Heading into 2014 budget preparations, Monroe County officials anticipated a 1 percent increase in Medicaid costs. Instead, the county should see a decrease.
During last night's County Legislature Human Services Committee meeting, officials acknowledged that the decrease is due to the federal Affordable Care Act, also known as Obamacare. The benefit to the county's 2014 budget was "$6 million and change," said County Chief Financial Officer Robert Franklin.
Through Obamacare, the federal government is reimbursing states for a larger share of their Medicaid costs. And since New York is one of only a few states that require counties to pay Medicaid costs, it has to pass much of the additional funding on to the counties.
Monroe's budgeted Medicaid costs would drop to $181.7 million under the 2014 proposal, down from $184.2 million in 2013.