Combined with other Medicaid cuts laid out in the GOP health care act and President Donald Trump's budget proposal, NY stands to lose almost $7 billion in Medicaid spending and an estimated 2.7 million New Yorkers could see a substantial change in health coverage, according to state projections.

"The "cuts" which Mr. Cuomo suggests are an intentional effort to sow fear among vulnerable populations in our state", Faso said.

"I can not criticize Chris Collins' amendment as a county executive because I know it would have a positive impact regarding our expenses, but that doesn't stop the rest of the bill from being a bad bill, " Poloncarz said.

Cuomo said the state is continuing to research other provisions in the Republican bill to see if the state would have standing for a lawsuit against any other piece.

The letter sent Wednesday by Eric Goldstein, the CEO of the UJA-Federation of NY, opposes provisions in the bill that would shift funding for Medicaid to block grants given to states.

This week's episode of "New York Now", the award-winning co-production of WMHT and the Times Union, delves into this week's arraignments of Sen. He claimed that medical facilities could end up closing if the state can't come up this amount of funding, or Albany may have to raise income taxes to cover it.

The Collins-Faso provision was written so that NY is the only state impacted by the change.

That potential loss is a concern in places like Saratoga County, which has relatively low Medicaid costs and which gets a sales tax boost from the Saratoga Race Course, Saratoga Performing Arts Center, and other attractions. "The state has until 2020 to plan for takeover of Medicaid costs from counties and there is ample room in the state budget to cut spending by 1.5 percent to pay its fair share of Medicaid".

"Despite the governor's reckless threats, if the amendment passes I could not be more optimistic about the fiscal stability of upstate counties, New York State and the country as a whole", Errigo said.

Democratic New York Gov. Andrew Cuomo said Tuesday that Republicans in Congress have "declared war on New York" by making the Medicaid change.

Faso said the average property taxpayer would save $358 annually on their county property tax bill.

The governor is correct that this plan would shift the burden of these Medicaid costs from the counties to the state.

Faso said the counties in the 19th Congressional District, which he represents, paid more than $224 million in property taxes to support the Medicaid program in 2015.

Collins, R-Clarence, Erie County, introduced the measure with the help of Rep. John Faso, R-Kinderhook, Columbia County, while other upstate GOP Reps. At best, it shifts costs from one tax bill to another. So much for his promise not to harm a provider of health care to millions of women and men. "But it still froze it at over $14 million a year in the counties local share".

Whether counties should pay for Medicaid goes back decades: In 1994, Cuomo's late father, then-Gov. New Yorkers will hold them accountable for their vote.

Ossenfort said he was not surprised Montgomery County was so high on the list.

Nathan Littauer Hospital and Nursing Home President and CEO Laurence E. Kelly spent Monday at the New York State Capitpl with Cuomo in his chamber.

"Likely, if it is not included, we will continue down a long and arduous path, one where counties like Fulton and Montgomery will continue to bear a very heavy burden when it comes to medicaid costs", he said.

It's bad enough that Mr. Faso plans to support AHCA, even with estimates that 24 million Americans will end up without health coverage as a result, including almost 66,000 people in Mr. Faso's congressional district and 2.3 million or more across the state.