A historic decline in the uninsured population continued in 2016, both nationwide and in New York, albeit at a slower rate that signals a plateauing trend, according to data released Tuesday by the Census Bureau.
The share of the U.S. population lacking health coverage dipped to 28.1 million, or 8.8 percent, a drop of just 0.3 percentage points. That compares to 1.3-point drop in 2015, and 2.9-point drop in 2014 – the first year that the Affordable Care Act was fully in effect.
In New York, the uninsured population declined to 1.2 million, or 6.1 percent – down 1 point from the year before. New York’s rate dropped 1.6 points in 2015 and 3 points in 2014.
Overall, the Census figures show that 20.7 million Americans, including 992,000 New Yorkers, gained coverage since 2013.
Source: U.S. Census Bureau (Percentages do not add to 100 because individuals can fall in more than one category.)
While New York’s uninsurance rate is at an all-time low, its progress under the ACA has underperformed the national norm in some respects.
In 2013, it had the 14th lowest uninsurance rate among the 50 states and the District of Columbia. As of 2016, it had slid to 19th – bypassed by states such as Kentucky, Washington, West Virginia and Rhode Island.
New York’s private-sector insurance market expanded with the help of the ACA’s heavy tax subsidies from 2013 to 2016, but at less than half the national rate – 3 percent versus 6.7 percent.
Meanwhile, its expansive Medicaid program and other public insurance options saw more robust enrollment growth of 12 percent, compared to a national rate of 14.8 percent.
As a result, government-sponsored plans accounted for 83 percent of the insurance gains in New York, compared to 58 percent nationwide.
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.
New York for decades has collected, under various names, a special tax on mobile phones. The tax, which today shows up on customer bills as the “public safety communications surcharge,” devolved from being a fee to pay for 911 services to a general revenue source with 911 services as a near second thought. Since 2009, almost half the surcharges paid by customers for public safety communications—more than $1 billion—have been redirected to New York’s general fund. Read More
One of the biggest drivers of New York's Medicaid enrollment growth over the past decade has been "emergency Medicaid" for undocumented immigrants, newly released state records show.
Read More
The Health Department has been either unable or unwilling to document the eligibility status of almost one million Medicaid recipients, raising further concern about the possibility of large-scale over-enrollment. Read More
Although Governor Hochul said last week that the current trajectory of Medicaid spending is "not sustainable," the upward trend is even steeper than she and her budget director have acknowledged.
Read More
New York in 2022 told school districts they’d be barred from purchasing gasoline- or diesel-powered buses after 2027, and instead have to buy electric buses at more than double the upfront cost.
“The purchase of new electric buses will help grow the market,” officials later pledged, “which will in turn help reduce prices.”
Unfortunately for taxpayers, those reductions aren’t materializing—because state officials put the prices, and future increases, on cruise control. Read More
Financing and regulating health care delivery is one of the biggest responsibilities of state government, yet Governor Hochul had remarkably little to say on that topic in her State of the State speech on Tuesday.
Read More
Governor Hochul is hammering an “affordability” theme in the leadup to Tuesday's 2025 State of the State address. But her campaign, dubbed "Money In Your Pockets," has so far featured little that would reduce the cost of providing, and therefore buying, goods or services in New York.
Instead, the biggest announced and expected elements reflect Albany's waning interest in growing the state economy—and a greater appetite to redistribute what it produces. Read More
Governor Hochul on Saturday signed an innocuous-sounding bill to “regulate the use of automated decision-making systems and artificial intelligence techniques by state agencies.” But the “Legislative Oversight of Automated Decision-making in Government,” or LOADinG Act, wasn’t about protecting New York from self-aware computers trying to wipe out humanity. Instead, it was an early Christmas present for the state's public employee unions—and a lump of coal for New Yorkers hoping for more efficient state government. Read More