July 3, 2025 Update:
"As we mark Medicaid's 60th anniversary, we should be celebrating this transformative program that provides essential healthcare coverage to nearly 7 million New Yorkers,” said Amir Bassiri, Director, Medicaid, NYS Department of Health. “Instead, we are now facing the biggest cut in the program’s history that will strip coverage from up to 1.5 million working New Yorkers, resulting in at least $3 billion annually in uncompensated costs for our hospitals and health centers, and communities to make accessing care harder, not easier.
Medicaid has been a cornerstone of healthcare access for six decades. Nearly half of New York babies are born to mothers who have Medicaid, and it is the primary program for accessing long term care supports and critical provides long term care services for the elderly and disabled. Our lawmakers should be focused on strengthening the future of healthcare in this state rather than stripping away everything we’ve worked for, particularly in our most vulnerable communities.”
"Fifteen years ago, the Affordable Care Act represented another historic leap forward in healthcare access, and NY State of Health has been at the forefront of that progress. Through our online marketplace we’ve offered streamlined, one-stop shopping for New Yorkers to enroll in public and commercial health coverage, expanded access to affordable coverage options, enabling the state to maintain an uninsured rate below 5%—achievements we should be building on, not tearing down,” said Danielle Holahan, Executive Director, NY State of Health.
What we're seeing now is nothing short of a backdoor repeal of the ACA that will devastate the very programs that have made New York a national leader in healthcare coverage. After more than a decade of progress in expanding affordable healthcare access, this harmful bill is a gut-punch our healthcare system that will harm the New Yorkers who need coverage most.”
The NYS Department of Health will work to mitigate the devastating impacts of this bill and will continue to update New Yorkers on the changes that will be made to their health coverage as a result of this bill here: https://info.nystateofhealth.ny.gov/stay-connected
Impact of Federal Budget Bills On New York
There are 6.7 million people enrolled in health insurance through NY State of Health. However, due to proposed changes in federal law, there could be changes to your NY State of Health coverage. These federal changes could result in higher premiums to enroll or renew your health plan and could mean new requirements to enroll and renew your health plan. See how your premiums could change depending on where you live. Visit our NY Healthcare Impacts by Congressional District Map.
Watch for our messages to learn what this could mean for you.
We will continue to update this page as more information is made available to NY State of Health.
How could my health insurance change in 2026?
If you are enrolled in the ESSENTIAL PLAN
- Over 730,000 individuals could lose their Essential Plan coverage
- Some Essential Plan enrollees may have to pay for full cost Qualified Health Plan coverage
- Hospitals could incur over $1.3 billion in losses, which could make it harder to access care
If you are enrolled in MEDICAID
- Over 1 million Medicaid enrollees may lose their coverage
- New paperwork and work requirements might leave almost 1.5 million New Yorkers without insurance
- Enrollees may have to renew their coverage twice a year instead of annually
If you are enrolled in a QUALIFIED HEALTH PLAN (QHP)
- An estimated 65,000 – 80,000 New Yorkers may lose their coverage
- 140,000 enrollees who receive tax credits may see their costs increase by 38 percent
- 100,000 enrollees could see their rates go up by at least 5 percent
Learn More:
- Download our Fact Sheet
- Read the latest press releases
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