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Medicaid cuts in "big, beautiful bill" worry some Tri-State Area families
Medicaid cuts in "big, beautiful bill" worry some Tri-State Area families

CBS News

time04-07-2025

  • Business
  • CBS News

Medicaid cuts in "big, beautiful bill" worry some Tri-State Area families

The nonpartisan Congressional Budget Office estimates President Trump's "big, beautiful bill" will add $3 trillion to the deficit. To pay for that, lawmakers made deep cuts to safety net programs, including Medicaid, which is concerning for some families in the Tri-State Area. "What are we supposed to do?" Theresa Luoni, of Basking Ridge, New Jersey, is a full-time caregiver for her autistic twin sons. "They both get speech and occupational therapy through Medicaid, and they rely on these systems for not just their health care but their education," she said. She now worries what will happen to her family as the federal tax and spending bill passed by Congress aims to cut nearly $1 trillion from Medicaid. "So to think that there won't be a reduction in services is kind of silly when there's so much money being cut from the budget," Luoni said. Luoni is waiting to see what, if any, of her sons' services that are funded by Medicaid will be impacted. "I think all the parents of vulnerable children — whether you're living in poverty or have disabled children — are feeling the same way I am right now. Like, what are we supposed to do?" Luoni said. "How do you trade somebody's life over overtime?" The Congressional Budget Office estimates the Medicaid cuts could leave nearly 12 million Americans uninsured. "It's going to kick over 1 million New Yorkers off their medical coverage," said Nancy Hagans, president of the New York State Nurses Association. The legislation will eliminate federal taxes on tips and overtime pay, including for nurses like Hagans. "How do you trade somebody's life over overtime?" she said. "We are being asked as health care workers to say, I would rather receive an extra 50 cents over somebody else's life." One of the biggest changes will be strict work requirements for some Medicaid recipients. There are exceptions for poor parents of children under 14 years old. Rep. Mike Lawler praises increased cap on SALT deductions The 900-page bill boosts security and United States Immigration and Customs Enforcement, increases defense spending and extends Trump's 2017 tax cuts, which includes an increase in the child tax credit and raises the cap on state and local tax deductions. "This will cover, in my district, 90 percent of my constitutions will be able to fully deduct their state and local taxes, and I live in one of the highest taxed districts in the country," Rep. Mike Lawler said.

Nurses Were Covid Heroes. Now They're Being Squeezed by Medicaid Cuts
Nurses Were Covid Heroes. Now They're Being Squeezed by Medicaid Cuts

