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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.