December 16, 2025
We are looking forward to seeing many of you on our call this morning (10:00 sharp) when members of the NYS Council will have an opportunity to talk with Senator Nathalia Fernandez, Chair, Senate Alcohol and Substance Use Disorders Committee.
We will talk to the Senator about our budget and legislative priorities for the upcoming 2027 Legislative Session, to include our ongoing campaign to secure a2.7% Targeted Inflationary Increase (TII) and a carve out of OMH and OASAS residential, rehabilitation and outpatient services from the state’s Medicaid managed care program. We also want to red flag our growing concerns over the likelihood that OASAS and OMH providers will soon be faced with additional financial stress associated with providing care to an increased number of uninsured New Yorkers, and our dire need for administrative/regulatory relief.
For your convenience, we have attached our SFY 2027 Budget Priorities document for your review prior to the meeting this morning, if possible.
Here’s the link for the meeting at 10:00 today:
Join Zoom Meeting
https://us02web.zoom.us/j/87944828692?
pwd=JhaiWr4uWWwSfuWfxaXSa0qWab365h.1
Meeting ID: 879 4482 8692
Passcode: 743570
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The takeaway from the news in DC re: the coming expiration of the Obamacare premium subsidies that permit millions of Americans to be able to purchase health insurance through the state/federal insurance exchanges established as result of the Law, is that it is highly unlikely a deal to continue the subsidies – even for a short while – will be reached before the expiration of the subsidies (12/31/25 at end of day). Stand by for more.
(Politico Pro on federal showdown re: Obamacare subsidies, 12/16)Rank-and-file dealmakers in both chambers are making last-ditch attempts to extend key Obamacare subsidies this week, even as it becomes crystal clear the subsidies will expire first. House GOP moderates are hashing out what sort of extension to offer as an amendment at this afternoon’s Rules meeting — even as they signal they will fall in line with Speaker Mike Johnson’s health care plan whether they get a vote or not, Meredith Lee Hill and Mia report. A bipartisan Senate group is working simultaneously toward an extension framework that they hope to announce by the end of the week, while acknowledging it won’t get a vote till next year, Jordain Carney reports with Calen. Here’s where the mod movement in each chamber stands. — IN THE HOUSE: House Majority Leader Steve Scalise said Monday night there’s no “final decision” on putting a subsidy extension amendment on the floor. This morning’s GOP Conference meeting could get heated as frustrated moderates — who call a subsidy extension omission “a huge mistake” — make their last plea for a vote. But they face a huge obstacle at the 2 p.m. Rules meeting this afternoon, where Rep. Brian Fitzpatrick and other moderates are unlikely to get a warm welcome from the panel’s conservative hard-liners, who are firmly against extending Obamacare in any form. The moderates could pull a page out of the Freedom Caucus playbook and threaten to tank the rule or the underlying bill in return, but that does not appear to be in the cards: “I wouldn’t vote against it in protest,” Fitzpatrick said. — IN THE SENATE: Meanwhile, nearly two dozen senators convened by Sens. Susan Collins and Bernie Moreno discussed issuing a roadmap this week toward a bipartisan deal. The rough framework under discussion would pair a two-year subsidy extension with a new income eligibility cap and fraud prevention language. A potential extension of open enrollment for Obamacare exchanges and possible restrictions on abortion funding also remain under consideration. That’s similar to Fitzpatrick’s proposal in the House, but the two efforts so far are entirely parallel. But there is some hope they might eventually converge: Rank-and-file senators are invited to join a Problem Solvers Caucus meeting Fitzpatrick is hosting Wednesday to discuss a joint effort. But this much is clear: The Dec. 31 deadline for the subsidies is certain to come and go. “The calendar precludes getting something done this week,” Sen. Bill Cassidy told reporters. “But, still, a commitment to work together is a lot of progress.” |