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Report
Health Care
Medicaid Supplemental Payments
The Alphabet Soup of Programs Sustaining Ailing Hospitals Faces Risks and Needs Reform
August 31, 2017
$5 billion in annual supplemental payments are important to the finances of many hospitals. Federal policy will shrink these payments; the impact will be most severe for NYC municipal hospitals.
Statement
State Budget
Statement on the NYS FY2018 Adopted Budget
April 10, 2017
Despite fears of substantial cuts in federal aid, the nine-day tardy adopted budget includes excessive spending without needed reforms.
Statement
State Budget
Statement on NYS Emergency Budget
April 03, 2017
Achieving a fiscally sound budget is more important than an “on time” budget, but issues could and should have been resolved as part of a more effective process.
Statement
Health Care
Statement on the "Collins Amendment"
March 22, 2017
The recent addition of the “Collins Amendment” to the House of Representatives’ American Health Care Act provides a strong incentive for New York’s Governor and Legislature to eliminate the mandated local share of Medicaid costs, a policy change long advocated by the Citizens Budget Commission.
Testimony
Economic Development
On Economic Development Proposals in the NYS Executive Budget for FY2018
Submitted to the Joint Legislative Conference on Economic Development
January 31, 2017
The growth of economic development costs should be halted until the effectiveness is demonstrated through standardized performance measures and transparent reporting.
Report
Public Workforce
Governor Cuomo's Labor Contracts
Only Getting Part of the Job Done
January 06, 2017
In collective bargaining, the Governor must balance paying workers fairly with keeping tax levels reasonable. More needs to be done to control rising fringe benefits costs.
Report
Education
Better Targeting New York’s Pupil Transportation Aid
December 12, 2012
This brief examines education funding in New York State with an emphasis on the distribution of funding versus costs across school districts. The brief includes recommended reforms to the State aid formulas in order to better target resources to the neediest districts and promote greater efficiency in school district management.
Report
Economic Development
Recommendations for the Next Round of Economic Development Council Awards
October 10, 2012
This brief analyzes the first round of awards for New York State's Regional Economic Development Councils and provides recommendations to standardize and improve evaluation of programs, as well as move toward a unified economic development budget.
Testimony
Education
Testimony to the Education Reform Commission
July 26, 2012
Simply put, the aggregate amount of money is not the problem. Rather, current funding needs to be re-targeted to reflect new priorities.
Statement
Public Workforce
Statement on Tier VI Reforms
March 14, 2012
The bill that passed both houses of the State Legislature early this morning included important, beneficial changes in most components of the pension formulas that will determine benefits for future employees.
Report
Pensions & Benefits
The First Priority in the New Year – Pension Reform
January 10, 2012
This brief examines pension cost growth in New York State and its effect on the New York's competitiveness. It recommends the adoption of a new tier of pension plans known as the Tier VI Proposal.
Report
State Budget
Giving and Getting
Regional Distribution of Revenue and Spending in New York State Budget
December 19, 2011
The report analyzes the regional distribution of revenues collected and dollars spent within the New York State budget by examining actual receipts and expenditures for the 2009-10 fiscal year. It finds that downstate gives more to the State in taxes and revenues than it gets back in expenditures for services and other assistance and that upstate gets more than it gives.
Report
Health Care
A Poor Way to Pay for Medicaid
Why New York Should Eliminate Local Funding for Medicaid
December 11, 2011
This paper examines the fiscal inequities and other problems that arise as a result of New York’s largelocal share for Medicaid financing.
Report
Economic Development
Avoiding Past Mistakes
Principles for Governing Regional Economic Development Councils
September 12, 2011
This report examines New York State economic development programs' past mistakes and explores the potential to improve meaningful outcomes via new regional councils designed to streamline and coordinate the current array of state economic development efforts. It warns of the danger that new regional councils will become new heads on the already huge an unwieldy New York State economic development portfolio.
Report
State Budget
The Broken Umbrella
How to Make New York State's Rainy Day Fund More Useful
June 05, 2011
This report explores the reasons why New York has not developed an effective rainy day fund and presents four guidelines for how the State can create a more useful rainy day fund.
Testimony
Health Care
Testimony on Reforming Medicaid
Submitted to the NY State Medicaid Redesign Team
January 28, 2011
Savings can be achieved without denying needed care to low income New Yorkers through three strategies: (1) reducing non‐competitive rates paid to institutional providers; (2) rationalizing utilization of services; (3) tightening eligibility rules and practices to curb the misuse of Medicaid by middle and higher income families for long‐term care.
Report
Health Care
Analysis of the New York State Medicaid Program and Identification of Potential Cost-Containment Opportunities
November 17, 2010
This report identifies trends in expenditures and enrollment in New York’s Medicaid program.
Report
Health Care
No Easy Solution
Effective Medicaid Control Must Focus on the Elderly and Disabled
November 17, 2010
This report examines Medicaid spending in New York relative to other states and finds the program is big not just because New York is a populous state or it covers a lot of people. It recommends a multi‐year agenda to restructure service provision and the cost of care for the elderly and disabled.
Report
Pensions & Benefits
8 Things New Yorkers Should Know About Public Retirement Benefits in New York State
October 19, 2010
This report presents eight facts about retirement benefits for New York State and local employees intended to stimulate a substantive discourse on pursuing changes to prevent underfunding of the pension systems and to make retirement benefits more fair and affordable.
Report
State Budget
Is a State Spending Cap the Right Approach for New York?
October 11, 2010
This paper examines the caps proposed for New York. It also analyzes the Colorado experience and that of three other states in order to help inform decision making for New York.