What's happening
This bill phases out local government Medicaid spending over five years and requires most savings be used for property tax reductions or rebates.
Why it matters
Shifts Medicaid funding responsibility from local governments to the state over five years, which could fundamentally alter how Medicaid is administered and funded at the local level, affecting local fiscal planning and autonomy.
Mandates that at least 75% of the savings local governments experience from reduced Medicaid expenditures must be used specifically for property tax relief, not for other local spending priorities—potentially limiting local discretion over budget surpluses.
Requires the state comptroller to calculate and communicate the minimum amount of property tax reduction required from each locality well in advance, introducing an additional layer of state oversight and accountability for local governments’ budget processes.
Adjusts the sales tax intercept mechanism for counties that used this method to pay for their Medicaid share, ensuring these counties also receive proportional fiscal relief and are required to pass those savings on to property taxpayers.
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Who cares
Headline styles
End Local Medicaid Payments
Plain English, a few words. Used as the page title.
Sponsors
3 Co-sponsors
History
- Print number 2236a
- Amend and recommit to ways and means
- Referred to ways and means
- Referred to ways and means
Companion bill
The same bill in the other chamber. A bill becomes law when one version passes both houses and the governor signs it, so either number can carry it.
End Local Medicaid Payments
In Senate Committee · Social Services · Sponsor Patty Ritchie
Full text
2 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
2236--A
2017-2018 Regular Sessions
IN ASSEMBLY
January 17, 2017
Introduced by M. of A. PEOPLES-STOKES, STECK, GIGLIO, GOODELL -- read once and referred to the Committee on Ways and Means -- recommitted to the Committee on Ways and Means in accordance with Assembly Rule 3, sec. 2 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee
AN ACT to amend chapter 58 of the laws of 2005, relating to authorizing reimbursements for expenditures made by or on behalf of social services districts for medical assistance for needy persons and the administration thereof, in relation to a five year elimination of the local share for medicaid
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. Paragraph (iv) of subdivision (c) of section 1 of part C of chapter 58 of the laws of 2005, relating to authorizing reimbursements for expenditures made by or on behalf of social services districts for medical assistance for needy persons, is amended and seven new subdivisions (c-2), (c-3), (c-4), (c-5), (c-6), (c-7) and (c-8) are added to read as follows:
(iv) 2009 (January 1, 2009 through December 31, 2009), and each succeeding calendar year through 2021: prior year's trend factor percentage plus 3%.
(c-2) Notwithstanding the provisions of section 368-a of the social services law, or any other provision of law, commencing with the period January 1, 2022 through December 31, 2022, calendar year social services district medical assistance expenditure amounts for each social services district shall be reduced by 20% from the 2021 expenditures. No less than 75% of the savings from this medical assistance expenditure reduction shall be used for property tax levy reductions, or property tax rebates, effective in the local government's 2023 fiscal year.
(c-3) Notwithstanding the provisions of section 368-a of the social services law, or any other provision of law, commencing with the period
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD03613-03-8
A. 2236--A 2
January 1, 2023 through December 31, 2023, calendar year social services district medical assistance expenditure amounts for each social services district shall be reduced by 40% from the 2021 expenditures. No less than 75% of the annual savings from this medical assistance expenditure reduction, compared to the prior year medical assistance expenditure, shall be used for property tax levy reductions, or property tax rebates, effective in the local government's 2024 fiscal year.
(c-4) Notwithstanding the provisions of section 368-a of the social services law, or any other provision of law, commencing with the period January 1, 2024 through December 31, 2024, calendar year social services district medical assistance expenditure amounts for each social services district shall be reduced by 60% from the 2021 expenditures. No less than 75% of the annual savings from this medical assistance expenditure reduction, compared to the prior year medical assistance expenditure, shall be used for property tax levy reductions, or property tax rebates, effective in the local government's 2025 fiscal year.
(c-5) Notwithstanding the provisions of section 368-a of the social services law, or any other provision of law, commencing with the period January 1, 2025 through December 31, 2025, calendar year social services district medical assistance expenditure amounts for each social services district shall be reduced by 80% from the 2021 expenditures. No less than 75% of the annual savings from this medical assistance expenditure reduction, compared to the prior year medical assistance expenditure, shall be used for property tax levy reductions, or property tax rebates, effective in the local government's 2026 fiscal year.
(c-6) Notwithstanding the provisions of section 368-a of the social services law, or any other provision of law, commencing with the period January 1, 2026 through December 31, 2026, calendar year social services district medical assistance expenditure amounts for each social services district shall be reduced by 100% from the 2021 expenditures; and shall remain eliminated each year thereafter. No less than 75% of the annual savings from this medical assistance expenditure reduction, compared to the prior year medical assistance expenditure, shall be used for property tax levy reductions, or property tax rebates, effective in the local government's 2027 fiscal year.
(c-7) Notwithstanding the provisions of section seven of this act, any county that opted into the local sales tax intercept methodology shall receive a proportionate reduction in the sales tax intercept as described in subdivisions (c-2), (c-3), (c-4), (c-5) and (c-6) of this section and use these recaptured funds for property tax reductions in the same manner as other local jurisdictions as described.
(c-8) The minimum amount of annual property tax levy reductions resulting from savings achieved as defined in subdivisions (c-2), (c-3), (c-4), (c-5) and (c-6) of this section, shall be determined by the state comptroller and transmitted to each local government one hundred eighty days in advance of the start of the fiscal year for which the property tax reduction is to be effective.
§ 2. This act shall take effect immediately.
Reflowed for reading: line numbers and page breaks removed. Cite the official text.
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