Health Insurance and HealthCare Reform - Local and Federal Perspective

Find Health Insurance For your Small Business and Learn about the Effects of the Affordable Care Act on NYC Small Businesses

  • In 2009, the Office of Citywide Health Insurance Access (OCHIA), part of the NYC Human Resources Administration, launched and continues to manage the interactive website, New York City Health Insurance Link, to help New Yorkers with these difficult issues. The site is designed to educate New Yorkers about basic health insurance including consumer protections, a glossary of terms and how to choose a plan that is best for their business. A major benefit of the site is that it allows the user to actually compare private insurance plans offered by every insurance carrier in NYC side-by-side in one convenient section of the site. All information on the site is continuously updated and is presented on an impartial basis.
  • The site added a comprehensive section on health reform once the ACA was passed into law in March, 2010. Some reforms have already been put in place and others will happen between now and 2014.  Users have access to on-going news alerts on the home page whenever new health reform information is announced.
  • Since the Supreme Court ruling on the Affordable Care Act on June 28th, it is essential that small businesses in NYC understand how reforms will affect them. If they currently offer health insurance to their employees, businesses should familiarize themselves with potential changes to their current plans.
  • For small business owners who are considering offering health insurance in future to their employees, they can review plans that meet their needs and budgets in order to make prudent decisions and choices. All small businesses can review ways to make health insurance more affordable to their employees by pairing different types of insurance options.

Don’t miss this informative presentation – learn about the New York City Health Insurance Link,, how to best use and navigate it whether you are currently a small business owner, a sole proprietor who wants to expand, a young adult or are unemployed.

Speaker Info


Stana Nakhle - Director, Health Insurance Initiatives, NYC Human Resources Administration's Office of Citywide Health Insurance Access

Stana Nakhle is the Director of Private Health Insurance Initiatives at the New York City Human Resources Administration's Office of Citywide Health Insurance Access (OCHIA) which works to expand access to public and private health insurance coverage for New York City residents and small businesses.  Ms. Nakhle oversees OCHIA’s efforts to promote more affordable health insurance coverage for small businesses and working individuals.  Primarily, Ms. Nakhle oversees the management, development and promotion of NYC Health Insurance Link (NY HI Link),, a web tool that allows small business owners, freelancers and other residents to learn about health insurance, compare costs and benefits of a range of private health insurance plans side-by-side, find tips on ways to make coverage more affordable, and stay updated on developments relating to health care reform – all in one convenient location.

 Prior to becoming the Director of Private Health Insurance Initiatives, Ms. Nakhle gained knowledge and expertise with private health insurance issues as a member of the OCHIA team responsible for the initial development of NYC HI Link and her work analyzing private health insurance market trends and monitoring progress towards achieving Mayor Bloomberg’s agenda for private health insurance enrollment of New York City residents.  Before joining OCHIA in 2006, Ms. Nakhle worked in the office of Senator Charles Schumer (D-NY) under the leadership of its Director of Immigration to facilitate communications between various governmental agencies and Senator Schumer’s constituents.

Born and raised in Slovakia, Ms. Nakhle worked and traveled broadly before earning a Bachelor of Arts in Social Science from the University of Bridgeport and a Master of International Affairs from Columbia University.  Ms. Nakhle received recognition as a member of the development team for NYC HI Link through receipt of the NYC Excellence in Technology Award for Best Application Serving the Public in 2009.  She is fluent in Slovak, Arabic and Russian.

Jorge Silva-Puras - Regional Administrator, U.S. Small Business Administration

Jorge Silva-Puras is the Regional Administrator for Region II at the U.S. Small Business Administration.  The Region is headquartered in New York City, is  responsible for SBA’s programs and services in New York, New Jersey, Puerto Rico and the U.S. Virgin Islands, with approximately 2.7 million small businesses, and a portfolio of SBA guaranteed loans of over $6.1billion.

