Jillian Kirby Bronner

The Rockefeller Institute has previously outlined key components of the One Big Beautiful Bill Act (hereafter referred to as HR1), perhaps the most significant piece of legislation to impact the Medicaid program in 2025 and beyond. The Institute’s work has also reviewed rules proposed by the Trump administration on healthcare financing and coverage for New York. However, a provision in HR1 that has received less attention relates to 1915c waivers.

The Rockefeller Institute of Government has recently detailed a number of significant legislative and administrative changes affecting the state’s healthcare economy. Many of these changes reduce the availability of federal funding for New York, New Yorkers, and providers. The loss of federal funding more broadly is relevant to health-related providers, including those serving persons with mental health issues, substance-use disorder, or physical disabilities.

In a recent blog post, Looming Government Shutdown? A Brief Overview of Expiring Federal Authorizations, the Rockefeller Institute of Government detailed the health care policies and programs requiring an extension and, in some cases, funding by Congress. For over two weeks now, failure to reach agreement on a Continuing Resolution (CR) to keep the federal government fully funded has resulted in a temporary federal shutdown. The debate is both highly nuanced and politically charged.