The emotional impact of the role-play experience, both on those who participate and on the others who observe, can be overwhelming, and patients at Sunrise -- who range from upper-middle-class executives to young mothers there under the mandate of state social services -- approach the Thursday afternoon rituals with apprehension.
And the brokers themselves must confront the risk of sanctions from the Financial Services Agency for poor compliance and the loss of mandates on state-run deals.
The feds have imposed a variety of costly mandates on states, in the form of study requirements and project labor agreements.
They also mandate disclosure of state legislative campaign expenses, a ban on using campaign funds for personal use, disclosure of Super PAC spending in campaigns and potential criminal referral for ethics complaints.
The impact of epidemic spread of TB across state or jurisdictional boundaries and the necessity for interjurisdictional public health collaboration are not always fully accepted or appreciated, due in large part to the constitutionally mandated independence of state governments for public health practice.
The mayor, who was not even consulted by the governor, immediately denounced the commission, calling it a "cruel hoax," and saying it did nothing to meet the mandate of the state's highest court: that the state come up with an adequate plan to provide New York City's schoolchildren with a meaningful education, rather than an eighth-grade one.
In a statement, Mr. Bloomberg said the commission "does nothing to meet the mandate of the state's highest court, that the state come up with an adequate plan to provide New York City's schoolchildren with a meaningful, rather than an eighth-grade education".
The program mandates the preparation of state, district, and village action plans.
This conflicts with the mandate of the state's highest court that in its zoning every municipality must provide its share of the housing need of the region.
New York, though, despite 12 years of litigation and great patience and restraint from the judiciary, has failed to respond to a direct mandate of the state's highest court.
