This year’s Executive and one-house budgets reflect a clear policy choice: Both the Governor and the legislature prioritize provider rate increases over protecting New Yorkers’ health insurance coverage.
“Now that Governor Hochul’s request to shrink the Essential Plan has received federal approval, half a million New Yorkers are four months away from losing their health insurance."
The fiscal strain bearing down on the New York City budget has its origin in policy set by New York State. Policy action by the state is therefore necessary to set the City on solid fiscal ground. Only the Senate’s $2 billion funding plan meets the City’s fiscal needs.
Private health insurance costs in New York have risen dramatically over the past three decades, far outpacing wage growth and inflation. New analysis reveals that unchecked healthcare cost growth has become a major driver of economic inequality and labor market instability across New York.
Private health insurance costs in New York have risen dramatically over the past three decades, far outpacing wage growth and inflation. New analysis reveals that unchecked healthcare cost growth has become a major driver of economic inequality and labor market instability across New York.
Following the release of the State Senate and Assembly one-house budgets for fiscal year 2027, Fiscal Policy Institute Acting Director and Chief Economist Dr. Emily Eisner today released the following statement.
Mayor Mamdani’s allegations of prior fiscal mismanagement are substantiated by data showing a significant increase in underbudgeting of spending during the Adams administration.
Executive Director Nathan Gusdorf departs to join New York City Mayor’s Office of Management and Budget. Dr. Emily Eisner appointed Acting Executive Director.
FPI released its annual report on the executive budget for Fiscal Year 2027
A recording of FPI's First Look briefing about Executive Budget FY 2027, delivered on January 22, 2026.
Growth in the City’s budget should be seen as a necessary expense for sustaining one of the greatest cities in the world, not as fiscal recklessness, and the State ought to do its part to help the City manage this crisis.
Unless the legislature takes action, New York will see the most rapid loss of healthcare coverage in its history.
Why are drugs so much more expensive in the US than everywhere else? The answer is so simple it almost boggles the mind: In virtually all other developed countries, the government sets drug prices
Governor Hochul's Executive Budget includes commitment to partnering with Mayor Mamdani in pursuing universal childcare and acknowledgement of the State's strong fiscal condition. But it shows no plan to prevent the twin crises that will result from federal funding cuts under the so-called “One Big Beautiful Bill Act”
One of the most significant impacts of H.R. 1, the “One Big Beautiful Bill Act” (OBBBA), on New York’s healthcare system will be the imposition of work requirements on two million New Yorkers who are covered by the ACA’s Medicaid expansion. The bureaucratic hurdles created by these new requirements are expected to result in significant loss of coverage, with the State’s Department of Health estimating that up to 1.2 million New Yorkers could lose their health insurance.