Lance's Corner

Governor Hochul Outlines Health Care Consequences of Federal Budget Cuts

Jun 2, 2025

Per the notice below, Governor Hochul outlines the health care consequences for New York from the proposed federal budget legislation.

Governor Hochul and House Democratic Leader Hakeem Jeffries Warn of Detrimental Impacts of President Trump’s One Big Ugly Bill

Republican-Passed Bill Would Gut New York’s Healthcare System

Estimated Loss of $13.5 Billion Every Year, Devastating Our Healthcare System

1.5 Million New Yorkers To Lose Healthcare Coverage and Become Uninsured; Over $3 Billion in Losses for New York’s Hospitals

View Visualization of Impacts by Congressional District

View Detailed Analysis Here

Governor Kathy Hochul today was joined by the Democratic Leader of the U.S. House of Representatives Congressman Hakeem Jeffries and leaders in the health care and labor sectors to sound the alarm on the detrimental effects of several healthcare provisions already passed by the House of Representatives in the Republican budget reconciliation bill.  These provisions collectively amount to an annual loss of nearly $13.5 billion for New Yorkers and our healthcare sector, jeopardizing healthcare access for millions of New Yorkers and threatening the state’s hospitals and healthcare providers.

“Republicans in Washington have made it abundantly clear that they are determined to dismantle the social safety net that millions of New Yorkers rely on to secure their basic necessities,” Governor Hochul said.  “They are specifically targeting essential and life-saving programs such as Medicaid and food stamps with the consequence that everyday Americans will bear the brunt of this attack.  I am committed to utilizing litigation and other appropriate tools to safeguard and protect New Yorkers.”

Audio Photos

House Democratic Leader Hakeem Jeffries said, “It was an honor to join Governor Kathy Hochul at Interfaith Medical Center in Central Brooklyn today, and I am thankful for her leadership, strength and presence on behalf of the people of New York.  Across our great state, millions rely on Medicaid for life-saving and life-sustaining healthcare.  Under Trump’s One Big Ugly Bill, 1.5 million New Yorkers would lose their insurance as part of a toxic scheme to enact massive tax cuts for billionaires like Elon Musk.  Nursing homes will close, hospitals will shut down and Community Health Centers will lose funding.  House Republicans from New York were nothing more than a rubber stamp for Trump’s reckless and extreme agenda, voting to strip healthcare from their constituents.  We must keep the pressure on and continue to use every tool at our disposal to ensure that the One Big Ugly Bill is buried deep in the ground, never to rise again.”

New York State Health Commissioner Dr. James McDonald said, “Governor Hochul’s strong leadership and unwavering commitment to keeping New Yorkers safe and healthy is needed more than ever in the wake of these targeted attacks on public health and our health care system.  These unnecessary and short-sighted cuts undermine the very health, safety and financial well-being of New Yorkers, especially those who rely on the health care safety net that’s being pulled away.  This is not about Making America Healthy Again, it’s about Making America Hurt Again.”

The current provisions of the bill would decimate federal funding for Medicaid and the Essential Plan and cause almost 1.5 million New Yorkers to lose their health coverage and become uninsured.  As outlined in the House-passed bill, supported by all of New York's Republican Congressional delegation, over 50 percent of Essential Plan funding, amounting to more than $7.5 billion, would be eliminated, posing a threat to the program’s future.  Beyond causing substantial financial losses to the Essential Plan, the bill also targets Medicaid through a variety of measures such as requiring states to impose stricter work reporting requirements as well as onerous and duplicative verification processes.  These measures will significantly increase the administrative burden of the program, both making coverage much more challenging to access and dramatically increasing administrative costs.  The bill also eliminates crucial funding mechanisms and imposes new penalties that target states like New York that have invested in expanding access to healthcare.  All told, the bill would cause an almost $6 billion impact on the State’s Medicaid program — including, amongst other impacts, approximately $2.5 billion in lost federal revenue and $500 million in new State administrative costs alone.  All of these provisions will have a dramatic impact on New York’s healthcare providers, placing immense strain on the healthcare system and triggering far-reaching impacts on local economies.  The state anticipates a loss of over $3 billion for New York’s hospitals as a result of increases in uncompensated care and decreases in reimbursement.  Under the direction of Governor Hochul, the New York State Department of Health gathered data to create an analysis of these funding cuts passed by the House of Representatives in the Republican budget reconciliation bill.  View the congressional district-by-district breakdown on anticipated funding losses alongside the previously shared detailed analysis.

I am committed to utilizing litigation and other appropriate tools to safeguard and protect New Yorkers.

