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Blog
Pensions & Benefits
Giving Credit Where It’s Due? New York City’s $1.3 Billion in Health Insurance Savings
December 28, 2014
In its recent mid-year budget modification the de Blasio administration credited a coalition of municipal employee unions with achieving $1.3 billion in savings in the City’s employee and retiree health insurance costs. Yet the unions have not agreed to any changes in the plan, and the City and the unions have taken no actions to reduce costs. How can this be?
Video
Health Care
HHC President and CEO Dr. Ram Raju
CBC Breakfast Series
November 18, 2014
CBC Breakfast with HHC President and CEO Dr. Ram Raju in November 2014.
Report
Health Care
Fiscal Challenges Facing the New York City Health and Hospitals Corporation
November 06, 2014
HHC is crucial to all New Yorkers, providing care to more than one million patients annually. Despite HHC's importance, its fiscal condition is troubled. HHC's cash resources are being depleted; absent an aggressive gap-closing plan its cash reserves will be exhausted in fiscal year 2016.
Blog
Health Care
Agency Focus: NYS DOH
Budget Analysis
November 03, 2014
The New York State Department of Health has overseen dramatic changes in the state's healthcare system in recent years, including the passage of the federal Affordable Care Act and development of the state's own health care exchange website.
Blog
Health Care
Agency Focus: HHC
Budget Analysis
September 22, 2014
Short budget profiled of the finances and challenges of New York City Health and Hospitals Corporation (HHC) - now known as NYC Health + Hospitals (H+H).
Letter
State Budget
CBC Recommendations on Tax Relief and Reform Proposals in Executive Budget
March 05, 2014
This letter expresses support for Executive Budget tax reforms, but recommends that action on the property tax relief proposals be deferred until their design is improved and the surplus necessary to sustain them is achieved.
Testimony
State Budget
Testimony on Improving the State Budgetary Process
Delivered to the Select Committee on Budget and Tax Reform
December 17, 2009
In this testimony the CBC assesses the effectiveness of provisions in the New York State Budget Reform Act of 2007 and makes additional recommendations for improving transparency, forecasting, and flexibility.
Letter
Pensions & Benefits
CBC Urges Governor Paterson to Veto Costly Mandate for Retired Teachers
May 12, 2009
This letter from the CBC urges the Governor to veto A4628, a bill that would renew the provision that prohibits school districts from reducing the health insurance benefits offered to retirees unless the changes are approved by the local teachers union.
Testimony
Taxes
Testimony on NY State Tax System
Delivered to the Senate Committee on Budget and Tax Reform
March 12, 2009
This testimony emphasizes two key points about New York’s personal income tax (PIT) and offers a framework for thinking about tax reform in the current fiscal context: 1) New York’s PIT is progressive, but its overall tax structure is not; and 2) New York’s economic competitiveness should be an important factor in considering changes to its tax rates.
Letter
State Budget
10 Do's and Don'ts for Spending the Federal Stimulus Funds
February 25, 2009
This letter to the Legislature warns that the federal aid to New York is limited and temporary, suggests ten do’s and don’ts for using the federal funds and closing the budget gap while avoiding harmful cuts and tax increases, and highlights possible allocation of the funds.
Letter
State Budget
Recommendations for FY 2009-2010 State Budget
February 02, 2009
This letter to the state legislature suggests two strategic directions to guide budget policy and offers a roadmap that avoids harmful tax increases and makes spending better serve New Yorkers by suggesting reforms in five key areas: Medicaid, school aid, correctional facilities, public employee benefits, and programs like STAR and Empire Zones.
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.