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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.
Statement
Transportation
Statement on the MTA's 2020 Final Proposed Budget and November 2020-2023 Financial Plan
November 14, 2019
Statement by CBC President Andrew S. Rein on the MTA 2020 Final Proposed Budget and November 2020-2023 Financial Plan.
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.
Statement
Health Care
Statement on Medicaid Payment Delays in the New York State Budget
October 03, 2019
CBC President Andrew S. Rein released this statement on the Medicaid Payment Delays in the New York State Budget: "The State making an end of fiscal year 2019 Medicaid payment a week late was no mere delay. It was an obfuscation of the State’s fiscal condition, allowing the State to avoid addressing a deep and recurring problem."
Statement
Transportation
Statement on the MTA's Proposed 2020-2024 Capital Plan
September 16, 2019
The MTA should answer three significant questions when it releases the full 2020-2024 Capital Plan.
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.
Statement
Transportation
Statement on the 10-Point Plan to Transform and Fund the MTA
February 26, 2019
Citizens Budget Commission President Andrew Rein issued this statement on the 10-Point Plan to Transform and Fund the Metropolitan Transportation Authority (MTA):
Statement
Health Care
Statement on the New York Health Act
February 11, 2019
The revised version of the New York Health Act (NYHA) released today is a well-intentioned proposal to continue to increase access to insurance coverage and reduce barriers to quality health care for New Yorkers, but currently it is not a feasible measure.
Statement
Transportation
Statement on the Metropolitan Transportation Sustainability Advisory Workgroup Report
December 18, 2018
The Metropolitan Transportation Sustainability Advisory Workgroup Report released today provides a sober look at the fiscal and managerial challenges facing the MTA.
Report
Transportation
NYS Infrastructure Policy
A Background Paper for the CBC Conference on The Most Important Fiscal and Economic Issues Facing New York State
December 13, 2018
This paper was prepared by HR&A Advisors as a background paper for the December 2018 CBC Conference on most important fiscal and economic issues facing New York State. The paper provides recommendations for how NYS should prioritize, fund, and deliver key infrastructure investments.
Report
Health Care
Still a Poor Way to Pay for Medicaid
October 01, 2018
For more than 50 years New York State has financed its Medicaid program in a unique way: the State requires New York City and the 57 other counties to pay more for Medicaid than all other local governments in the nation combined.
Report
City Budget
Short-term Goals for Long-term Debt
Time to Prioritize Reducing New York City’s Liabilities
September 18, 2018
Paying down the City's debts should be a greater priority.
Report
Transportation
Getting Back on Track
Replacing and Repairing Subway Cars Will Be Expensive and Take More Than a Decade
July 18, 2018
Decisions to redirect capital dollars to other priorities and stretch inspection and maintenance cycles contributed to the decline in subway reliability, and challenges lay ahead for plans to purchase 3,600 new subway cars and retrofit 1,200 existing cars.
Statement
Transportation
Statement on MTA's "Fast Forward" Plan
May 23, 2018
Fast Forward, a plan to modernize New York City Transit presented by President Andy Byford today, is a serious and praiseworthy plan to improve the region's mass transit network.
Report
Pensions & Benefits
2018 Benefit Sweetener Scorecard
May 18, 2018
The balance of this year's legislative session will be devoted to moving bills through the legislative process, including proposals to enhance the benefits of State and local public employees and retirees.
Report
Health Care
Options for Enhancing New York's Health Home Initiative
A Discussion Paper
May 01, 2018
This paper addresses the challenges in extending Health Homes to all who can benefit from their services in a cost-effective manner.