New York State Association of Counties

Medicaid and Human Services

New York’s 57 counties and New York City help administer the state’s Medicaid program through local Departments of Social Services which help determine eligibility for Medicaid, assist clients in finding health insurance and other social services for which they may qualify.

The counties and City also are required to spend $7.6 billion annually to pay for the state Medicaid program. The counties’ contribution to pay for the state’s Medicaid program is the largest of its kind in the nation and estimated to be larger than all other counties in the country combined are mandated to pay for a state designed and controlled Medicaid program. In addition, counties and New York City provide hundreds of millions more annually in voluntary payments to support publicly owned and operated health facilities.

Protect NY From Federal Medicaid Cuts

Toolkit

Stand Up for NY

Billions of dollars in cuts to Medicaid and SNAP are being considered in Washington. Learn how you can join our fight to protect New York's local governments.

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Latest Medicaid & Human Services News and Resources

House Budget Cuts Billions in Funding to New York
Read our summary of the final provisions in the House Budget Reconciliation bill, which passed the House on Thursday, May 22nd.

By New York State Association of Counties - May 22, 2025
- Medicaid
- Federal Advocacy
New York County Leaders Urge Congressional Delegation to Reject Devastating Cuts to Medicaid and SNAP in House Budget Bill
Counties call on Congress to reject proposed budget that would strip vital healthcare coverage and food assistance from more than 2 million New Yorkers.

By New York State Association of Counties - May 21, 2025
Billions on the Line: What NY County Officials Should Know About House Medicaid & SNAP Cuts
Our latest federal budget reconciliation update details the proposed changes to Medicaid, SNAP and federal taxes contained in the House's budget package.

By New York State Association of Counties - May 16, 2025
NYSAC Warns of Devastating Consequences from Proposed Federal Medicaid Cuts
NYSAC is sounding the alarm over proposed federal Medicaid cuts that could devastate New York’s healthcare system, threaten health coverage for millions of residents, and strain county governments already operating under significant fiscal pressure.

By New York State Association of Counties - May 06, 2025
- Press Releases
- Medicaid
What Federal Medicaid Cuts Could Mean for Counties
Our latest blog post examines the potential county impact of cuts and reforms to the Medicaid program that are being considered by Congress.

By New York State Association of Counties - Apr 23, 2025

Looking for the latest action from the NYSAC Medicaid & Human Services Standing Committee? Visit our NYSAC Resolutions page!

Resolutions

NYSAC Medicaid & Human Services Standing Committee

NYSAC Resolutions

Contact Us

New York State Association of Counties
515 Broadway, Suite 402
Albany, NY 12207
Phone: (518) 465-1473
Fax: (518) 465-0506

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