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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.
Letter
Taxes
CBC Recommendations to the New York State Tax Relief Commission
November 26, 2013
This letter to the NYS Tax Relief Commission includes cautions about the State's ability to commit to large new property tax relief programs, and recommendations for providing better relief with the $4 billion the State spends on current programs.
Blog
Health Care
Time to Rethink HCRA Taxes
April 18, 2017
Taxes initially earmarked for health care programs are now being transferred to the State's General Fund and used for other purposes. The Legislature should replace them in future budgets.
Statement
Health Care
Statement on the "Collins Amendment"
March 22, 2017
The recent addition of the “Collins Amendment” to the House of Representatives’ American Health Care Act provides a strong incentive for New York’s Governor and Legislature to eliminate the mandated local share of Medicaid costs, a policy change long advocated by the Citizens Budget Commission.
Report
Capital Spending
Bridging the Financial Gap
Funding the Governor Mario M. Cuomo Bridge
October 12, 2017
Tolls for the new Governor Mario M. Cuomo Bridge have not been released yet, but based on construction costs, CBC estimates it will be approximately $10 for cars, double the current rate.
Letter
State Budget
Recommendations for Legislative Action on the Governor's Executive Budget for FY2018
February 28, 2017
The CBC’s recommendations for proposals to support, modify, and reject.
Report
Health Care
Medicaid Supplemental Payments
The Alphabet Soup of Programs Sustaining Ailing Hospitals Faces Risks and Needs Reform
August 31, 2017
$5 billion in annual supplemental payments are important to the finances of many hospitals. Federal policy will shrink these payments; the impact will be most severe for NYC municipal hospitals.