Governor Cuomo Announces Impact of Potential Affordable Care Act Repeal in NY

Governor Cuomo announced the impact of potential repeal of the Patient Protection and Affordable Care Act on health care coverage of New Yorkers and the state budget.

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NY residents would lose $250 million in health care savings tax credits.

Photo by: Governor's Press Office.

Albany, NY - January 4, 2017 - Governor Andrew M. Cuomo today announced the impact of potential repeal of the Patient Protection and Affordable Care Act on health care coverage of New Yorkers and the state budget. If the repeal of the Affordable Care Act were enacted, an estimated 2.7 million New Yorkers would lose coverage and New York State would experience a direct state budget impact of $3.7 billion and a loss of nearly $600 million of federal funding that goes directly to counties, which they use to help lower property taxes.

"The cost of a repeal of the Affordable Care Act, to state and local budgets and to the New Yorkers who depend on its health care coverage, is simply too high to justify," Governor Cuomo said. "Since its implementation, the Affordable Care Act has become a powerful tool to lower the cost of health insurance for local governments and New Yorkers, and it is essential that the federal government does not jeopardize the health and livelihoods of millions of working families."

The NY State of Health exchange has successfully cut the percentage of uninsured New Yorkers in half, from 10 percent to 5 percent. It has also significantly expanded eligibility and access to health coverage, allowing hundreds of thousands of previously uninsured New Yorkers to achieve economic and healthcare security. Based on current enrollment levels, the repeal of the Affordable Care Act would result in over 2.7 million New Yorkers losing health coverage. The estimated number of individuals at risk of losing coverage, based on current enrollment levels, is broken down by counties below:

County
Individuals at Risk of Losing Coverage
    Albany
25,552
    Allegany
4,608
    Bronx
300,012
    Broome
20,231
    Cattaraugus
8,310
    Cayuga
7,665
    Chautauqua
15,270
    Chemung
9,160
    Chenango
5,184
    Clinton
7,787
    Columbia
6,827
    Cortland
4,606
    Delaware
4,461
    Dutchess
25,074
    Erie
93,403
    Essex
3,660
    Franklin
5,110
    Fulton
6,038
    Genesee
5,074
    Greene
4,971
    Hamilton
522
    Herkimer
6,932
    Jefferson
10,955
    Kings
540,320
    Lewis
2,932
    Livingston
4,972
    Madison
5,861
    Monroe
75,512
    Montgomery
5,473
    Nassau
133,324
    New York
218,937
    Niagara
21,287
    Oneida
24,781
    Onondaga
45,682
    Ontario
9,355
    Orange
37,851
    Orleans
4,522
    Oswego
12,568
    Otsego
5,785
    Putnam
7,006
    Queens
493,058
    Rensselaer
12,540
    Richmond
56,882
    Rockland
38,526
    Saratoga
16,340
    Schenectady
16,056
    Schoharie
3,079
    Schuyler
2,065
    Seneca
3,145
    St. Lawrence
11,063
    Steuben
10,039
    Suffolk
152,631
    Sullivan
9,668
    Tioga
4,560
    Tompkins
7,827
    Ulster
19,850
    Warren
6,796
    Washington
6,689
    Wayne
9,354
    Westchester
91,844
    Wyoming
3,700
    Yates
2,515
    Total
2,715,807

The estimated direct state budget impact of the repeal is $3.7 billion. New York’s counties have been able to use the additional federal Medicaid funding through the Affordable Care Act, which goes to directly to counties and helps to lower property taxes. A repeal of the Affordable Care Act would result in a total loss of $595 million in funding. A county by county breakdown of the allocated annual funding that each county would lose is available below, based on the most recent year:

    County
2016-17 Funding
    Albany
$4,738,862
    Allegany
$786,300
    Broome
$3,049,122
    Cattaraugus
$1,211,333
    Cayuga
$1,098,606
    Chautauqua
$2,443,709
    Chemung
$1,491,573
    Chenango
$686,373
    Clinton
$1,292,531
    Columbia
$833,957
    Cortland
$786,023
    Delaware
$666,830
    Dutchess
$2,974,044
    Erie
$17,149,148
    Essex
$400,176
    Franklin
$681,442
    Fulton
$879,897
    Genesee
$691,774
    Greene
$832,298
    Hamilton
$68,800
    Herkimer
$956,261
    Jefferson
$1,601,068
    Lewis
$294,378
    Livingston
$686,242
    Madison
$842,891
    Monroe
$13,023,431
    Montgomery
$797,695
    Nassau
$17,866,829
    Niagara
$3,849,704
    Oneida
$4,169,425
    Onondaga
$7,871,592
    Ontario
$1,042,122
    Orange
$5,021,173
    Orleans
$667,917
    Oswego
$2,281,144
    Otsego
$729,112
    Putnam
$561,094
    Rensselaer
$2,307,076
    Rockland
$3,867,080
    St. Lawrence
$1,564,073
    Saratoga
$1,864,638
    Schenectady
$2,462,377
    Schoharie
$475,760
    Schuyler
$312,126
    Seneca
$369,493
    Steuben
$1,514,370
    Suffolk
$18,310,813
    Sullivan
$1,439,822
    Tioga
$589,433
    Tompkins
$1,015,126
    Ulster
$2,935,566
    Warren
$787,632
    Washington
$746,252
    Wayne
$910,595
    Westchester
$15,243,258
    Wyoming
$382,781
    Yates
$282,426
    Upstate Total
$162,405,572
    New York City Total
$433,294,428
    New York State Total
$595,700,000

George Gresham, President, 1199SEIU United Healthcare Workers East, said, “New York’s healthcare workers see the positive impact of the Affordable Care Act every day. Our patients are able to access preventative care instead of coming to emergency rooms in states of advanced illness. Our employers have reduced losses from uncompensated care. Our friends and relatives are relieved of the fear that getting sick equals financial ruin. Repealing the Affordable Care Act without an adequate replacement would have immediate and devastating consequences for millions of our fellow New Yorkers and for state and local budgets. We applaud Governor Cuomo’s leadership in educating New Yorkers about costs and are proud to stand with him to advocate for the health all New Yorkers,”

Greater New York Hospital Association President Kenneth E. Raske said, “These deeply troubling numbers are only the tip of the iceberg if the Affordable Care Act is repealed. It will also severely harm the hospital community. 27 hospitals across New York State are on a ‘watch list’ for financial stress and many more both public and private face similar fiscal challenges. Repealing the Affordable Care Act without an immediate and adequate replacement plan will make things dramatically worse for safety net hospitals and the vulnerable communities they serve. I applaud Governor Cuomo for his leadership and look forward to working with the bipartisan members of the New York Congressional delegation to ensure that the health care of all New Yorkers is protected.”

Bea Grause, President of the Healthcare Association of New York, said, “In addition to providing care to those in need, hospitals are major employers in communities all across the state. Repeal of the ACA could have tremendous consequences for the delivery of healthcare and also in terms of jobs and economic activity. It’s imperative that Congress be mindful of this reality. I’m pleased to join the Governor in this important effort to protect New Yorkers.”