Albany, N.Y. — The state and its taxpayers cannot afford to allow Medicaid spending to keep growing at five times the inflation rate, the Empire Center’s Bill Hammond warns in testimony to be delivered today to the Joint Legislative Fiscal Committees.

The state-funded share of New York’s Medicaid program has spiraled by 60 percent over the past four years, amounting to an additional $16 billion per year on top of what was already the highest per capita spending of any state, Hammond said.

“This raises the question of what those additional tens of billions are buying for the people of New York,” Hammond said. “It’s not more coverage or better quality. Enrollment is down compared to four years ago, and the average Medicaid rating for New York hospitals, at 2.5 of 5 stars, ranks 48th among the 50 states.

“Instead of simply pouring more tax dollars into an already well-funded health care industry, the state’s leaders should be looking for ways to constrain Medicaid costs and achieve better value for consumers.”

Hammond’s full written testimony is available here. For more information, contact [email protected].

The Empire Center, based in Albany, is an independent, not-for-profit, non-partisan think tank dedicated to promoting policies that can make New York a better place to live, work and raise a family.

About the Author

Bill Hammond

As the Empire Center’s senior fellow for health policy, Bill Hammond tracks fast-moving developments in New York’s massive health care industry, with a focus on how decisions made in Albany and Washington affect the well-being of patients, providers, taxpayers and the state’s economy.

Read more by Bill Hammond

You may also like

The Attorney General’s MFCU SNAFU

Attorney General Letitia James' latest fight with the Trump administration focuses on New York's Medicaid Fraud Control Unit, a federally funded agency housed in James' office. On T Read More

Healthcare Revelations in the Enacted Budget Financial Plan

The state financial plan published on June 10 disclosed key information about healthcare revenue and spending that lawmakers had not made public when approving the annual budget two weeks before. Read More

Hammond Submits CDPAP Testimony to Congress

The Empire Center's Bill Hammond today submitted written testimony for a congressional hearing on healthcare fraud. Hammond's testimony to the focuses on evidence of overuse and wa Read More

Federal Suit Traces Medicaid Fraud to the Top of NYS Government

The Trump administration's latest salvo against Medicaid fraud takes aim at a different kind of target – two high-ranking New York officials along with a major state contractor. A Read More

Healthcare Highlights in the New State Budget

Governor Hochul's focus on affordability seems to have skipped over the healthcare portions of the new state budget. The deal finalized May 27 Read More

Lawmakers Consider Hiking Fees for Filling Prescriptions

UPDATE: The proposal discussed below passed the Assembly Friday evening by an unofficial vote of 133-0. Having previously been approved by the Senate, the bill will head to Governor Hochul's desk for her signature or ve Read More

Budget Deal Reportedly Earmarks $100M for 1199 and Extends MCO Tax

As Governor Hochul and legislative leaders rush to finalize the overdue state budget, outlines of some healthcare-related deals have begun to emerge from the closed-door negotiations. Read More

Overtime on State Payroll Jumps 21%

104 employees made over $500k in 2025 total annual pay. 2,450 employees were paid more than Gov. Kathy Hochul's Read More