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

Medicaid Redesign Team (MRT)II

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

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Medicaid & Human Services

NYSAC Position

Federal Response to Coronavirus

Medicaid Redesign Team (MRT)II

The Future of Medicaid Spending Report

Medicaid "Keep the Cap" Advocacy Toolkit

Local Government Medicaid Briefing

Webinar on Current Federal and State Medicaid Proposals

County Recommendations to the MRT

Preserving the Local Medicaid Cap: Top 5 Must-Read Articles

What Others are Saying

NYSAC White Papers and Reports