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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
City Budget
Reviving EMS
Restructuring Emergency Medical Services in New York City
November 25, 2018
The City of New York spends more than $1.1 billion annually in an effort to provide its residents and visitors this vital service, but the money is not used wisely.
Report
Housing
Think Your Rent Is High?
Documenting New York City’s Severest Rent Burdens
October 11, 2018
Housing affordability is a perennial concern of New Yorkers and their elected officials, and the production and preservation of affordable housing is a key priority of the de Blasio Administration.
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.
Letter
Capital Spending
City Should Evaluate Project Labor Agreements
Letter to Mayor de Blasio
July 05, 2018
With the Capital Commitment Plan now topping $82 billion, it is more important than ever to find ways to reduce costs and speed up project delivery.
Report
Housing
Stabilizing the Foundation
Transforming NYCHA to Address Its Capital Needs
July 03, 2018
Rather than continue as the nation’s largest landlord, NYCHA should transition to an affordable housing steward employing a full range of strategies to preserve the affordability of its units.
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.
Letter
Taxes
Significant Impacts the Tax Cuts and Jobs Act on the Residents and Revenues of New York City
Letter to Mayor de Blasio
March 20, 2018
I write to convey the Citizens Budget Commission’s findings about the significant impacts the Tax Cuts and Jobs Act (TCJA) will have on the residents and revenues of New York City and New York State and recommended steps needed to address these problems.
Report
Taxes
Practical Policy in Challenging Circumstances:
How NYS and NYC Should Respond to the Tax Cuts and Jobs Act
March 18, 2018
Strategies to mitigate the federal tax law's threat to New York's competitiveness and New Yorkers' wallets.
Letter
Housing
NYCHA's Project Labor Agreement Needs Evaluation
A Letter to the Mayor and NYCHA Chair
March 05, 2018
Has the PLA between NYCHA and the BCTC delivered on expected savings? An evaluation is needed before any decision to renew the PLA.
Report
Pensions & Benefits
Union-Administered Benefit Funds
Getting More Out Of A Billion Dollar Taxpayer Contribution
February 08, 2018
NYC taxpayers are projected to contribute $1.1 billion to 108 union-administered benefit funds. Better management, oversight, and consolidation can create more than $160 million in savings for the City and improve benefits for members.
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?
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.
Report
Energy & Environment
Getting the Fiscal Waste Out of Solid Waste Collection in New York City
September 23, 2014
With a new mayoral administration, a new sanitation commissioner, and an expired contract with municipal sanitation workers, redesigning the public and private components of local waste collection would save about $300 million annually in the long term. The Mayor and City Council should make this restructuring a goal and begin a multiyear phase-in.
Letter
Pensions & Benefits
CBC Proposes Guidelines for Determination of Health Insurance Savings Between City and MLC
Letter to Commissioner Robert Linn
June 05, 2014
This letter suggests guidelines for effective implementation of the agreement between the City and the Municipal Labor Committee to generate $3.4 billion in health care savings between fiscal years 2015 and 2018.
Report
Energy & Environment
12 Things New Yorkers Should Know About Their Garbage
May 21, 2014
This report highlights the reasons for the surprisingly high cost of this essential service, including inefficiencies that the City should address in its upcoming negotiations with sanitation workers.
Report
Energy & Environment
Taxes In, Garbage Out
The Need for Better Solid Waste Disposal Policies in New York City
May 30, 2012
This report makes the case for a significant change in the New York City Department of Sanitation's solid waste disposal practices, a shift from heavy reliance on long-distance exporting to landfills to greater reliance on use of local waste-to-energy facilities.
Report
Transportation
Refunding the MTA's Debt
The Importance of Getting it Right
May 06, 2012
This brief examines the Metropolitan Transportation Authority's (MTA) large-scale refunding of outstandingdebt. It focuses on a refunding that saves money and spreads debt service costs fairly over time and does not juggle the timing of debt service costs in a manner places unfair costs on riders and taxpayers in the more
distant future.
Report
Health Care
A Troubling Prognosis for HHC's Finances
April 23, 2012
This report assesses New York City Health and Hospitals Corporation's (HHC) critical role within the health care safety net protecting lower income New Yorkers, and it explores two significant fiscal challenges in the coming years: threats to City-supported revenues and an inadequate gap-closing plan.