Crouch Calls On State to Shift Medicaid Burden from Local Municipalities

March 12, 2018

Assemblyman Clifford W. Crouch (R-Bainbridge) announced today that the Assembly Minority Conference has released a plan to shift the burden of Medicaid from Local municipalities to the state. New York has the second-most costly Medicaid program in the nation behind California, and is also one of 18 states to require counties to cover some of the non-federal costs of Medicaid. Forcing localities to pay the local share of Medicaid causes New York to have some of the highest property taxes in the country.

“I think this a great plan that will help reduce property tax costs for residents of the Southern Tier,” said Crouch. “Lately we have seen the Assembly Majority up in arms and scrambling to make changes based on what’s going on at the federal level. I see this plan as a step in the right direction toward focusing on what we can do here in New York to solve some of the problems that have been looming for decades. If shifting this cost reduces property taxes for middle–class families, I see it as the right thing to do.

The proposed overhaul will include:

  • State Takeover of the Local Share of Medicaid Outside of New York City:
    • Takeover of the local share of Medicaid for counties outside of NYC over a 10-year period;
    • Require the state to assume the local share of Medicaid costs, over multiple years, to allow the state time to make structural changes that do not reduce services to the overall cost of the program; and
    • Require all local savings realized from the program to be passed on directly to property taxpayers.
  • State Takeover of 50 Percent of New York City’s Medicaid Costs:
    • Takeover 50 percent of the City’s Medicaid costs over a 20-year period; and
    • Require all local savings realized from the program to be passed on directly to taxpayers.