Medicaid

Our 2026 Legislative Session Summary report highlights selected bills that passed both the Senate and Assembly in 2026 and may directly or indirectly impact counties if enacted. Each entry includes the bill number (linked to the bill text), a summary, and the bill’s current status:

NYSAC's initial analysis of the final One Big Beautiful Bill Act's provisions and possible impact on New York. 

The U.S. Senate passed its version of the federal budget reconciliation bill. We look at what it means for counties. 

Our annual Legislative Session Summary report detailing those bills that may have an impact on county government operations.

Read our summary of the final provisions in the House Budget Reconciliation bill, which passed the House on Thursday, May 22nd. 

Counties call on Congress to reject proposed budget that would strip vital healthcare coverage and food assistance from more than 2 million New Yorkers.

Our latest federal budget reconciliation update details the proposed changes to Medicaid, SNAP and federal taxes contained in the House's budget package.

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.

Our latest blog post examines the potential county impact of cuts and reforms to the Medicaid program that are being considered by Congress.