New York State has one of the country’s most robust public health insurance programs. Since the enactment of the Affordable Care Act (ACA), New York has reduced its uninsured rate to 5%. Today, nearly half the State’s population—8.6 million people—are enrolled in one of New York’s insurance programs: Medicaid, the Essential Plan, or the NY State of Health marketplace plans with advanced premium tax credits and cost-sharing reductions. When pandemic-era policies expired, funders like NYHealth worked with the New York State Department of Health (NYSDOH) and CSS to launch the Keep New York Covered initiative, and New York maintained insurance coverage for 82% of enrollees—one of the best rates in the country. Now, new changes proposed by the federal administration could compromise coverage for millions of New Yorkers. In 2025, NYHealth awarded the Community Service Society of New York a grant to assess and respond to the impacts of proposed federal policy changes on New York State’s public health insurance coverage programs.
Under this grant, CSS will leverage and evolve its prior work. CSS will coordinate with Medicaid Matters NY and the Center on Budget and Policy Priorities (CBPP) at the national level, which are implementing complementary efforts funded by the Health Foundation for Western and Central New York and Robin Hood. It will partner with community-based organizations (CBOs) and conduct policy analyses to assess implications of federal actions specifically in New York State. CSS will gather stories that show the impact of policy changes on consumers and communities, and it will collaborate with community and government partners to strengthen partnerships and coordination. CSS will conduct surveys to assess needs and support dissemination of accurate information about affordable coverage options. Additionally, CSS will lead monthly peer-learning sessions and host an online portal with up-to-date information on State and federal policy developments and educational resources.