FY 2027 Enacted Budget Medicaid Scorecard

(State Share - $ in millions) Eff. Date Article VII/
Admin		 FY 2027 FY 2028
Global Cap Forecast (Surplus) / Deficit $131.4 $953.6
Signed Legislation $1.3 $1.3
     3 Day Buprenorphine 2/19/26 Leg $1.3 $1.3
Federal Impacts (H.R. 1) 7/4/25 Admin $504.0 $843.5
Global Cap Metric Update 4/1/23 Admin ($715.7) ($1,528.3)
Executive Base (Surplus) / Deficit ($79.0) $270.2
Budget Actions ($48.0) ($132.0)
Other Long-Term Care Actions ($7.5) ($7.5)
     Aligning Personal Care FFS Admin Reimbursement at 15% 4/1/26 Admin ($7.5) ($7.5)
Managed Care Actions ($92.2) ($109.4)
     Carve Out Medicaid from the IDR Process 4/1/26 Art. VII ($28.5) ($28.5)
     Applied Behavioral Analysis Reforms 10/1/26 Admin ($13.7) ($30.9)
     Amend Biomarker Coverage 4/1/26 Art. VII ($50.0) ($50.0)
Managed Long term Care Actions $50.0 $0.0
     Partial Restoration of MLTC Quality Pool for High Performing Plans 4/1/26 Admin $50.0 $0.0
Nursing Home Actions $8.8 $8.8
     Re-allocate Nursing Home VAPAP 4/1/26 Admin ($20.0) ($20.0)
     Restore Capital Rate 4/1/26 Art. VII $28.8 $28.8
Other Actions ($7.1) ($23.9)
     Medicaid Enterprise Client Management (MECM) System 4/1/26 Admin $17.9 $40.5
     Reduce Cross-over Payments 4/1/27 Art. VII $0.0 ($39.5)
     NYRx Enhanced Rebate Purchasing Pool 4/1/26 Admin ($25.0) ($25.0)
Total Global Cap (Surplus) / Deficit ($127.0) $138.2
Legislative Adds $500.0 $1.0
     Pediatric Clinic Rate Extension 4/1/27 Art VII $0.0 $1.0
     Financially Distressed Hospitals 4/1/26 Admin $500.0 $0.0
Timing of Payments and Financial Plan Support 4/1/26 Admin ($373.0) $291.3
Total Global Cap (Surplus) / Deficit $0.0 $430.5