As of March 24, 2017, Congress is considering fundamental changes to the federal-state Medicaid program. Several proposals could significantly affect New York's Medicaid program, including the following:
Regardless of whether these specific proposals are adopted, federal Medicaid reform could affect all regions of New York, due to the broad distribution of the state's Medicaid population (shown below). From June 2015 to May 2016, all but two of New York's 62 counties enrolled more than 20 percent of their residents in Medicaid for one or more months, and just over half (33 counties) enrolled more than 30 percent of residents. New York City could experience some of the largest effects; over 50 percent of Brooklyn and Queens residents were enrolled in Medicaid for at least one month, as were over 70 percent of Bronx residents. Given Medicaid's geographical reach, federal reform could have statewide implications for issues such as local residents' access to health coverage, providers' uncompensated care costs, and State and county shares of Medicaid financing.www.uhfnyc.org/publications/881193.\
The five counties with the highest enrollment rates are labeled. For a full list of enrollment rates by county, along with raw enrollment and population counts, see Appendix here.
Sources: U.S. Census Bureau, 2011-2015 American Community Survey Five-Year Estimates.
New York State Department of Health, DSRIP Public-Facing Dashboards (Dashboard B8).
Notes: The New York State Department of Health makes no representation, warranty, or guarantee relating to the DSRIP Dashboard data or analyses derived from these data. New York Medicaid enrollment rates above exclude 122,364 NYC residents not attributed to any county (i.e., “other”).