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Presentation
City Budget
Briefing on the Latest NYC & NYS FY 2023 Budget Updates
December 13, 2022
The latest updates to the NYC, NYS and MTA Budgets.
Report
Transportation
Prioritizing the MTA's Critical Capital Needs
What to Do When You Can’t Do It All
August 23, 2022
The MTA has significant needs for capital investment, from signal modernization and track improvements to new subway and train cars to making stations across the system accessible.
Report
Health Care
Narrowing New York's Health Insurance Coverage Gap
January 11, 2022
More than 1 million New Yorkers remained uninsured and New York ranks seventh among states on coverage.
Report
Health Care
A New Approach to Funding New York City Health + Hospitals
December 16, 2019
This report analyzes the system’s finances, compares H+H to other providers in the City, and outlines options to right-size the City subsidy and improve H+H's fiscal future.
Report
State Budget
Overdue Bills
Time to Face the Reality of Rising Medicaid Costs
October 09, 2019
State leaders have two options to reconcile the disconnect between reality and the budget: reduce Medicaid spending and/or achieve savings in other areas of the budget.
Report
Transportation
Switching Gears
A New Way to Fund Transportation
May 08, 2019
The new congestion pricing fee serves the dual goals of raising revenue and reducing traffic congestion; however, the measure is not a complete solution to the State’s need for transportation funding.
Report
Public Workforce
Reform at the Bargaining Table
Labor’s Participation Needed to Improve the MTA’s Financial Outlook
April 30, 2019
The MTA's fiscal outlook is dire, and improving it requires a multipronged approach. Paramount in the effort is slowing the growth of labor costs.
Report
Health Care
Options to Enhance the Coordination of Care for Dually Eligible Individuals in New York State
A Discussion Paper
April 25, 2019
This discussion paper outlines lessons from previous and existing efforts to coordinate the care of duals, and suggests five strategies for the State to consider moving forward.
Report
Transportation
Swimming in Subsidies
The High Cost of NYC Ferry
March 28, 2019
NYC Ferry serves more than 4 million passengers at a high level of operating subsidy: $10.73 per ride, 10 times that of the New York City Transit.
Report
Transportation
Building a Sound Fiscal Future for New York's Highway and Mass Transit Systems
March 19, 2019
Options for raising sufficient funds for roads and transit statewide include increasing tolls and fees, enacting congestion pricing, and implementing a vehicle-miles traveled (VMT) fee.
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
Transportation
Benchmarking Efficiency for the Metropolitan Transportation Authority's Services
April 05, 2011
This report helps identify priorities for ongoing efforts to control costs at the Metropolitan Transportation Authority through benchmarking by comparing unit cost measures with other large urban transit agencies in the United States. It also suggests priorities for new efficiency initiatives.
Report
Capital Spending
How Public-Private Partnerships Can Help New York Address Its Infrastructure Needs
December 11, 2008
This report explores the application of public-private partnership (PPPs) in New York by explaining its definition of such a relationship and offering in-depth guidelines, potential applications (including highway bridges, New York City school buildings, New York City parks, and higher education facilities), examples on a global, national, and local level, and potential missteps and cautions.
Report
Health Care
Paying More, But Not Getting Better Care
The Case For A New Payment System For Nursing Homes In New York's Medicaid Program
December 09, 2008
New York’s Medicaid program is the most expensive in the nation, projected to cost $45 billion in fiscal year 2008-09 and to consume nearly one-third of the New York State budget. New York State can provide needy residents with better nursing home care and save about $1.2 billion annually in fiscal year 2008-2009 by changing the way its Medicaid program pays nursing homes. This report explains why the current system is wasteful, perpetuating inefficiencies and inequities without assuring high quality care, and how a better payment system might work.
Report
Taxes
The Citizens Budget Commission Review of Circuit Breakers
February 04, 2008
CBC recently looked at the option of expanding New York’s existing circuit breaker program to provide targeted relief to the neediest taxpayers as background for a forum on local tax relief convened on December 6, 2007. Based on that review of options the following points, outlined in this report, can be highlighted: 1) Circuit breakers are common; 2) New York’s circuit breaker needs reform; and 3) The poorly crafted School Tax Relief Program (STAR) would work better as a circuit breaker.
Report
Taxes
Local Taxes in New York State
Easing the Burden
December 06, 2007
A background paper for the third session of a 2007 stakeholder conference to “fix Albany.” The process by which the next budget is prepared and debated, as well as the substantive decisions it embodies, are critical to the movement for political and fiscal reform in New York State. This paper focuses on a more equitable and affordable local tax burden.
Presentation
State Budget
Local Taxes in New York State
Easing the Burden
December 06, 2007
Presentation from a stakeholder conference on setting budget reform priorities in 2007.
Report
Taxes
A Simulation of Business Taxes in New York City and Other Locations
June 02, 2007
This report focuses on state and local business taxes in New York City, showing that those taxes are dramatically higher than comparable taxes for key competitors. Combined federal, state, and local taxes reduce the rate of return on new business investment in New York City significantly – about 36-50 percent, depending on location and industry. Most of this is due to federal tax – typically 34-36 percentage points. Taxes in New York City were the highest in all industries in 2006, and were highest or second-highest under virtually all scenarios examined. By contrast, taxes in other New York locations often were lowest or nearly lowest among the locations compared.
Report
Transportation
Financing Transportation Services in the New York Region
March 28, 2004
This report examines the financing policies for passenger transportation services in the New York-New Jersey metropolitan area. Included are 25 entities consisting of the states of New York and New Jersey, the Port Authority, the MTA, New Jersey Transit, four additional authorities operating or financing toll roads, the City of New York, and 15 counties.
Report
Health Care
Confronting the Tradeoffs in Medicaid Cost Containment
February 20, 2004
While its benefits are clear and widely supported, Medicaid's costs are far more controversial. In New York, total spending for Medicaid of $36 billion in fiscal year 2003 represented nearly 40 percent of total State expenditures. The portion of the Medicaid program paid for with State-raised revenues totaled $12.6 billion or more than one-quarter of all State spending financed with State revenues.