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New York Disadvantaged Under Current Health Reform Bills

The New York Times reported today on why New York would not fare will under the health reform bills currently making their way through Congress. New York's Medicaid program is more generous than programs in other states. Those states could get additional funds to expand their programs, which New York will not be eligible to receive.

Either way, states like New York that have more generous Medicaid eligibility rules stand to receive relatively less in new federal aid than states with the tightest eligibility rules, many of them in the South.

In recent weeks, the Paterson administration has projected that a Senate version of the legislation could cost the state $900 million, while the original House bill could save the state as much as $2 billion. Those appear to be best- and worst-case scenarios. The administration's analysis of the Senate bill assumes that three-quarters of the more than one million New Yorkers who are eligible for Medicaid and other public programs but who have not enrolled will do so because they may be penalized if they are uninsured.

A far more pressing concern for New York is how great a share of Medicaid payments the federal government will pick up, and whether New York and other states that have long maintained more generous Medicaid eligibility will be treated equitably under the plan.

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This page contains a single entry from the blog posted on October 26, 2009 8:38 PM.

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