Governor Kathy Hochul

Assemblymember Stefani Zinerman said, “This proposed bill is a direct threat to the health and economic stability of families in Bedford-Stuyvesant and Crown Heights.  At a time when many New Yorkers are already facing rising costs and still recovering from the effects of a global pandemic, stripping away access to Medicaid would only deepen existing disparities and overwhelm hospitals like Interfaith that serve as lifelines in our community.  I stand with 1199SEIU and NYSNA in fighting to protect the resources our communities depend on.  I urge Governor Hochul and our representatives in Washington to stand firm because every New Yorker deserves quality care, regardless of income or ZIP code."

New York State Medicaid Director Amir Bassiri said, "The House bill is a devastating blow to New York's healthcare system that we simply cannot absorb.  This legislation would strip coverage from over 1 million Medicaid enrollees, while simultaneously increasing our state administrative costs by more than 20%.  This bill doesn't just destabilize health insurance in New York – it abandons our commitment to ensuring healthcare access for working families and those who need it most."

New York State of Health Executive Director Danielle Holahan said, “The provisions of the House-passed budget reconciliation bill guts New York’s healthcare economy and reverses decades of progress implementing the Affordable Care Act in New York.  The bill eliminates eligibility for almost half of Essential Plan enrollees, drives increased uninsured and uncompensated care costs for providers, and strips our autonomy to best serve New Yorkers, making it harder for them to enroll and stay covered.”

President of New York State Health Care Association Bea Grause said, “The $13.5 billion annual impact to New York State will impact every community across New York: urban, suburban and rural.  This negative impact will result in job loss, and this job loss will result in a loss of access to care — not just to Medicaid patients but for every patient who comes through the hospital door needing care.  And lastly, for every healthcare job lost another job will be lost in the community.  We will do everything we can to stop this disastrous legislation from harming care and jobs in our communities.”

President of Greater New York Hospital Association Kenneth E. Raske said, “The reconciliation bill is a disaster for New York and its hospitals.  It will rip away Medicaid coverage from more than a million eligible beneficiaries, drive up uncompensated care costs for financially struggling hospitals, and shift massive costs to the State.  A single immigration coverage provision alone could cost our hospitals an unsustainable $1.3 billion annually from uncompensated care increases and lower reimbursement levels.  Every hospital patient in New York will suffer from these provisions, not just those with Medicaid coverage.  The hospital community is working hand in glove with Governor Hochul in the fight to stop these cuts.”

One Brooklyn Health System CEO Dr. Sandra Scott said, “If these proposed Medicaid cuts are implemented, the ramifications will be devastating.  We will see an increase in hospital closures, a reduction in the range of services provided, and significant job losses among healthcare professionals.  This would limit access to essential services, such as emergency care, maternal health, and chronic disease management, disproportionately affecting those patients who rely on these hospitals as their primary source of medical care and greatly impacting their quality of life.  The reconciliation bill will threaten the viability of our nations' hospitals, especially urban and rural institutions where there are lower operating margins.  We must work collaboratively to safeguard this vital funding, to preserve the integrity of our healthcare systems and the welfare of the communities we serve.”

1199SEIU United Healthcare Workers East Member and In-Service Coordinator Michelle Ned said, “Interfaith Medical Center is a safety net hospital, and we depend on Medicaid dollars to provide our community with essential care.  Federal Medicaid cuts would be devastating to Brooklyn; the very real consequences would mean that vulnerable people in our community would die.  Healthcare workers are united in our demand: hands off Medicaid!”

USDOL Issues Comprehensive Employer Guidance on Long COVID

The United States Department of Labor (USDOL) has issued a comprehensive set of resources that can be accessed below for employers on dealing with Long COVID.

Supporting Employees with Long COVID: A Guide for Employers

The “Supporting Employees with Long COVID” guide from the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) and Job Accommodation Network (JAN) addresses the basics of Long COVID, including its intersection with mental health, and common workplace supports for different symptoms.  It also explores employers’ responsibilities to provide reasonable accommodations and answers frequently asked questions about Long COVID and employment, including inquiries related to telework and leave.

Download the guide

Accommodation and Compliance: Long COVID

The Long COVID Accommodation and Compliance webpage from the USDOL-funded Job Accommodation Network (JAN) helps employers and employees understand strategies for supporting workers with Long COVID.  Topics include Long COVID in the context of disability under the Americans with Disabilities Act (ADA), specific accommodation ideas based on limitations or work-related functions, common situations and solutions, and questions to consider when identifying effective accommodations for employees with Long COVID.  Find this and other Long COVID resources from JAN, below:

Long COVID, Disability and Underserved Communities: Recommendations for Employers

The research-to-practice brief “Long COVID, Disability and Underserved Communities” synthesizes an extensive review of documents, literature and data sources, conducted by the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) on the impact of Long COVID on employment, with a focus on demographic differences.  It also outlines recommended actions organizations can take to create a supportive and inclusive workplace culture for people with Long COVID, especially those with disabilities who belong to other historically underserved groups.

