2027 Executive Budget Medicaid Scorecard
- Scorecard is available in Portable Document Format (PDF)
| (State Share - $ in millions) | Eff. Date | Article VII/ Admin | FY 2027 | FY 2028 | ||
|---|---|---|---|---|---|---|
| Global Cap Forecast (Surplus)/Deficit | $131.4 | $953.6 | ||||
| Signed Legislation
3 Day Buprenorphine |
1/19/26 |
Leg |
$1.3 $1.3 |
$1.3 $1.3 |
||
| Federal Impacts (H.R. 1) | Admin | $2,570.2 | $3,598.5 | |||
| Financial Plan Resources | 4/1/26 | Admin | ($1,886.60) | $0.0 | ||
| Global Cap Metric Update | 4/1/26 | Admin | ($715.70) | ($1,528.30) | ||
| Executive Base (Surplus) / Deficit | $100.5 | $3,025.1 | ||||
| Budget Actions | ($100.5) | ($116.1) | ||||
| Other Long-Term Care Actions Aligning Personal Care FFS Admin Reimbursement at 15% |
4/1/26 |
Admin |
($7.5) ($7.5) |
($7.5) ($7.5) |
||
| Managed Care Actions
Carve Out Medicaid from the IDR Process Health Home Qualifying Conditions Reform Applied Behavioral Analysis Reforms Amend Biomarker Coverage |
4/1/26 10/1/26 10/1/26 4/1/26 |
Art.VII Admin Art.VII Art.VII |
($94.7) ($28.5) ($2.5) ($13.7) ($50.0) |
($114.4) ($28.5) ($5.0) ($30.9) ($50.0) |
||
| Nursing Home Actions
Re-allocate Nursing Home VAPAP Restore Capital Rate |
4/1/26 4/1/26 |
Admin Art. VII |
$8.8 ($20.0) $28.8 |
$8.8 ($20.0) $28.8 |
||
| Other Actions
Medicaid Enterprise Client Management (MECM) System Reduce Cross-over Payments NYRx Enhanced Rebate Purchasing Pool |
4/1/26 10/1/27 4/1/26 |
Admin Art.VII Admin |
($7.1) $17.9 $0.0 ($25.0) |
($3.0) $40.5 ($18.6) ($25.0) |
||
| Total Global Cap (Surplus) / Deficit | $0.0 | $2,909.1 | ||||
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