September 17, 2025
Governor Kathy Hochul today called on Congressional leadership to pass an extension of the Affordable Care Act’s enhanced premium tax credits, which are set to expire at the end of 2025. New York is one of 18 states to sign a joint letter stating that without these subsidies, millions of Americans will see their healthcare premiums rise by thousands of dollars. More than 140,000 New Yorkers rely on these enhanced credits to access quality, affordable health coverage. In addition, these credits support a further 1.7 million New Yorkers on the Essential Plan, which provides low or no-cost coverage for working families statewide.
Extension of these tax credits is critical, as New York State grapples with the devastating impacts of the GOP reconciliation law, which guts federal funding for the Essential Plan by $7.5 billion annually, more than half of the program’s total funding, beginning in 2026. New York State is being forced to revert the Essential Plan back to a Basic Health Program as a result of the Republican budget bill, which was supported by all seven New York Congressional Republicans who knowingly voted to slash funding for the critical program.
Read the full letter here.
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Update on short-term budget wrangling on the Hill from Politico (9/17):
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Republican leaders vowed Wednesday to barrel forward with a stopgap funding bill in the coming days as Democrats threatened to oppose it in favor of their own alternative — raising the chances for an Oct. 1 government shutdown. House Majority Leader Steve Scalise told reporters Wednesday morning that a vote on the GOP-written bill unveiled Tuesday is expected “likely Friday” amid Democratic objections about a lack of bipartisan negotiations. “We’re going to do our job, and that’s all we can do, is do our job,” he said. “If Democrats want to shut the government down and continue to hold America hostage because they don’t like the results of the election, the American people are fed up with that kind of childish politics.” While House GOP leaders have pushed their members for earlier action, they believe Friday morning is the likeliest option for the vote. Hard-liners and others are pushing leaders to stick to the chamber’s 72-hour-review rule. GOP leaders are also still working to win the votes of several undecided Republicans, including Rep. Warren Davidson (R-Ohio), but are confident they are on track to pass the measure by the end of the week. “Like any big vote, they’re always tight,” Scalise said Wednesday. Rep. Andy Harris (R-Md.), chair of the hard-right House Freedom Caucus, said in a brief interview he was expecting a “Friday morning” vote, saying that was “close enough” to fulfilling the 72-hour rule. GOP leaders have privately acknowledged a Thursday vote could cost them votes among hard-liners, and they can’t afford to lose many Republicans with Rep. Thomas Massie (R-Ky.) already a hard “no.” “I suspect leadership knows it’s easier to get guys to a yes when we’re following the rules than not,” said another Republican involved in the conversations granted anonymity to speak candidly. Senate Republicans, who want to act quickly on the House bill, are closely watching the House action as they plan their own schedule. If the House votes Friday, the earliest the Senate would be able to vote is Monday. While voting on Thursday could theoretically move up that schedule a day, a number of Republican senators want to attend activist Charlie Kirk’s funeral Sunday, making a vote that day unlikely. Furthermore, according to two people granted anonymity to discuss chamber scheduling, senators are not eager to return Monday only to leave again for an already scheduled recess for Rosh Hashanah. Instead, senators would likely return next Thursday, after the Jewish holiday, the people said. The scheduling conflicts come as the Sept. 30 funding expiration looms and as Senate Democrats threaten to use the chamber’s filibuster rule to block the GOP stopgap. “In the Senate, it takes 60 votes,” Minority Leader Chuck Schumer said Wednesday. “So that means Republicans will need to work with us. If they can’t even bother to have a conversation with Democrats, then it’s Republicans who the American people will know are causing a shutdown in two weeks.” Senate Majority Leader John Thune reiterated Wednesday that Republicans see nothing to negotiate on the “clean” stopgap, which would extend current funding through Nov. 21. “These guys are trying to take a hostage here,” he said. Speaker Mike Johnson, asked about the prospect of Senate Democrats blocking the House stopgap, said in a brief interview Tuesday that he hoped that wouldn’t happen. “There would be no reason to, because it’s clean and short term.” Asked if he would work on a backup plan in that case, he replied, “We’re going to see what happens.” But House Appropriations Chair Tom Cole signaled some support Wednesday for Republicans working on a Plan B if Senate Democrats do block the GOP-led stopgap as they’re threatening. “I certainly would,” Cole said in a brief interview, but he acknowledged it was “a leadership decision.” Cole, asked if the talks could be salvaged at that point to stave off a shutdown, replied, “I don’t know.” The comments came as tensions between normally cordial appropriators appear to be reaching a breaking point. Senate Appropriations Vice Chair Patty Murray (D-Wash.) on Tuesday accused Cole of having “pulled out” of bipartisan talks and “produced a one-sided CR.” “Where are the Republican leaders?” Murray said. “If Republicans can’t even sit down with [Democratic leaders] to simply have a conversation, then they cannot govern.” Cole retorted Wednesday that Democrats were threatening to oppose a stopgap funding bill “they asked for” and are now planning to unveil their own alternative that adds on health care provisions and other measures GOP leaders are opposing. “We gave them the time frame and a clean bill, now they’re wanting to put other things in,” he said, adding that health care and other issues Democrats want to tackle “ought to be dealt with in separate discussions.” |
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For Political Types and Budget Watchers:
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(Becker’s Hospital News, 9/17)
Two top federal officials are arguing schools should eliminate mental health screenings and therapy — a stance that has drawn pushback from behavioral health leaders according to a Sept. 16 NPR report.
