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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.
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.
Special Feature
City Budget
Facts About The NYC Budget
2019
May 13, 2019
A snapshot of NYC's budget, including projections for spending, headcount, savings, liabilities, and revenue shortfalls in case of a recession.
Blog
Economic Development
Shrink, Don’t Expand, the New York State Film Tax Credit
March 06, 2023
The current program already is overly generous compared to other states and should be phased out.
Blog
State Budget
Budget Proposals with a Big Long-Term Payoff
March 16, 2017
The NYS FY2018 Executive Budget includes three proposals to reduce the State’s cost of providing retiree health insurance. Budget savings would be modest, but the reduction in the OPEB liability would be significant.
Blog
Health Care
Improving the Way New York Pays for Medicaid
January 24, 2012
Governor Andrew Cuomo’s budget proposals for fiscal year 2012-13 include an important first step towards fixing a longstanding flaw in the way New York pays for its Medicaid program.
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
Health Care
Confronting the Tradeoffs in Medicaid Cost Containment
February 20, 2004
While its benefits are clear and widely supported, Medicaid's costs are far more controversial. In New York, total spending for Medicaid of $36 billion in fiscal year 2003 represented nearly 40 percent of total State expenditures. The portion of the Medicaid program paid for with State-raised revenues totaled $12.6 billion or more than one-quarter of all State spending financed with State revenues.
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.
Report
Health Care
Challenges of Enhancing Effective Engagement of Community Based Organizations in Performing Provider Systems
A Discussion Paper
November 13, 2017
Reform of NY's Medicaid program has made significant progress; however, much remains to be accomplished. A project funded with support from the New York Community Trust to help effectively implement redesign strategies.
Statement
State Budget
Statement on Economic Development Database and Film Tax Credit in the Fiscal Year 2023 Enacted Budget
April 08, 2022
For too long New York has been a leader in economic development spending, but not a leader in economic development program results.
Blog
Health Care
Medicaid Supplemental Payments
State Workgroup Makes Limited Progress on Part of the Problem
February 15, 2019
New York State’s $78 billion Medicaid program includes $5.3 billion of “supplemental payments”. These supplemental payments are crucial to hospitals across the state, especially those largely serving uninsured and Medicaid populations.
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.
Press Release
Health Care
CSS and CBC Release Comprehensive Report Analyzing Several Options for Closing State’s Health Insurance Coverage Gap
January 12, 2022
More than one million New Yorkers are uninsured; increasing the number of people insured would reduce morbidity and mortality and improve economic security
Blog
Taxes
New York City Homeowners
Who's Got the Unfairest Tax Burden of Them All?
September 12, 2018
One of the basic principles of good tax policy is equity: similarly situated taxpayers should have similarly sized tax bills. New York City’s property tax system does not comport with this principle.
Report
Health Care
What Ails Medicaid in New York?
And Does the Medicaid Redesign Team Have a Cure?
May 20, 2016
This report assess the progress of the Medicaid Redesign Team (MRT), launched in 2011, in implementing strategies to curb costs and improve the quality of care in Medicaid.
Blog
Taxes
Follow the Money
The MTA’s New Revenues
April 05, 2019
The NYS Adopted FY 2020 Budget directs three revenue sources to support the MTA. This blog clarifies what the revenue streams are and how they will flow to the lockbox.
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.
Report
Health Care
Six Things to Know About New York State Health Care Reform Act (HCRA) Taxes
March 05, 2020
As lawmakers negotiate this year’s budget, they should review HCRA’s role in health care funding and its impact upon privately insured New Yorkers.
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.