Upper Manhattan, particularly Congressional District 13, is facing potential Medicaid cuts that could jeopardize public health responses, like the Legionnaires' disease outbreak. The One Big Beautiful Bill Act increases administrative burdens, requiring more frequent recertifications and imposing new work requirements for nondisabled adults starting in 2026. The Congressional Budget Office projects significant losses in health coverage, affecting around 10 million Americans, with many losing Medicaid and Affordable Care Act benefits. District 13 could see approximately 11,000 Essential Plan members losing coverage and an economic impact of $400 million if these changes are enacted.
Upper Manhattan is at risk of severe Medicaid cuts that could severely affect public health responses, particularly in light of recent health crises like Legionnaires' disease in Harlem.
The One Big Beautiful Bill Act will impose increased administrative burdens on Medicaid recipients, including twice-yearly recertification and new work requirements starting in 2026.
The Congressional Budget Office estimates that millions of Americans will lose health insurance due to the tax cut and spending law signed by President Trump, which significantly impacts Medicaid and ACA coverage.
The district represented by Rep. Adriano Espaillat could see a loss of approximately 11,000 Essential Plan members and a financial impact of about $400 million if proposed changes take effect.
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