Report: State takeover of Medicaid could reduce property tax bills

Oct 3, 2018

An independent budget watchdog group agrees with an idea that Republican candidate for governor Marc Molinaro has to help bring down local property taxes. But it also says there is a tradeoff to any potential savings.


Republican gubernatorial candidate Marc Molinaro says his plan for Medicaid would reduce property taxes.
Credit MolinaroForDuchess.com

The Citizens Budget Commission is nonpartisan and doesn’t endorse any political candidates. But the group does back an idea proposed by Molinaro for a state takeover of counties’ Medicaid costs.

The group’s Patrick Orecki said it would help alleviate New York’s very high local property taxes.

“It’s unique and counterintuitive and regressive,” Orecki said.

The lowest-income taxpayers contribute a higher proportionate share in property tax payments than higher-income earners.

For decades, the federal government paid for half of New York’s total Medicaid budget. The state and its counties evenly split the remaining costs. In recent years, the state has capped the growth of the counties’ Medicaid costs at 3 percent per year, with the state paying for any amount above that. Since 2015, the counties’ costs for Medicaid have been frozen at $7.6 billion.

Nevertheless, Orecki said, it hasn’t solved the problem. He said New York still requires more local contributions to finance Medicaid services than all other states in the nation combined.

“By freezing the local share, you also effectively freeze in the inequities that exist,” he said.

Molinaro, who is the Dutchess County executive, said his plan could reduce property taxes by about a third. Molinaro introduced the idea in late September.

“Over five years, our plan would reduce the property tax burden by almost 30 percent,” Molinaro told a meeting of the state’s Business Council.

He told business leaders that he would not have to “gut services” to pay for the takeover.

Molinaro said his plan also would include ending unfunded mandates to counties, enacting a permanent state spending cap and making the current 2 percent per year property tax cap permanent. He also would curtail Gov. Andrew Cuomo’s economic development programs, which offer large grants to select private companies and cost billions of dollars.

Orecki, with Citizens Budget Commission, has other ideas on how to pay for the state takeover. He said the state could increase the sales tax from 4 percent to 5.8 percent, or the state could swap a portion of local sales tax revenue for the local Medicaid costs. But, he said, it can’t just result in a cost shift from one type of regressive tax to another.

Citizens Budget Commission also recommends getting rid of the STAR school property tax reduction program. STAR provides a political advantage to state lawmakers, as rebate checks go to property owners just before Election Day.

And, Orecki said, the state could try to absorb its costs through “efficiencies.” He pointed out that Cuomo earlier in his term formed a Medicaid redesign panel with all of the major stakeholders, including hospitals and the health care worker unions, which resulted in savings.

The choices aren’t easy, he said.

“All of these options are difficult,” Orecki said.

Cuomo is opposed to a state takeover of Medicaid, saying it would lead to undesirable spending cuts or higher state income taxes.

“Where does the state get $7.6 billion?” Cuomo asked. “You either have to raise taxes on the state side, or you have to cut education.”

The Citizens Budget Commission report also finds some good news for state and local government finances. Enrollment in Medicaid has leveled off in recent years and is expected to remain flat for the next few years, slowing the growth of the program.