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Gov. Cuomo Announces Impact of Potential Affordable Care Act
Repeal in NYS
01/05/17 08:00am
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    Over 2.7 Million New Yorkers Would Lose Coverage

    Estimated State Budget Impact of $3.7 Billion

    Counties Across New York Would Lose Over $595 Million in Direct
    Spending

    New York Residents Would Lose $250 Million in Health Care Savings Tax
    Credits

    Governor Andrew M. 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. 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
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