Cuomo on New Medicaid / Medicare Rule by Feds

The reckless health care bill failed in Congress, but the federal government is still trying to decimate our health care system. The agency that oversees Medicare and Medicaid released a new rule this week that dramatically changes how the federal government calculates the amount it reimburses our hospitals for the uncompensated care they provide to those in need.

These changes are designed to penalize New York and other states that expanded their Medicaid programs. Instead of compensating hospitals based on low-income patients served, the rule shifts funding away from states that expanded Medicaid to states that refused to expand coverage. In New York, it will cut $600 million a year from our hospitals when fully phased in and $200 million next year alone. These cuts will wreak havoc on our health care providers, jeopardizing a critical driver of our economy and threatening New Yorkers’ access to care.

In New York, we believe health care is a right, not a luxury, which is why we expanded coverage to so many New Yorkers who previously were uninsured. I demand that the federal government reconsider this cruel decision, on behalf of the millions of people that this policy will affect.”

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Trump turns housing agency into another weapon in his immigration crackdown



The Department of Housing and Urban Development has dramatically expanded its immigration enforcement activities, auditing thousands of housing applicants and proposing new rules that would force mixed-status families to choose between separating from undocumented relatives or losing rental assistance entirely.

HUD Secretary Scott Turner has instructed public housing authorities to verify immigration status for approximately 200,000 people receiving federal housing benefits, reported the Washington Post. The department is also sharing data with the Department of Homeland Security and has proposed a rule blocking mixed-status households — families containing both documented and undocumented members — from accessing housing programs altogether.

The policy would devastate eligible families. The Center on Budget and Policy Priorities estimates that nearly 80,000 people would lose housing assistance under the proposed rule, including 52,600 eligible citizens and 35,400 citizen children. Housing officials report that for every ineligible person removed from programs, approximately three eligible people lose assistance.

Public housing authorities have raised significant concerns about the implementation. HUD provided 3,000 housing agencies with lists of flagged tenants and demanded corrections within 30 days — a timeframe housing officials characterize as impossible. After investigation, local officials discovered the vast majority of flagged individuals were flagged in error due to data synchronization problems, duplicate entries, or administrative mistakes like missing initials or transposed Social Security numbers.

Mark Thiele, chief executive of the National Association of Housing and Redevelopment Officials, criticized the shift in mission.

“Putting that responsibility on them shifts immigration enforcement away from the agencies that are meant to handle it and actually puts eligible families at risk of losing their housing assistance,” Thiele said. “Housing agencies should focus on what they do best: providing homes for their communities. They should not be asked to act as immigration enforcers on top of that.”

Turner defended the policy as necessary to protect taxpayer funds and ensure benefits reach U.S. citizens. "Under President Trump's leadership, the days of illegal aliens, ineligibles, and fraudsters gaming the system and riding the coattails of American taxpayers are over," he stated.

Housing experts argue the policy won't address underlying housing shortages or lower costs. Of 4.4 million HUD-assisted households, only approximately 20,000 are mixed-status. The proposed changes represent part of a broader administration effort to use federal agencies for immigration enforcement, including similar initiatives at the Education Department, IRS, and banking sector.