October 23, 2017

TO:  COPA Members

Senate & House Republicans Advance FFY 2018 Budgets With Medicaid Cuts

House and Senate Republicans have taken steps to advance their respective federal fiscal year (FFY) 2018 budget blueprints, the initial steps in a process that, if successful, would ultimately allow the Senate to use the budget reconciliation mechanism to pass tax reform legislation with a simple majority of 51 votes. COPA is concerned these budget blueprints could be used to cut Medicaid and Medicare by hundreds of billions of dollars.

The House narrowly passed its budget resolution on October 5th in a 219-206 vote. Eighteen Republicans, including Representatives John Katko (R-Syracuse) and Peter King (R-Seaford), joined all House Democrats in opposing the budget. Concerns about reductions to Medicare and Medicaid figured into the decisions of Representatives Katko and King to oppose the budget.

 The House budget provides instructions for committees of jurisdiction to develop a deficit-neutral tax overhaul bill that achieves at least $203 billion in mandatory spending reductions over the next decade. The $1.1 trillion budget would increase defense spending by over $600 billion in this fiscal year and assumes enactment of the House-passed ACA repeal bill, the American Health Care Act, along with all of its savings. A major point of contention among Republicans opposing the budget is the potential elimination of the state and local tax deduction to help pay for new tax cuts.

 Meanwhile, the Senate Budget Committee approved its version of the FFY 2018 budget, along party lines, which would reduce spending by over $5.1 trillion. The Senate budget also instructs committees of jurisdiction to come up with legislation to overhaul the tax code, but would allow for up to $1.5 trillion in deficit spending over the next decade. The Budget Committee is allowed to alter the instructions to the Finance Committee to call for healthcare savings. Democrats have raised this concern, indicating that the proposal could cut Medicaid spending by $1 trillion and Medicare spending by nearly $500 billion over 10 years.

The House and Senate would eventually have to agree to identical budgets in order to use the FFY 2018 budget reconciliation process as a legislative vehicle to pursue changes to tax policies.   On Thursday, the Senate adopted changes worked out between House and Senate budget writers with the goal of avoiding the process of going to conference.

 Please contact your COPA team for further information or questions.

Barbara, Wini & JR

 

 Barbara Crosier

Vice President, Government Relations

Cerebral Palsy Associations of NYS

3 Cedar Street Extension, Suite 2

Cohoes, NY 12047

Phone:  (518) 436-0178, Ext. 104

Cell:  (518) 424-3198

Fax:  (518) 436-8619

E-mail:  This email address is being protected from spambots. You need JavaScript enabled to view it.

 

John R Drexelius, Jr.

Government Relations Counsel,

DDAWNY
Law Office of John R. Drexelius, Jr.

PO Box 141
Buffalo, NY  14223
(716) 316- 7552
Fax: 
716-875-7552
E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

 

Winifred Schiff

Associate Executive Director for Legislative Affairs

InterAgency Council of Developmental Disabilities Agencies, Inc.

150 West 30th Street   15th floor

New York, NY  10001

Office - 212-645-6360

Cell - 917-750-1497

E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

 

COPA - Coalition of Provider Associations

3 Cedar Street Extension, Suite 2

Cohoes, NY 12047

(518) 436-0467

This email address is being protected from spambots. You need JavaScript enabled to view it.

 

www.copanys.org