Orleans presses state to not end federal pass-thru to counties for Medicaid

By Tom Rivers, Editor Posted 23 February 2023 at 6:46 pm

County stands to lose about $1 million in revenue if state keeps money

ALBION – A move proposed in the governor’s executive budget would take $1,059,000 in revenue from Orleans County, which could result in a nearly 6 percent tax increase locally.

The Orleans County Legislature has formally passed a resolution asking the governor and State Legislature to continue the pass-thru of federal Affordable Care Act enhanced Medicaid Assistance Percentage funds or eFMAP.

The state is proposing to keep those funds going forward and use them to cover further expansions of Medicaid eligibility and benefits and to increase payments to health care providers. That would have a $280 million impact on 57 counties and nearly $1 billion when New York City is included, according to the New York State Association of Counties.

NYSAC said the governor is proposing to cut the counties’ hare while trying to fully fund the state reserves two years ahead of schedule.

The Orleans County Legislature is following the NYSAC lead in urging the state to continue sharing federal funds with counties “as has been the precedent for over 20 years.”

Copies of the resolution from Orleans County, approved on Tuesday, will be forwarded to Gov. Kathy Hochul, the New York State Legislature, and the New York State Congressional Delegation.