New York Gov. Andrew Cuomo is threatening to forgo more than $6 billion in federal aid he says would force him to adjust his Medicaid redesign strategy
ALBANY — Despite a $6 billion budget gap and new revenue losses posed by New York’s coronavirus outbreak, Gov. Andrew Cuomo is threatening to forgo more than $6 billion in federal aid he says would force him to adjust his Medicaid redesign strategy.
the $6.7 billion in enhanced federal Medicaid matching rate funds approved earlier this month because it would prevent him from modifying the state’s Medicaid program as proposed in his executive budget.“No, [New York’s congressional delegation] never fixed that bill,” he told reporters while leaving a Thursday news conference. “They never fixed it. They said they would, they never did.” But state budget officials have suggested New York will use “a portion of those FMAP dollars to otherwise change, or delay, or round out the edges” of proposed modifications to its Medicaid program while also seeking “a fix to legislation regarding implementation of [Medicaid Redesign Team] reforms.” Cuomo had planned to close his fiscal year 2021 budget shortfall, which had primarily been attributed to Medicaid spending, by adjusting the local share paid by New York City and counties and adopting recommendations put forth by the Medicaid Redesign Team II. Without such Medicaid changes, Cuomo has said, New York cannot pass the fiscal year 2021 budget due Tuesday. He doubled down on that position Friday, telling WAMC’s Alan Chartock that New York won’t be eligible for the funds with his assumed changes, which are not yet in effect and must first be approved by legislators. “This state, not only did it take a beating in this bill, but the previous bill that had $6 billion for New York state allocated in Medicaid money, we don't even qualify for because they put in a provision in the bill that you can't make any changes to your Medicaid program,” he said. The federal package, which President Donald Trump signed into law on March 18, set aside $6.7 billion in Federal Medical Assistance Percentages for New York. That amount included $5.3 billion for the state, $1 billion for New York City and $436 million for counties, according to Senate Majority Leader
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