Newsweek

time09-06-2025

  • Health
  • Newsweek

Nurses Were Covid Heroes. Now They're Being Squeezed by Medicaid Cuts

Based on facts, either observed and verified firsthand by the reporter, or reported and verified from knowledgeable sources. Newsweek AI is in beta. Translations may contain inaccuracies—please refer to the original content. New York City nurses are calling for reforms as an industry plagued by a "broken" health care system threatens their livelihoods and the future of their profession. Why It Matters Nurses were considered vital and lauded as heroes during the COVID-19 pandemic, when at the outset the National Institutes of Health highlighting their "critical roles and responsibilities" that included front-line patient care in hospitals; ensuring personalized, high-quality services irrespective of infectious conditions; and engaging in planning for outbreaks stemming from coronavirus-related outbreaks that could overwhelm health systems. "These are issues that have preceded the pandemic and will continue until hospitals make serious efforts to recruit and retain nurses and invest in safe patient care," Nancy Hagans, president of the New York State Nurses Association (NYSNA), told Newsweek. "We're also witnessing the effects of a broken healthcare system," she said. "Patients can't afford care, so they put it off, and they come into hospitals much sicker than they ever were. The looming Medicaid cuts will only make this worse. NYSNA nurses are trying to hold hospitals accountable and also do as much as possible on the policy front to expand access to care." What To Know Hagans said that she and other nurses have complained about a nursing shortage for years. "NYSNA nurses have always maintained that there are more than enough nurses, but hospitals refuse to make real efforts to recruit and retain nurses," Hagans said. "We are seeing many more grads entering the profession than nurses leaving. Through better working conditions, safe staffing, and pay and benefits that respect nurses, hospitals could address whatever staffing issues they create." However, NYSNA, New York's largest union and professional association for registered nurses, which represents over 42,000 nurses and health care professionals, has been vocal about recent actions by some hospital systems that are cutting costs as well as jobs. New York City nurses and organizations have warned for years that staffing reductions and dwindling budgets are negatively impacting the profession long-term. New York City nurses and organizations have warned for years that staffing reductions and dwindling budgets are negatively impacting the profession long-term. Photo-illustration by Newsweek/Getty/Canva Montefiore Moses and Weiler In February, dozens of Bronx nurses at Montefiore Moses and Weiler spoke out about purported overcrowding and minimized services in emergency departments and hospital floors, as well as some surgical and palliative care services. Montefiore recorded a 0.2 percent operating loss in the first quarter of 2025. The statement, provided to Newsweek, says that while finances remained consistent year over year, "the proposed changes to reimbursements for Medicare and Medicaid are drawing the attention of healthcare providers across the country." "As one of the largest employers and providers of healthcare in the Bronx and Westchester, we are navigating a challenging and uncertain healthcare environment," Montefiore officials said. "Yet, we remain committed to providing the highest quality care to our communities, and to evaluating opportunities to reduce expenses and diversify our payer mix. "We implore elected officials to continue partnering with institutions like ours, serving a patient population that is 85 percent covered by government payor, to ensure sustainable funding." NewYork-Presbyterian Hospital In May, the NYSNA criticized NewYork-Presbyterian Hospital, a nonprofit academic medical center in New York City, following the announcement of a 2 percent staffing cut across their system—calling it "outrageous and deeply offensive" due to NYP being the city's wealthiest hospital system and one of the country's most financially stable. "Given current macroeconomic realities and anticipated challenges ahead, we have made the difficult decision to reduce our workforce by approximately 2 percent," an NYP spokesperson told Newsweek. "Where possible, we are working diligently to identify new and similar roles for impacted team members. "To elaborate, the healthcare environment continues to evolve, including changes to Medicaid and cuts to research grants to our medical school partners. In addition to these external factors, we are seeing fewer inpatients than expected and incurring higher expenses than projected. Focusing on improving efficiencies and managing expenses is a prudent action that will enable us to continue our mission of providing excellent care for our patients and communities." Hagans said that hospitals like Presbyterian, "with hefty amounts of cash on hand and historic executive pay," should be doing all they can to maintain and expand care rather than cut it. Albany Medical Center On June 5, nurses at Albany Medical Center called out the hospital for its ongoing refusal to address the staffing crisis and protect patient care. The criticism was in response to the nurses providing an update on the hospital's responses to a State Department of Health (DOH) report that found more than 500 violations, including 480 relating to safe staffing standards and 24 procedural violations. The violations were found across 26 different units, including 32 specifically within the neonatal intensive care unit, according to NYSNA. Almost a year after its initial investigation, and following several rejected correction plans, the DOH has yet to issue fines or prompt substantive change from the hospital, according to NYSNA. They called on the Albany Med Board of Directors to hold the hospital accountable. Nearly a year after its first investigation and several rejected correction plans, the DOH has yet to issue fines or spur substantive change from the hospital. Roughly 1,000 nurses signed a petition calling on Albany Med to negotiate a fair contract that will help address the staffing crisis. "There have been no nursing cuts at Albany Medical Center," Sue Rajchel, spokesperson for Albany Med, told Newsweek. "That is why we welcomed 300 new nurses in 2024 and are committed to hiring 400 nurses in 2025. "Our workforce is our greatest asset. We are continuing to negotiate with the union in good faith. We remain confident that our most recent contract proposal, which includes robust wage increases and enhanced benefits, is strong and fair. We will continue to listen to our nurses and advocate for them as we always have." What People Are Saying Nancy Hagans, president of the New York State Nurses Association, told Newsweek: "Less nurses compromises care. Period. The recent layoffs at Presbyterian will affect children and vulnerable patients most dramatically. Presbyterian has said that the impacted services will continue at other campuses, but for many, traveling long distances for care puts that care out of reach." What Happens Next "For nurses who know these cuts will negatively impact their communities, it's extremely demoralizing. But NYSNA nurses will keep fighting," Hagans said.

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