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Congressman Chris Collins

Representing the 27th District of New York

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Governor Cuomo in Complete Meltdown over Plan to Force State to Take Responsibility for Medicaid Spending

Mar 22, 2017
Press Release

“Governor Cuomo and his sidekick are using doomsday predictions to scare everyday New Yorkers into allowing Albany to continue taxing them to death. It’s absolutely disgusting the Governor would threaten the middle class with a tax increase, while holding a $14 billion taxpayer funded slush fund in his back pocket. As I have said before, if this Governor can’t find 1.5% to save in his budget, I am more than willing to find it for him.”- Congressman Chris Collins.


Governor Cuomo himself attempted to shift costs of Medicaid. The difference between the Governor’s proposal and the one introduced by Congressman Collins is that instead of saving hardworking taxpayer money, Governor Cuomo’s sole intention in forcing New York City to foot the bill to fund of his out of control Medicaid program was to increase the size of his taxpayer funded slush fund.

The Collins-Faso amendment would save county governments billions of dollars.

Currently, New York State raises $7 billion from counties to fund its $27 billion Medicaid liability. Of that, $2.3 billion comes from outside of New York City, and would be subject to the amendment.  In total, New York spends $60 billion per year on Medicaid.  This amount of spending is second in the nation only to California, which is home to almost twice as many people as New York.

New York spends 44% more per Medicaid beneficiary than the national average ($10,426 v. $7,236), second only to Massachusetts in highest spending per full beneficiary in the nation.  Additionally, while the state is home to only 6.5% of the national population, New York accounts for 11% of total Medicaid spending.  By passing Medicaid costs onto counties, New York State is not realizing the financial impact of its out-of-control Medicaid policy, causing more spending on the program.

The following outlines the FY16 Medicaid liability for NY-27 counties:

·         Erie: $203,699,556 (82.8% of the property tax levy)

·         Niagara: $44,152,519 (59.0% of the property tax levy)

·         Orleans: $8,074,102 (49.8% of the property tax levy)

·         Wyoming: $5,321,747 (25.7% of the property tax levy)

·         Livingston: $9,064,064 (34.1% of the property tax levy)

·         Ontario: $16,033,295 (30.2% of the property tax levy)

·         Monroe: $175,851,749 (48.6% of the property tax levy)

·         Genesee: $9,403,509 (35% of the property tax levy)

·         NYS Total: ~$2.3 billion (44.3% of the county property tax levy)

More stats about how outrageous the county share of New York’s Medicaid program is can be found below:

Medicaid Fact Sheet:

NYS Medicaid Costs by County: