cuomo_250x-239x300-9931912Governor Cuomo’s $15 minimum wage plan will cost the state’s Medicaid program more than $100 million over the next two years, according to figures in a budget analysis released Wednesday by state Comptroller Tom DiNapoli.

DiNapoli’s report said the 67 percent minimum wage hike will add $12.7 million to New York’s already enormous Medicaid spending in the 2017 fiscal year, which began April 1, and another $88 million in FY 2018.

These are the first official estimates of a little-discussed hit to taxpayers that’s bound to grow many times larger in 2019 and beyond

While the minimum-wage debate focused largely on fast-food and retail businesses, the health-care sector also employs many thousands of workers who make substantially less than $15. A share of the cost of their raises will be passed along to Medicaid, the state-federal health plan for the poor and disabled that covers almost one-third of the state’s population.

Both Medicaid patients and the lower-wage health workers who serve them are concentrated in the New York City area, where the minimum wage is scheduled to increase fastest—to $11 at the end of this year, $13 by the end of 2017, and $15 for all but the smallest employers at the end of 2018. The wage will rise to $15 in Long Island and Westchester County by 2022; in the rest of the state it is scheduled to hit $12.50 by 2021, and thereafter to rise in line with a still-to-be-calculated index.

Because the wage escalates over time – and covers a larger and larger swath of employees – the figures in DiNapoli’s report are the tip of an iceberg.

The $88 million estimate for FY 2018 covers nine months when the New York City minimum wage will be $11 and three months when it will be $13. That suggests that the full-year cost of the $13 minimum wage would be roughly four times as much, or $352 million.

By the way, these figures account just for the state’s share of Medicaid. The federal government, which picks up just over half the tab of New York’s program, will end up chipping in hundreds of millions more in added wages. So, too, will the federal Medicare health plan for the elderly and, of course, private health insurers.

Another hint at the enormous bite of this wage hike for the health-care sector came during a hearing on the governor’s minimum wage proposal by the state Senate Labor Committee.

In answer to a question from Sen. Kathleen Marchione of Saratoga County, an official of the health-care workers union 1199 SEIU said 80,000 of its members were then making $10 an hour, or $1 more than the existing minimum.

Assuming full-time hours, the tab for lifting that group alone to $15 an hour would be more than $800 million a year – all of it ultimately coming out of the pockets of New Yorkers who pay taxes and insurance premiums.

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

Is Hochul Really Going to Shut Down the Essential Plan?

Governor Hochul is hingeing a big chunk of her budget – and the state's health-care system – on a politically fraught gambit: asking the Trump administration to help cover immigrants. Read More

State Delays Disclosing Emails About $1B Home Health Contract

For a third time the state Health Department has postponed releasing records related to a disputed $1 billion Medicaid contract, saying it needs another six weeks or more to locate and redact the materials in question. Read More

Email Confirms Early Contact Between NY Officials and CDPAP Contractor

State officials met with the ultimate winner of a $1 billion Medicaid contract two weeks before the Legislature authorized bidding on the job as part of the state's 2024-25 budget, an email obtained by the Empire Center sho Read More

From Promises to Vetoes: Hochul’s Actions Belie Her Commitment to Transparency

Governor Kathy Hochul made news this fall when she used her legislative veto power in a way that looked personal. That’s how Albany watchers and the target, Senator James Skoufis, w Read More

Budget Update Paints Less Alarming Picture of Federal Health Cuts

A new fiscal report from the state Budget Division suggests federal funding cuts will hit New York's health-care budget less severely than officials have previously warned. A relea Read More

Parsing the Impact of Mamdani’s Tax Hike Plans

The front-running candidate for New York City mayor, Zohran Mamdani, has said he can finance his costly campaign promises – including free buses and universal child care – by taxing only a sliver of the city's residents Read More

K-12 SOS. Buffalo City School District

K-12 SOS is a pilot project of the Empire Center to inform parents, politicians, and decision-makers about the state of K-12 education in New York State. Determining why certain schools perform better than others is beyond the scope of this research. Read More

DOH Ducks a Simple Question on Covid in Nursing Homes

Five years after the coronavirus pandemic, the state Department of Health is pleading ignorance about one of its most hotly debated policy choices of the crisis – a directive that sent thousands of infected patients into Read More