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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.
Blog
Capital Spending
Mind the Gap
Funding Repair and Maintenance of New York City Infrastructure
July 26, 2010
Past neglect has created a need for nearly $5.6 billion in repair of existing facilities in New York City in order to bring them to satisfactory condition, known as a "state of good repair." Yet the City's capital budget allocates only about half, with the gap especially large for streets, hospitals, and parks.
Blog
State Budget
Pass Governor’s Proposal to Reform State Retiree Health Insurance Benefits
March 13, 2016
State of New York retirees with more than 10 years of service receive health insurance benefits substantially more generous than those offered by private sector and most public sector employers. Governor Andrew Cuomo’s Executive Budget for FY2017 includes a fair proposal to reduce these growing costs, and the Legislature should adopt it.
Blog
State Budget
Budget Proposals with a Big Long-Term Payoff
March 16, 2017
The NYS FY2018 Executive Budget includes three proposals to reduce the State’s cost of providing retiree health insurance. Budget savings would be modest, but the reduction in the OPEB liability would be significant.
Blog
Taxes
The Tax Hike’s Silver Lining
December 07, 2011
If the temporary personal income tax hike is the price we pay for long-term reforms that enhance infrastructure, encourage job growth, make the state and local tax system more equitable, and reduce future pension costs, then it is a price worth paying.
Testimony
Capital Spending
Testimony on Public-Private Partnerships
Delivered to the Commission on State Asset Maximization
January 07, 2009
The testimony offers guidelines for the application of public-private partnerships (PPPs or P3s), suggests areas in which PPPs can be used in New York, and warns against and explains potential pitfalls in the application of PPPs.
Testimony
Energy & Environment
Comment on the Proposed Rules for Local Law 97
Submitted to the New York City Department of Buildings
November 14, 2022
Thank you for the opportunity to comment on the recently released proposed rules for the implementation and enforcement of Local Law 97 (LL97).
Blog
Capital Spending
Design-Build Contracting
A Way to Fix More Bridges for Less Money
February 17, 2016
State legislators should enable New York City to benefit from design-build contracting: if it realized savings on par with the State’s experience, the City could save $2 billion over 10 years.
Report
Education
Cut Costs, Not Ribbons
Alternatives That Reduce School Crowding
July 09, 2019
Administrative solutions can reduce school crowding and limit the need to build expensive new school buildings.
Report
Capital Spending
An Affordable Debt Policy for New York State and New York City
October 17, 2000
Presents a new approach for determining how much the State and City should borrow, including criteria for deciding how much state and local debt is affordable.
Report
Health Care
Lessons from La La Land
Can the Turnaround of Los Angeles' Public Hospitals Be Replicated in New York?
January 08, 2018
Does LA's experience hold lessons for NYC Health + Hospitals?
Blog
Transportation
Is the Enhanced Station Initiative a Good Idea?
July 20, 2017
Is the enhancement of 32 stations at a cost of nearly $1 billion worth the trade-off against other capital needs?
Report
Health Care
Better Managing New York State's Health Insurance Subsidy Programs
September 30, 2001
Report by the CBC that analyzes the problems that limit the impact of the subsidized health insurance programs and advocates a two-stage strategy - an integrated eligibility system and expanding integrated eligibility to other programs - to make the health insurance subsidy programs work more effectively and efficiently.
Report
Energy & Environment
4 Facts About New York’s Transportation Emissions
November 11, 2021
As the State implements policies to meet these ambitious targets, shrinking emissions from transportation will be vitally important.
Testimony
Health Care
Testimony on the New York Health Act (A5248/S3577)
Submitted to The Joint Senate and Assembly Standing Committee on Health
May 27, 2019
Although NYHA’s goals are laudable, it is not feasible currently and would have significant unintended and possibly negative impacts on the State budget and some New Yorkers.
Blog
Health Care
DSH Cuts Delayed
Opportunity for State Reform
April 11, 2018
NYS shouldn't miss an important opportunity to revise its distribution of funds to target hospitals with the greatest needs.
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.