Bill > A02471

This bill phases out reimbursements for medical assistance expenditures made by social services districts through a structured, incremental reduction over a decade. Starting in 2025, the bill will reduce medical assistance expenditures by 10% compared to 2024 levels, with subsequent annual reductions of 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, and finally a complete 100% elimination by 2034. Each year's reduction is specifically tied to a requirement that 100% of the annual savings must be used for property tax levy reductions or property tax rebates in the local government's subsequent fiscal year. The bill applies only to local governments as defined in specific sections of the general municipal law and education law. Additionally, counties that have opted into a local sales tax intercept methodology will receive a proportionate reduction in their sales tax intercept, with the recaptured funds also directed toward property tax reductions. The state comptroller is tasked with determining the minimum annual property tax levy reductions and communicating these to local governments 180 days before the start of each fiscal year. The ultimate goal appears to be shifting medical assistance funding responsibilities while providing property tax relief to local governments.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/A2471