Making Sense of Federal Funding Cuts in New York
A Q&A about federal funding cuts
A Q&A about federal funding cuts
New York can protect its Medicaid system from Trump’s cuts – but it needs to act now.
The new federal budget will cost New York State $10 billion annually. The State will have to step in.
FPI Director Nathan Gusdorf presented a briefing on July 17 about how state tax policy can respond to the federal funding cuts in the "One Big Beautiful Bill Act".
Read Full Report By Bailey Hu, Health Policy Analyst, & Michael Kinnucan, Director of Health Policy Prior to the passage of the Affordable Care Act (ACA) in 2010, small business employers in New York and other states often had difficulty buying affordable health insurance, especially if their employees were in poor health. The ACA helped provide better options for workers and their families by regulating offerings in the "small group" health insurance market, which serves businesses with up to 100 [...]
The OBBBA spending cuts are concentrated in Medicaid and food stamps (SNAP), with devastating effects for New Yorkers. The bill will cut federal funding to the New York State budget by approximately $10 billion annually and kick 1.5 million New Yorkers off their health insurance, more than doubling the statewide uninsured population. On top of the direct fiscal costs to New York State, the OBBBA will cut an additional $13 billion in funding to New York’s healthcare system.
Zohran Mamdani’s recent victory in the New York City Democratic primary election has brought FPI’s past research on millionaire tax flight into the national spotlight.
Fiscal Policy Institute Director Nathan Gusdorf today released a statement on the federal budget legislation that passed the U.S. House of Representatives this afternoon by a vote of 218-214, with all of New York's Republican representatives voting in favor of the bill.
Yesterday, in a 51-49 vote, Senate Republicans passed the “One Big Beautiful Bill Act” (OBBBA), which, if passed by the House this week, will increase the national debt by approximately $4 trillion while leaving 11 million more Americans uninsured by 2035. The bill is significantly more draconian in its Medicaid cuts than the version passed by the House in May, cutting the program by $1 trillion over 10 years, rather than the $800 billion proposed in the House bill.
The OBBBA could threaten one of the signature accomplishments of the ACA: Creating a viable individual insurance market in which middle-class people can purchase high-quality insurance at a reasonable price.
70 of New York's 156 hospitals are at risk of closure from federal Medicaid cuts
On Friday, June 13, New York State’s Division of the Budget released its financial plan for this year’s enacted State budget. The financial plan forecasts a national economic slowdown over the next four years as well as dramatic federal budget cuts. These forecasts indicate that the State will likely need to implement tax increases to manage the fallout from federal economic and fiscal policy.
The fiscal year 2026 budget process featured negotiations around major education and child policy matters. Most significantly, lawmakers considered changes to the State’s $26 billion Foundation Aid formula, enacting changes that shift substantial funding away from New York City.
Over 100 organizations signed a letter calling on Congress to protect the essential plan, which provides health insurance to 1.6 million New Yorkers.
3.5 million New Yorkers – 18 percent of the state population – depend on SNAP benefits, which average $209 per month for a participant (about $2,500 per year). The OBBBA would threaten SNAP benefits for over 1 million New Yorkers, including 363,000 children.