemic policies, Governor Cuomo made changes to a disputed Brooklyn ‘cluster zone’ that seemed to contradict his own declared guidelines.

The changes rolled back limits on religious gatherings, schools and businesses even though coronavirus metrics remained above the official limits. This seeming attempt to finesse a lawsuit over religious freedom gives credence to the perception that Cuomo enforces his cluster-zone policy arbitrarily.

If the governor was trying to head off an adverse ruling by the Supreme Court, his strategy did not work: In a 5-4 ruling on Thanksgiving eve, the justices struck down the cluster-zone limits on religious gatherings as a violation of the First Amendment’s protection of freedom of worship.

The episode adds to the confusion surrounding the Cuomo administration’s pandemic management as the state heads into the holiday season with a sharply rising infection rate.

The cluster-zone strategy, first announced on Oct. 6, imposes special restrictions on limited areas with especially severe coronavirus outbreaks. The tightest rules apply to “red” zones – including a limit of 10 people at religious gatherings, which was challenged in federal court by the Roman Catholic Diocese of Brooklyn and Agudath Israel, an Orthodox Jewish organization.

According to the guidelines, zones move in and out of the various color levels based on a variety of data points, including most prominently the “positivity rate” – the percentage of tests that come back positive in a seven-day period.

The Brooklyn zone was supposed to stay red until its positivity rate dropped below 3 percent for three consecutive days, and could move from orange to yellow only after its rate dropped below 2 percent for three days.

However, Cuomo switched the zone to orange on Nov. 9, and to yellow on Nov. 18, even though its positivity rate – as reported at the governor’s daily briefings – never dropped below 3 percent (see chart). The governor said the zone “has continued to demonstrate progress” but did not explain why he was disregarding the positivity thresholds.

In the midst of those transitions, on Nov. 12, the religious groups’ appeal arrived at the Supreme Court. On Nov. 19, the state’s solicitor general, Barbara Underwood, notified the court in a letter that the disputed limits on worship had been eased – effectively granting the plaintiffs the relief they had sought.

Given that development, the dissenting justices – including Chief Justice John Roberts – argued that there was no longer a need for the court to intervene. The majority ruled otherwise, noting that the limits they considered unconstitutional might be reinstated at any time so long as the cluster policy remained in place.

With or without the restrictions on worship, it was unclear that the cluster zone policy was working. In the two months it has been in force, the state’s autumn wave has gotten markedly worse. New York’s infection rate remains low compared to the national average, but it has risen more sharply than any other state’s over the past two weeks.

Nor can it be said that the autumn wave is any longer contained to isolated clusters. The statewide positivity rate has risen past 4 percent, and at least 16 entire counties were above the cluster-zone thresholds as of late last month.

Although Cuomo is standing by his strategy, he has acknowledged the worsening trend – and promised additional, yet to be specified measures to monitor and mitigate pressure on hospitals. It remains to be seen if this new approach will be more effective, and more consistently enforced, than what has gone before. 

 

About the Author

Bill Hammond

As the Empire Center’s senior fellow for health policy, Bill Hammond tracks fast-moving developments in New York’s massive health care industry, with a focus on how decisions made in Albany and Washington affect the well-being of patients, providers, taxpayers and the state’s economy.

Read more by Bill Hammond

You may also like

Albany Wavers on Shutting Down a Medicaid Racket

As Washington threatens to crack down on fraud and abuse in New York's Medicaid program, state legislators are doing their best to demonstrate why federal intervention is needed. A Read More

Getting to the Bottom of the 340B Drug Discount Boondoggle

Some of New York's largest and most prosperous hospitals are reporting rapidly growing amounts of revenue from pharmacy sales – most of it apparently flowing from a controversial drug discount program known as 340B. Read More

Ideas for Cleaning Up New York Medicaid

As the Trump administration cracks down on fraud, waste and abuse in Medicaid, New York is a logical place to start. New York spends far more Read More

The Bottom Line of Hochul’s Essential Plan Overhaul

Now that New York has won partial federal approval for overhauling its Essential Plan, it's worth being clear about what the state is doing and why. The is not primarily about "pre Read More

Is Hochul Really Going to Shut Down the Essential Plan?

Governor Hochul is hingeing a big chunk of her budget – and the state's health-care system – on a politically fraught gambit: asking the Trump administration to help cover immigrants. Read More

State Delays Disclosing Emails About $1B Home Health Contract

For a third time the state Health Department has postponed releasing records related to a disputed $1 billion Medicaid contract, saying it needs another six weeks or more to locate and redact the materials in question. Read More

Budget Update Paints Less Alarming Picture of Federal Health Cuts

A new fiscal report from the state Budget Division suggests federal funding cuts will hit New York's health-care budget less severely than officials have previously warned. A relea Read More

Parsing the Impact of Mamdani’s Tax Hike Plans

The front-running candidate for New York City mayor, Zohran Mamdani, has said he can finance his costly campaign promises – including free buses and universal child care – by taxing only a sliver of the city's residents Read More