纽约州医疗补助开支预计在本财年升至近1340亿美元，比五年前多出约450亿美元，主要受人口老龄化、医疗成本上升以及家庭医疗护理入保人数增长推动。
New York’s Medicaid spending is projected to rise to nearly $134 billion in the current fiscal year, about $45 billion more than the state spent five years ago, driven by an aging population, rising medical costs, and growing enrollment in home health care.
尽管这项联邦与州共同资助、为贫困和老年人提供医疗保障的计划开支增加了50%，但根据周五发布的州政府年中财政计划更新，纽约州预计2028和2029财年的医疗补助开支增幅将分别控制在1%和1.5%。州预算司发言人蒂姆·拉菲宁拒绝置评。
Despite a 50% increase in the federal-state program supporting healthcare for the poor and elderly, New York expects to hold Medicaid spending growth to just 1% and 1.5% for fiscal years 2028 and 2029 respectively, according to the state’s Mid-Year Financial Plan Update released Friday. Tim Ruffinen, a spokesman for the state’s Division of Budget, declined to comment.
纽约州人均医疗补助开支在全美各州中排名第一，该计划占州政府约2820亿美元预算的近一半。医疗补助费用由联邦政府、州政府、县政府和纽约市政府共同分担。
New York ranks first among US states in Medicaid spending per capita, and the program eats up almost half of the state’s roughly $282 billion budget. Medicaid costs are shared by the federal government, the state, counties and New York City.
州政府表示，除人口老龄化外，医院和疗养院报销费率上调以及药品成本上涨也在推高开支。
In addition to an aging population, increased reimbursement rates for hospitals and nursing homes, as well as higher drug costs, are driving up spending, the state said.
唐纳德·特朗普总统2025年的预算法案包含对食品券等医疗补助安全网项目的大幅削减。
President Donald Trump’s budget bill in 2025 included sweeping cuts to Medicaid safety-net programs like food stamps.
预计2030年联邦政府对纽约州医疗补助计划的拨款将从前一年的约760亿美元降至约690亿美元。
In 2030, federal spending for New York’s Medicaid program is expected to decline to about $69 billion from about $76 billion the prior year.
该州针对老年人以及同时参加医疗补助和联邦医疗保险人群的管理式长期护理计划入保人数，占医疗补助开支的约60%。年中更新报告称，到2030年，纽约州65岁及以上人口预计将占全州人口的21%，高于2010年的13%，这将给州预算带来巨大压力。
Enrollment in the state’s managed long-term care program for seniors and individuals dually enrolled in Medicaid and Medicare comprise about 60% of Medicaid spending. By 2030, New Yorkers aged 65 and older are projected to comprise 21% of the state’s population, up from 13% in 2010, putting significant pressure on the state budget, the Mid-Year update said.