On July 3rd, the Republicans in the U.S. House voted for the biggest cuts to health care since the inception of Medicaid and the Affordable Care Act. This cut passed by a four-vote margin with a final vote count of 218 to 214—with all seven New York Republicans voting for the bill.

New Yorkers make up more than 10 percent (1.7 million) of the 16 million Americans that will lose their current health coverage due to federal cuts to Medicaid and the ACA. The University of Pennsylvania estimates these cuts will lead to over 42,000 excess deaths annually.

The bill also did not extend the Enhanced Premium tax credits (ePTCs) that allow over 140,000 New Yorkers to afford health coverage on the New York Marketplace. If Congress does not take action, these credits will expire at the end of 2025. This will not only affect those receiving credits but will also impact all individuals who receive coverage through the State’s marketplace.

Use this dashboard below to see how these federal cuts will devastate New York’s health care system, budget, and economy. Click on a district to get started:

Centers for Medicare & Medicaid Services also sent New York a letter stating that it will phase out programs that provide continuous Medicaid coverage to vulnerable populations starting in 2027. This would affect New York’s program that covers 750,000 children ages 0 to 6 with continuous coverage on Medicaid and Child Health Plus (CHP). The dashboard below presents the State’s estimates of the county-level impact of this proposed policy, but the outcome is still uncertain. The current administration has signaled that continuous coverage will lapse once the State’s 1115 Waiver ends.