Medicaid & Human Services
This SFY 2021 Executive State Budget proposal includes three separate initiatives, referred to collectively as “Medicaid Local District Spending Reforms” that would impact the Medicaid local share county taxpayers pay in support of the state Medicaid program.
- Cap eFMAP Federal Fiscal Benefits to Counties — Caps the amount of federal savings for counties and New York City from the Affordable Care Act. As proposed, the savings would be transferred to the benefit of the state financial plan.
- Require Counties and NYC to adhere to the 2% Property Tax Cap or lose the savings from the state-funded local Medicaid growth cap.
- Adhere to a Local Share Medicaid Costs Increase of No More than 3% — If a county’s local share and associated savings exceeds 3% in any given year, the county is required to refund any excess benefit over 3% back to the state.
NYSAC Position
Counties oppose efforts to alter the local Medicaid cost control caps that have helped counties stay under the tax cap and provide services locally. We urge the removal of Part R of the Health and Mental Hygiene Article VII language from the Final Budget, and the accompanying $150 million cost shift to county taxpayers. Counties are working with the MRT to address what is under local control and recommend solutions that are under state control.
Federal Response to Coronavirus
Under the leadership of Senator Charles Schumer and the New York Congressional Delegation, the House recently passed a federal aid package that increases federal Medicaid funds, called eFMAP. New York State will receive billions of dollars in new federal Medicaid funding from this proposal and counties will receive hundreds of millions of dollars. These funds will bolster the state and counties during this critical time.
We need your help to support our federal and state leaders as they complete their work on the federal bill and budget this week.
Model Relesae and Tweets for County Leaders - 3/15/2020
Federal "Families First Coronavirus Response Act" Factsheet - 3/15/2020
HR6201 Families First Coronavirus Response Act - Talking Points - 3/19/2020
Model Relesae and Tweets for County Leaders - 3/15/2020
Federal "Families First Coronavirus Response Act" Factsheet - 3/15/2020
HR6201 Families First Coronavirus Response Act - Talking Points - 3/19/2020
Medicaid Redesign Team (MRT)II
MRT II Executive Summary of Proposals
MRT II Scorecard
The Future of Medicaid Spending Report
The Future of Medicaid Spending: State Budget Proposals Will Cost Counties
Medicaid "Keep the Cap" Advocacy Toolkit
Preserving the Medicaid Cap Factsheet --2/24/2020
Historical Overview and Timeline --2/25/2020
Medicaid Talking Points -- 2/28/2020
KeeptheCap Palm Card
Letter to Legislators
Resolution
#KeeptheCap Fiscal Impact Calculator
Key State Lawmakers for Medicaid Advocacy
Template Email to Constituents
eFMAP Intercept Press Release Template
Local Government Medicaid Briefing
NYSAC Medicaid Budget Update Presentation
Webinar on Current Federal and State Medicaid Proposals
Medicaid Proposals: Federal and State Updates -- 2/19/2020
County Recommendations to the MRT
Preserving the Local Medicaid Cap: Top 5 Must-Read Articles
NYSAC Sees Big Cost Spike for Taxpayers in Proposed Medicaid Budget
Politico, March 10, 2020
Meet the Company Reaping Big Bucks From N.Y.s Budget Busting Medicaid Surge
The City, Feb 24, 2020
Cuomo administration budget amendments detail local share Medicaid changes
Politico PRO, Feb 21, 2020
What Cuomo’s 2021 proposed Medicaid cost-shift on localities could mean
City & State, Feb 12, 2020
Cuomo’s Bad Medicine on Medicaid
New York Times Editorial, January 31, 2020
What Others are Saying
Board of Supervisors Calls on State Leaders to Keep Zero Percent Medicaid Growth Cap
Livingston County Press Release, March 11, 2020
The Governor and the $6 Billion Budget Gap
New York Times, March 10, 2020
County Executive Pat Ryan Meets with State Legislators About Proposed Medicaid Changes
Ulster County Press Release, March 10, 2020
Public Comment Submitted to the Medicaid Redesign Team II
Citizens Budget Commission, March 2, 2020
Counties urge rejection of Medicaid changes in wake of revenue forecast
Politco PRO, March 2, 2020
Stead addresses ‘State of the County’
The Leader-Herald, Feb 29, 2020
Keep the Cap?
