Budget Buster: Analyzing the Governor’s Proposal to Shift Millions in Medicaid Costs to Counties

County Conversations

Feb 3 2023 • 12 mins

This episode analyzes a proposal in Governor Hochul’s recently released 2024 Executive Budget that would end the longstanding practice of sharing federal Medicaid funding with counties.

This unprecedented state policy shift would require local taxpayers to pay up to $1 billion in new Medicaid costs by pocketing Enhanced Federal Medical Assistance Program (eFMAP) funds that were earmarked to go directly to local governments to help hold property taxes down.

NYSAC’s Legislative Director Ryan Gregoire is joined by our very own Dave Lucas, Director of Finance and Intergovernmental Affairs to break down the situation and provide a clear explanation of why NYSAC is urging Governor Hochul to reconsider this proposal.

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