Read the brief

Long COVID and Disability Accommodations in the Workplace

The policy brief “Long COVID and Disability Accommodations in the Workplace” explores Long COVID’s impact on the workforce and provides examples of policy actions different states are taking to help affected people remain at work or return when ready.  It was developed by the National Conference of State Legislatures (NCSL) as part of its involvement in USDOL’s State Exchange on Employment and Disability (SEED) initiative.

Download the policy brief

Understanding and Addressing the Workplace Challenges Related to Long COVID

The report “Understanding and Addressing the Workplace Challenges Related to Long COVID” summarizes key themes and takeaways from an ePolicyWorks national online dialogue through which members of the public were invited to share their experiences and insights regarding workplace challenges posed by Long COVID.  The dialogue took place during summer 2022 and was hosted by USDOL and its agencies in collaboration with the Centers for Disease Control and Prevention and the U.S. Surgeon General.

Download the report

Working with Long COVID

The USDOL-published “Working with Long COVID” fact sheet shares strategies for supporting workers with Long COVID, including accommodations for common symptoms and resources for further guidance and assistance with specific situations.

Download the fact sheet

COVID-19: Long-Term Symptoms

This USDOL motion graphic informs workers with Long COVID that they may be entitled to temporary or long-term supports to help them stay on the job or return to work when ready, and shares where they can find related assistance.

Watch the motion graphic

A Personal Story of Long COVID and Disability Disclosure

In the podcast “A Personal Story of Long COVID and Disability Disclosure,” Pam Bingham, senior program manager for Intuit’s Diversity, Equity and Inclusion in Tech team, shares her personal experience of navigating Long COVID symptoms at work.  The segment was produced by the USDOL-funded Partnership on Employment and Accessible Technology (PEAT) as part of its ongoing “Future of Work” podcast series.

Listen to the podcast

HHS OIG Issues Annual Report on State MFCUs

Per the notice below, the Office of the Inspector General (OIG) of the United States Department of Health and Human Services (HHS) has issued its annual report on the performance of state Medicaid Fraud Control Units (MFCUs).

Medicaid Fraud Control Units Fiscal Year 2023 Annual Report (OEI-09-24-00200) 

Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. OIG is the Federal agency that oversees and annually approves federal funding for MFCUs through a recertification process. This new report analyzed the statistical data on annual case outcomes—such as convictions, civil settlements and judgments, and recoveries—that the 53 MFCUs submitted for Fiscal Year 2023.  New York data is as follows:

Outcomes

  • Investigations1 - 556
  • Indicted/Charged - 9
  • Convictions - 8
  • Civil Settlements/Judgments - 28
  • Recoveries2 - $73,204,518

Resources

  • MFCU Expenditures3 - $55,964,293
  • Staff on Board4 - 257

1Investigations are defined as the total number of open investigations at the end of the fiscal year.

2Recoveries are defined as the amount of money that defendants are required to pay as a result of a settlement, judgment, or prefiling settlement in criminal and civil cases and may not reflect actual collections.  Recoveries may involve cases that include participation by other Federal and State agencies.

3MFCU and Medicaid Expenditures include both State and Federal expenditures.

4Staff on Board is defined as the total number of staff employed by the Unit at the end of the fiscal year.

Read the Full Report

View the Statistical Chart

Engage with the Interactive Map

GAO Issues Report on Medicaid Managed Care Service Denials and Appeal Outcomes

The United States Government Accountability Office (GAO) has issued a report on federal use of state data on Medicaid managed care service denials and appeal outcomes.  GAO found that federal oversight is limited because it doesn't require states to report on Medicaid managed care service denials or appeal outcomes and there has not been much progress on plans to analyze and make the data publicly available.  To read the GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the first link below.  To read GAO highlights of the report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the second link below.
https://www.gao.gov/assets/d24106627.pdf  (GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes)
https://www.gao.gov/assets/d24106627_high.pdf  (GAO highlights on federal use of state data on Medicaid managed care service denials and appeal outcomes)

CMS Issues Latest Medicare Regulatory Activities Update

The Centers for Medicare and Medicaid Services (CMS) has issued its latest update on its regulatory activities in the Medicare program.  While dentistry is only minimally connected to the Medicare program, Medicare drives the majority of health care policies and insurance reimbursement policies throughout the country.  Therefore, it always pays to keep a close eye on what CMS is doing in Medicare.  To read the latest CMS update on its regulatory activities in Medicare, use the link below.
https://www.cms.gov/training-education/medicare-learning-network/newsletter/2024-03-14-mlnc