NYSAC warns federal reconciliation cuts could saddle Tompkins County with millions in new costs

Alex Reagan, a representative of the New York State Association of Counties (NYSAC), told the Tompkins Intergovernmental Relations Committee on Aug. 6 that the federal reconciliation bill under consideration will reduce federal funding for Medicaid and SNAP and is likely to shift substantial costs to New York state and county governments. Reagan said the package includes what he called “over $1,000,000,000,000 in federal funding cuts over the next decade,” with Medicaid and SNAP identified as the biggest drivers of county fiscal pressure. He told the committee the timeline means many of the most severe cost shifts will take effect in 2027 and 2028. The potential local impacts are concrete, Reagan said. He estimated that New York could see as many as 1,500,000 residents lose health insurance because of changes tied to Medicaid, and he cited a Congressional Budget Office estimate that about 5,000,000 people nationally could lose Medicaid coverage under expanded work…