GOP bill shifts NY Medicaid costs; Dems call 'Buffalo Bribe'

This federal Medicaid fix rights a decades-old New York wrong

Or, we would be forced to raise state income taxes - either by increasing taxes on all New Yorkers by 10 percent, or if Collins and Faso have their way in protecting only the wealthy, on the middle class by 26 percent.

"Counties across my district and across NY are being unfairly subjected to massive financial liabilities being imposed by the state that can have severe impact on our local property taxes", said Stefanik in a news release.

The House is just the first stop for the Republicans' bill, known as the American Health Care Act. That prompted House GOP leaders to make a series of 11th-hour changes Monday night in a bid to secure more votes.

Faso said counties in the 19th District paid more than $224 million in property taxes to support the Medicaid payment in 2015. John Faso and Chris Collins for pushing an amendment to the Republican health care plan that would shift counties' Medicaid costs to the state. Chris Collins of Clarence, Erie County, and John Faso of the Hudson Valley that would have shifted ny counties' expenses for Medicaid to the state. But it generates an even more disproportionate share of the state's Medicaid expenses, so unlike on other programs, the city would tend to come out ahead if responsibility for the program were shifted to the state. "Enactment of this reform, which is contained in the American Health Care Act, would eliminate over $2.2 billion in county property taxpayer costs on a statewide basis starting in 2020". NY taxpayers would continue paying this bill - both to the state and federal government.

Cuomo in recent years capped counties' cost for Medicaid, so they now pay about 13 percent of the total tab - down from about 25 percent before the cap was put in place.

"The more we learn about the repeal and replacement for the Affordable Care Act, the sicker NY gets", Cuomo said, adding that the GOP proposal would devastate the majority of hospitals, nursing homes and assisted living facilities in upstate NY and on Long Island.

"That two congressmen from New York could support an amendment that doubles the adverse impact of an already bad bill is unconscionable", said Kenneth Raske, president of the Greater New York Hospital Association. ".that means less people are going to get health care assistance. As I have said before, if this Governor can't find 1.5 percent to save in his budget, I am more than willing to find it for him".

Taken together, Cuomo said, Washington is telling "New York to drop dead".

Funding Medicaid with the sales tax would be unfavorable to Flanagan's constituents and those of other downstate Republicans in the state Senate. With the Faso-Collins amendment incorporated into the House's ObamaCare replacement legislation, we have an opportunity to fix a 51-year-old mistake.

The Empire Center for Public Policy recently came out with a report on the idea of the state taking over the local share of Medicaid cost. "Whether the AHCA is modified or passed in its current form, this amendment is a blessing for upstate families and small businesses that've been crushed by the high taxes and unfunded mandates of this administration". In North Carolina, Medicaid spending rose at a rate of about 5 percent a year, some 76 percent overall, between 2000 and 2012.

Rensselaer County Executive Kathleen Jimino said that if the amendment proposed by her fellow Republicans passes, her Hudson Valley county would be able to reduce county property taxes by 56 percent.

"Welcome to our world, " Astorino said of the perennial complaint by counties over their fiscal treatment by the state.

The county's resolution was very specific to supporting the limit on the local share of Medicaid and did not address any other proposed healthcare changes.