New York’s Fiscal Straits Will Continue Without Medicaid Redesign, DiNapoli Warns

JD Allen


Feb 19, 2020

The chief fiscal officer of New York expects the state will continue to struggle with how it handles Medicaid payments in the next fiscal year.

Comptroller Thomas DiNapoli says state Medicaid spending has increased by nearly $10 billion in the last decade and makes up a large portion of a $6 billion budget deficit in New York.

DiNapoli says it could be even worse if the state again defers more than $1 billion in Medicaid spending to avoid piercing the annual cap.

The state executive budget proposal cuts Medicaid spending by $2.5 billion. A new team has been charged with finding other ways to redesign Medicaid spending in the long-term.