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Blog
Pensions & Benefits
School Districts Savings by Following State Practices for Employee Health Insurance
February 01, 2011
Negotiating increases in premium sharing with school employee unions would provide immediate savings and reduce future costs.
Testimony
Health Care
Testimony on Reforming Medicaid
Submitted to the NY State Medicaid Redesign Team
January 28, 2011
Savings can be achieved without denying needed care to low income New Yorkers through three strategies: (1) reducing non‐competitive rates paid to institutional providers; (2) rationalizing utilization of services; (3) tightening eligibility rules and practices to curb the misuse of Medicaid by middle and higher income families for long‐term care.
Video
Health Care
No Easy Solution: Effective Medicaid Cost Control
A Panel Discussion
January 27, 2011
A recent report by the Citizens Budget Commission (CBC) found that elderly and disabled beneficiaries comprise fewer than one in four Medicaid enrollees in New York but account for nearly three of every four program dollars spent. Achieving cost savings among this population, while preserving access to high-quality services, challenges the State to develop creative strategies beyond blunt rate cuts. The CBC and New York State Health Foundation convened a panel of healthcare experts to explore the ideas expounded in the report.
Blog
Pensions & Benefits
Simple But Significant
Savings from the Elimination of the Medicare Part B Reimbursement
December 19, 2010
As New York’s elected officials consider options for balancing budgets in the face of record deficits, they should eliminate a public employee fringe benefit rarely offered anywhere else: reimbursement for Medicare Part B premiums.
Blog
Pensions & Benefits
What is OPEB and Why Does it Cost $9.4 Billion?
December 05, 2010
The true cost of retiree health insurance and "other postemployment benefits," or OPEB, was $9.4 billion in fiscal year 2010. Why it cost so much and what should be done about it.
Report
Health Care
Analysis of the New York State Medicaid Program and Identification of Potential Cost-Containment Opportunities
November 17, 2010
This report identifies trends in expenditures and enrollment in New York’s Medicaid program.
Report
Health Care
No Easy Solution
Effective Medicaid Control Must Focus on the Elderly and Disabled
November 17, 2010
This report examines Medicaid spending in New York relative to other states and finds the program is big not just because New York is a populous state or it covers a lot of people. It recommends a multi‐year agenda to restructure service provision and the cost of care for the elderly and disabled.
Blog
Education
High Time For Higher Education Funding Reform
April 13, 2010
Explains why the irrational and inequitable tuition policies at CUNY and SUNY should be replaced by a rational tuition policy that allows for regular increases but also does not reduce financial aid to students.
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.
Report
Education
Is It a Good Deal?
How New Yorkers Should Judge The Next Teachers' Contract
November 11, 2009
The New York City teachers’ contract expired on October 31, 2009. A new agreement may be reached soon. As the City faces a $5 billion budget gap for the next fiscal year and key educational reforms remain unfinished, here are key questions parents and taxpayers should ask to judge whether the next contract is a good deal for them.
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
Education
Testimony on Improving the NYC Department of Education's Fiscal Transparency
Submitted to the NY City Council's Joint Education and Contract Committee
April 11, 2009
CBC submits this written testimony to the City Council joint Education and Contracts Committee hearing on oversight of the Department of Education's contracting and procurement process; CBC has two recommendations to increase accountability and transparency with regard to all of DOE’s fiscal operations, including contracting and procurement.
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.
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.