Ithaca Times, Feb 28, 2020
Clergy Call on NY Gov Cuomo to Rethink Plan to Shift Medicaid Costs to City
New York Daily News, Feb 28, 2020
Editorial: The Medicaid budget shortfall in 2021
The Long Island Advance, Feb 27, 2020
Counties Medicaid Role Dwindles
NY Torch, Feb 27, 2020
Recommendations for Legislative Action on the FY2021 NYS Executive Budget: A Letter to the Legislature
Citizens Budget Commission, Feb 24, 2020
State, counties spar over rising Medicaid costs
Times Herald-Record, Feb 22, 2020
How soaring enrollment, big spending, waste, fraud are boosting NY Medicaid costs
Syracuse.com, Feb 21, 2020
Report identifies $3 billion in Medicaid savings
Empire Center, Feb 21, 2020
EDITORIAL: Medicaid shift is no solution
The Daily Gazette, Feb 15, 2020
An Alternate Perspective on the 2020-21 Budget
Medicaid Matters NY, Feb 14, 2020
Counties say Cuomo Medicaid plan could hit localities harder than first estimated
Buffalo News, Feb 14, 2020
DiNapoli Report: Unknowns In State Budget
NY State of Politics, Feb 14, 2020
Madison County's Chairman Becker on #KeeptheCap
Madison County, Feb 14, 2020
Recapping the first Medicaid Redesign Team meeting
WCNY, Feb 13, 2020
Here’s one piece of New York’s soaring Medicaid costs puzzle
NY Post Editorial Board, Feb 12, 2020
Governor’s proposed Medicaid funding changes would be financially ‘devastating,” says Putnam executive
Mid Hudson News, Feb 12, 2020
Cuomo must solve his Medicaid mess, not dump it on local governments, taxpayers
NY Post Editorial Board, Feb 11, 2020
Protest disrupts first meeting of Cuomo's Medicaid savings panel
Times Union, Feb 11, 2020
De Blasio rips Cuomo’s Medicaid proposal as N.Y. faces $6 billion funding gap
New York Daily News, Feb 10, 2020
County lawmakers expected to ask Cuomo to reconsider Medicaid proposal
Olean Times Herald, Feb 8, 2020
Lawmakers plan to engage Cuomo’s Medicaid panel, Senate leader says
New York NOW, February 7, 2020
Lawmakers plan to engage Cuomo’s Medicaid panel, Senate leader says
Times Union, February 7, 2020
Teachers’ union boss Mike Mulgrew launches campaign against Cuomo Medicaid plan
New York Post, February 7, 2020
Lawmakers Plan to Engage Cuomo's Medicaid Panel, Senate Leader Says
New York Now, February 7, 2020
Adding Pressure On Local Governments Will Continue To Hurt Middle-Class Families
Capitol News from the Assembly Minority Conference, February 7, 2020
Cuomo's Two-Pronged Medicaid ApproacBlame Cuomo for this budget deficit: It’s his gimmicks that brought us to this point
New York Daily News, February 7, 2020
Cuomo's Two-Pronged Medicaid Approach
NY State of Politics, February 7, 2020
County Officials unclear about governor’s Medicaid plans
Observer Today, February 4, 2020
Fact-checking Mujica’s op-ed
Empire Center, February 4, 2020
Our Medicaid fix makes sense: New York State’s budget director defends Gov. Cuomo’s plans
New York Daily News, February 4, 2020
Cuomo budget director defends Medicaid plan, accuses NYC of engaging in ‘scare tactics’
New York Daily News, February 4, 2020
NYC, New York state fight over who controls Medicaid program
New York Post, February 4, 2020
Confusion and Tension Over Budget Gap and Cuomo’s Proposed Medicaid Changes
City Limits, January 31, 2020
Erie Co. Exec. on Medicaid spending and Bills stadium
WCNY, January 31, 2020
Westchester Frets Budget Impact Of Medicaid Plan
NY State of Politics, January 31, 2020
Fiscal Watchdog Supports County Position on Medicaid Costs
Livingston County Press Release, January 30, 2020
Lawmakers grill health officials on MRT, local share of Medicaid
Politico Pro, January 29, 2020
Cuomo officials face heat over Medicaid woes
Associated Press, January 29, 2020
Lawmakers push back against Cuomo Medicaid deficit reduction ideas
Buffalo News, January 29, 2020
NY Medicaid hearing yields few answers for savings
Times Union, January 29, 2020
'Nothing more than political theater’: Lawmakers raise doubts about Cuomo’s $6 billion Medicaid budget gap
NY Daily News, January 29, 2020
New York City Says It Could Pay an Extra $1.1 Billion in Medicaid
Wall Street Journal, January 29, 2020
NYC might have to pay an extra $1.1B in annual Medicaid costs
New York Post, January 29, 2020
City Hall: Cuomo's Medicaid plan could cost the city $1.1B
Politico, January 29, 2020
DiNapoli tells counties rising Medicaid costs aren't fault of localities
Politico, January 27, 2020
Cuomo aims to cut Medicaid growth; some see threat to local taxes
Newsday, January 26, 2020
The Medicaid muddle: Cuomo's budget proposal creates worry and confusion
Buffalo News, January 25, 2020
DiNapoli audits of Medicaid program find millions in savings that could help offset $6 billion budget gap
NY Daily News, January 17, 2020
County leaders baffled and worried over Cuomo's Medicaid comments
Buffalo News, January 12, 2020
Save New York's broken Medicaid program
Newsday, December 7, 2019
Still a Poor Way to Pay for Medicaid
Citizens Budget Commission, October 1, 2018
NYSAC White Papers and Reports
- State Takeover of Local Medicaid Costs - Fact Sheet, 2018 Budget Priority