The Democratic governor’s announcement came weeks after he said on Jan. 12 that New York would accept new federal guidance to expand vaccine access to younger people with certain health problems, including those with weakened immune systems.

The governor’s announcement came a day after The Associated Press reported at least 13 states have opened eligibility to some people under age 65 with certain health conditions.

It was welcome news for 61-year-old Martin Cohen, a Yonkers resident who has multiple sclerosis and hopes to get vaccinated soon.

“I think it’s great, it’s about time,” he said. “This is exciting, the governor did the right thing.”

Still, it was unclear Friday how people will prove they have an eligible condition, when they can start signing up or how many people in New York will become eligible. Local governments — tasked by Cuomo with vaccinating people with health conditions — are hoping for clear state guidance, more doses and state assistance for rural counties with bare-bones public health departments.

“As the state makes more and more individuals eligible, it’s creating more and more confusion,” New York State Association of Counties Executive Director Stephen Acquario said.

At least 7 million people are already eligible — a figure that includes individuals over the age of 65, nursing home residents and staff and about 1.5 million health workers. It excludes hundreds of thousands of restaurant workers and for-hire drivers Cuomo said this week could be eligible if counties want to.

Cuomo has previously warned that opening up eligibility to people with comorbidities could add another 5 million people.

Cuomo said the state will provide more supply for people with comorbidities by reallocating remaining doses set aside for hospital workers. He said about three-fourths of hospital workers have received a first dose, and that hospitals have one more week to get more staff vaccinated before reallocation begins.

New York is set to receive 320,500 doses through Saturday, and Cuomo touts a promised 20% increase in shipments in coming weeks.

Still, neither increase will be enough to vaccinate everyone eligible anytime soon.

New York has used about 2 of 3.3 million doses received so far, according to the U.S. Centers for Disease Control and Prevention.

When asked about the delay, the Democrat has said it’s been tough to decide what types of conditions should push someone nearer to the top of the vaccine priority list.

Public health experts have called for more clear and uniform federal guidance on at-risk conditions, which states get to define themselves.

The CDC has provided a list of conditions that have the “strongest and most consistent evidence” of increased risk of severe illness from COVID-19.

Those include cancer, chronic kidney disease, chronic obstructive pulmonary disease, Type 2 diabetes, severe obesity, obesity, certain heart conditions, sickle cell disease, pregnancy and having a weakened immune system from a solid organ transplant.

New York’s includes all but one of the conditions on that CDC list: smoking. That’s unlike a few states, including New Jersey.

Still, New York’s list is more expansive than other states. It includes cancer that’s current or in remission, as well as people with intellectual and developmental disabilities including Down Syndrome.

People with Type 1 diabetes, liver disease and neurologic conditions, and people with immune systems weakened by HIV and immune deficiencies are also eligible. There’s consistent but limited research on whether those conditions put people at higher risk, according to CDC.

And New York’s list includes asthma, hypertension, cerebrovascular disease or use of immunosuppressive medications. Similar research on whether those conditions are high-risk has been inconclusive.

The state’s list also offers a broad definition for some eligible conditions: it includes people with heart conditions “including but not limited to” heart failure or hypertension, and people with pulmonary disease “including but not limited to” moderate-to-severe asthma.

Cuomo aide Melissa DeRosa said the state could tweak the list.

Cuomo has said New York can’t wait to reopen its economy until everyone is vaccinated, and has instead lifted many COVID-19 economic restrictions as new cases drop following a winter surge.

Still even as cases drop, New York reports more cases, hospitalizations and deaths than most other states: including over 62,000 new cases and 1,000 deaths in the last seven days.

Also Friday, a judge temporarily lifted the state’s 10 p.m. curfew for 91 restaurants and bars in western New York, enabling them to stay open for Super Bowl business Sunday and beyond while their case moves through court. Cuomo’s administration is reviewing the decision.

Acting State Supreme Court Justice Timothy Walker granted a temporary restraining order, saying the businesses challenging the curfew had “demonstrated a reasonable likelihood of success” in showing it will cause irreparable harm.

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