Here are five things to know:
- In an opinion column published in The Washington Post, Robert F. Kennedy Jr., HSS secretary and Linda McMahon, education secretary, said schools should eliminate mental health screenings and therapy. They advocated for a return to “natural sources of mental well-being: strong families, nutrition and fitness, and hope for the future.” The secretaries argued that school-based mental health questionnaires “medicalize the unique and sometimes unpredictable behavior of young children,” and create “new stigmas that students might carry with them for life.”
- The officials cited an Illinois law signed by Gov. J.B. Pritzker that requires all public schools to administer annual mental health screenings starting in third grade. The screenings are standardized tools that ask children to self-report on emotions, well-being and stressors. This represents one of the most expansive mental health mandates in K-12 public education and could influence similar legislation in other states, according to the report.
- Psychologists and child psychiatrists interviewed by NPR said screening tools do not diagnose conditions but instead identify children who may need a follow-up. “Screeners are brief assessments that identify this population at risk,” Benjamin Miller, PsyD, a psychologist, said. “They’re not diagnostic, and they require us to take an additional step.” Experts emphasized that most students who screen positive are referred to school counselors or nurses for further evaluation — not therapy or medication, according to the report.
- Leaders said universal screening helps reduce stigma by opening conversations around mental well-being. “Stigma is when you don’t talk about it and you hide it,” Mary Alvord, PhD, a psychologist, said. Vera Feuer, MD, director of child psychiatry at New Hyde Park, N.Y.-based Northwell Health, said that screenings help schools identify systemic issues and deploy appropriate wellness or resilience programs. Many districts use broader “school climate” or “wellness” surveys to understand trends, not diagnose individuals, she said.
- Dr. Feuer said symptoms flagged by a screener often turn out to be tied to physical health conditions, not always a mental health disorder. Still, she said screenings remain essential for catching red flags early: “A lot of the disorders do start before age 15. We know that the rates have increased,” she said.
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| Harm reduction centers get $118M in opioid settlement funds |
| By Daniel Han | 09/17/2025 03:29 PM EDT |
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New Jersey’s harm reduction centers will receive $118 million stemming from opioid settlement funds received by the state, the Murphy administration announced on Wednesday. Harm reduction centers provide clean needles, naloxone and referrals to treatment for drug users across the state. They have proliferated under the Gov. Phil Murphy, going from seven such centers in mid 2023 to 45 active centers today (another 10 are also being set up). The tranche of funds announced Wednesday for harm reduction centers will be spread out over five years and will assist existing and new centers, Murphy’s office said. Using the funds for harm reduction is in line with recommendations from the state’s advisory council on opioid settlement funds. Murphy and legislative leaders faced criticism over the current state budget for allocating $45 million in opioid settlement funds to four health systems in the state. Attorney General Matt Platkin took the rare step of criticizing that part of the spending plan, and members of the advisory council overseeing opioid settlement funds also demanded that spending be reversed. The state and its local governments will receive over $1 billion over the next two decades in settlement funds from pharmaceutical companies for their role in the opioid crisis. The funds are meant to address and mitigate drug addiction in the state. Harm reduction centers in New Jersey have increased in large part because of a law that Murphy signed in 2022 that eliminated a requirement that a local ordinance pass a town council for a harm reduction center to operate. The state is also setting aside $12 million in opioid settlement funds for non-profits and businesses that help families who have a loved one impacted by drug use. |