New York Governor Kathy Hochul initially aimed to rein in Medicaid spending on home health aides but has switched to a supportive stance, proposing a 17% budget increase amid pressure from powerful health-care worker unions such as 1199. The state's home health aide workforce has surged dramatically, raising concerns about so-called 'out-of-control' Medicaid expenditures. Factors like expanded eligibility for home-care subsidies without employer benefits and an increase in overall health-care enrollment complicate the fiscal landscape, challenging Hochul's earlier budget-control intentions while reflecting the complexities surrounding health care politics in the state.
Gov. Hochul’s shift from trying to control Medicaid spending to increasing it reflects the balance of political interests and lobbying pressures ahead of her re-election.
A study shows New York's home health aide workforce has surged by 57,000 in just over a year, creating significant challenges for budget management.
The governor's decision to open eligibility for home-care-aide subsidies and the union’s aggressive organizing tactics highlight the complexities of health care politics in New York.
Despite earlier plans to rein in spending, Hochul’s budget proposes an unprecedented 17% increase in Medicaid outlays, driven by powerful lobbying from health care unions.
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