ONE BIG BILL:
The Ugly Reality for New Yorkers

Learn what the largest healthcare cut in American history means for you and your family.

President Trump recently signed into law a bill that will slash a trillion from Medicaid — the single largest cut to healthcare in American history — and severely harm New York’s healthcare system.

See if you’re affected

Input your information to see how much you should expect your healthcare costs to go up:

Here’s what New Yorkers face:

Costs will go up for working families

Medicaid beneficiaries have a new $35 co-pay  for their care
Affordable Care Act (ACA) marketplace premiums will rise an average of $228 a month for a couple, a 38% raise
1.5 million New Yorkers will become uninsured, and far likelier to pay for healthcare out of pocket and incur medical debt
Working families may have to choose between a doctor’s visit and buying groceries

Key Insight

$228

INCREASE PER MONTH

How much the average couple’s premiums will rise if they get their insurance on the ACA marketplace.

Key Insight

$14.4

BILLION LOST

How much local communities will lose in economic activity

New York’s healthcare system will be devastated

Hospitals will lose $8 billion in annual funding, which may force them to cut services and some may even close
New York could lose 34,000 hospital jobs, harming workers and impacting care for all patients
Local communities will lose $14.4 billion in economic activity, through hospital-related jobs, goods and services
Services like mental health care, psychiatric care, and emergency care could all be impacted for every patient, even those on private insurance

When will changes go into effect?

January 1, 2026

January 1, 2027

October 1, 2027

January 1, 2026

ACA marketplace premiums rise an average of $228 a month for a couple
500,000 lawfully present immigrants lose their Essential Plan coverage

January 1, 2027

Work requirements for Medicaid beneficiaries go into effect
225,000 legal immigrants who earn too much to qualify for Medicaid lose their Essential Plan coverage and become uninsured

October 1, 2027

Federal funding for hospitals begins to shrink, first by gradually reducing provider taxes, then by reducing state-directed payments  (starting January 1, 2028)

Health care leaders warn New Yorkers

“This bill undermines health care for millions of New Yorkers, dismantles vital services, and places our most vulnerable families in jeopardy.”

Dr. James McDonald, New York State Health Commissioner

“These consequences will not only affect Medicaid enrollees, but also harm everyone who requires hospital care, leading to longer wait times and less access to critical services.”

Governor Kathy Hochul

“I think this is going to create catastrophic changes…there will be a decrease in access to care, not only for those whose insurance is cut, but also for everyone who uses those services.”

Dr. Sandra Scott, CEO of One Brooklyn Health

“There is no candy-coating the bill’s impact on New York…[the bill is] the most destructive health care cuts in American history.”

Kenneth Raske, President of the Greater New York Hospital Association

“Cutting $1 trillion from Medicaid and the Affordable Care Act will be disastrous for our healthcare system. It will cause tens of thousands of Americans to die annually, force healthcare facilities and services to shut down, create longer wait times and higher costs for everyone, and blow gigantic holes in states’ budgets as they try to make up for the loss of critical funding."

Yvonne Armstrong, President of 1199SEIU United Healthcare Workers East

Share your story

How will these healthcare cuts impact you?
Will your costs go up?
What happens if you lose your health insurance or your local hospital closes?

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Resource Center

Find helpful links and tools to better understand how recent healthcare changes may affect you. Whether you’re checking your eligibility for Medicaid or need help navigating coverage changes, these resources are here to guide you.

How to check if you qualify for Medicaid or Essential Plan
learn more

Help understanding health insurance terms
learn more

Understanding all the changes to healthcare in the “one big bill”
learn more

What to do if you lose coverage under Medicaid, Child Health Plus, or Essential Plan
learn more

Healthcare Education