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NY Healthcare Sector Faces $13.5B Loss Under Republican Budget Cuts

The Republican budget reconciliation bill passed by the House Ways & Means and Energy & Commerce committees poses significant risks to New York State's healthcare system, threatening to cut nearly $13.5 billion annually from health programs and providers. Key provisions include a 50% reduction in Essential Plan funding, amounting to over $7.5 billion, which could result in hundreds of thousands losing coverage. Additionally, nearly $3 billion in costs are expected to shift to New York State, alongside billions in cuts to healthcare providers, challenging the financial sustainability of hospitals and care facilities across the state.

The bill also mandates stricter work reporting and verification requirements for Medicaid, increasing administrative burdens and making coverage access more difficult. Overall, nearly 1.5 million New Yorkers risk losing either Essential Plan or Medicaid coverage, with a consequential rise in uninsured individuals.

Healthcare stakeholders express concerns about the broader impacts, including increased uncompensated care costs, strain on hospitals and community health centers, and negative effects on local economies. The financial pressures stem from reduced federal match funds and the elimination of support mechanisms for providers.

State health officials emphasize that losing coverage for such a large number of residents would degrade health outcomes and amplify systemic strain. The anticipated rise in administrative costs tied to new Medicaid requirements could reach $500 million.

New York's congressional leaders and healthcare associations have issued statements opposing the bill, highlighting its potential to undermine vulnerable populations including children, seniors, and persons with disabilities. They call for efforts to protect essential health coverage and maintain financial support for healthcare infrastructure.

The bill's projected impacts include hospital and nursing home closures, higher insurance premiums, and loss of healthcare jobs, exacerbating challenges for Medicaid enrollees and essential community providers.

Officials stress that these proposed cuts prioritize tax breaks for higher income individuals over sustaining public healthcare programs critical to millions.

New York State leadership continues to advocate for the protection of Medicaid and the Essential Plan, urging congressional members from the state to actively oppose the bill to safeguard healthcare access and economic stability within the state.