Before joining the SBA, Silva-Puras served as Chief of Staff to the Governor of the Commonwealth of Puerto Rico.  He also held senior positions at the Commonwealth, including Secretary of Economic Development & Commerce, Executive Director of the Puerto Rico Industrial Development Company (PRIDCO) and President of the Economic Development Bank for Puerto Rico.  

During his tenure, Silva-Puras became known for, and was instrumental in, leading efforts to promote more efficient and effective government, most notably by leading the transformation of PRIDCO (a subsidized state-owned corporation with $871 million in assets and over 24 million sq.ft. of industrial real estate), into an improved and financially self-sufficient industrial promotion company, while reducing its workforce by over 45%.  Due in part to the successful PRIDCO transformation, in 2006 the Governor promoted him to be his Chief of Staff, where he implemented similar efforts across other Commonwealth agencies, including the Tourism Company, the Commerce & Trade Company and several others. As Chief of Staff he had responsibility over a $9.5billion budget and close to 200,000 employees.

Previous to his government roles, he spent thirteen years in the private sector. Nine years in brand management with The Procter & Gamble Company, first at its corporate headquarters in Cincinnati, and later at P&G’s San Juan office, where he managed marketing efforts for the US Hispanic and Caribbean regions.  He also has experience in banking and finance, having served as the VP/Portfolio Manager for the Citibank credit card business in Puerto Rico.  He also practiced law for three years at the commercial litigation division of the O’Neill & Borges Law Firm.

Mr. Silva-Puras has served as Chairman of the Board of Directors of the Puerto Rico Industrial Development Company, the Puerto Rico Tourism Company, the Puerto Rico Commerce and Trade Company and the Puerto Rico Science and Technology Trust, among others. He also served as member of the Board of Directors of the Government Development Bank and the Economic Development Bank for Puerto Rico. 

He received his BA degree from Yale University, JD from the University of Puerto Rico and MBA in International Management & Finance from the University of Texas at Austin and the Copenhagen Business School.  He is married to Ana M. Carrión-Silva and has four children.

Jaime Torres, DPM, MS - Regional Director, U.S. Department of Health & Human Services, New York Regional Office

Jaime R. Torres, DPM, MS, was named Regional Director of the New York Regional Office for the U.S. Department of Health & Human Services (HHS) by Secretary Kathleen Sebelius on April 6, 2010.

As an HHS regional director, Dr, Torres serves as a key representative to Secretary Sebelius throughout New Jersey, New York, Puerto Rico and the U.S.Virgin Islands in working with federal, state, local and tribal officials on a wide range of health and social service issues.

He will play a vital role in HHS’s effort to effectively implement the Patient Protection and Affordable Care Act by protecting the health of all Americans and providing essential human services.

Previously, Dr.Torres was Associate Director of Consultative Services at Coler-Goldwater Specialty Hospital, part of New York City’s Health and Hospitals Corporation - the nation’s largest public hospital system.

He is the founder and President of Latinos for National Health Insurance, a national coalition working for equality in healthcare.

Dr.Torres is also on the Board of Directors of the National Hispanic Council on Aging and served on the Advisory Board of the National Hispanic Medical Association (NHMA) from 2000-2006. 

For eight years he represented the NHMA in the National Diabetes Education Program (NDEP), which is sponsored by the National Institutes of Health and the Centers for Disease Control and Prevention.  As vice-chair of NDEP’s Hispanic/Latino Work Group, he was instrumental in creating bilingual health campaigns for people with diabetes.

In 2006, he served as a spokesman for the American Podiatric Medical Association’s campaign “Descubras sus pies” (Discover Your Feet), which educated the Latino community on how to prevent foot ailments related to diabetes.

Dr. Torres earned his Doctorate of Podiatric Medicine from the New York College of Podiatric Medicine, and a master’s degree in Community Health from Long Island University.

Seminar Details

  • Seminar Title: Health Insurance and HealthCare Reform - Local and Federal Perspective
  • Location: Room #9 - Best Business Practices
  • Time: 11:30 AM to 12:45 PM

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