Regional Impacts of the July 2026 Essential Plan Cliff
Unless the legislature takes action, New York will see the most rapid loss of healthcare coverage in its history.
Trump Has a Fake Plan to Tackle Prescription Drug Prices. New York Should Enact a Real One.
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
Keeping People Covered after the OBBBA
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.
Public Payers Control Healthcare Spending Better than Private Insurers
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.
Congress Must Ensure Healthcare Affordability
Republican demand to cut premium tax credits will spike New Yorkers' healthcare costs.
FPI Testimony to New York City Council on Impacts of the OBBBA
On September 15, 2025, two members of FPI's senior staff presented testimony to the New York City Council on the impacts of the federal legislation known as the "One Big Beautiful Bill Act."
New York’s Small Group Market Has Big Problems
Health insurance premiums are set to rise by 13 percent for small businesses - putting them on track to double by 2031.
Siena Poll Spreads Misinformation About Medicaid Funding for Immigrants
Pollster used discredited Republican talking points on OBBBA
Making Sense of Federal Funding Cuts in New York
A Q&A about federal funding cuts
The State is Understating Threats to NYS Medicaid After OBBBA
New York can protect its Medicaid system from Trump’s cuts – but it needs to act now.
Troubling trends in New York’s small group market
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 [...]
One Big Beautiful Fiscal Crisis
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.
New York’s Individual Market is Headed for Disaster under the OBBBA
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.
New York Hospitals will Close under the “One Big Beautiful Bill Act”
70 of New York's 156 hospitals are at risk of closure from federal Medicaid cuts
Congress Must Act to Protect the Essential Plan
Over 100 organizations signed a letter calling on Congress to protect the essential plan, which provides health insurance to 1.6 million New Yorkers.