New York City Health and Hospitals Corporation - 2009 State Funding Cut

2009 State Funding Cut

In March 2009, HHC announced spending reductions of $105 million and said that it would eliminate 400 jobs because of Medicaid cuts, rising expenses and a growing number of uninsured patients. Alan Aviles, HHC President, said regarding the cuts, "We can try and ensure that patients who are adversely affected can be linked to alternative care. That, of course, will become more and more difficult as we have to dig deeper and deeper."

Local DC 37, a union representing some of HHC's 30,000 workers, announced:

If there is one thing that should be obvious in this economic climate it is that layoffs are not a solution but only compound the problems we're facing. District Council 37 will address this issue aggressively. We are talking to the State to make sure that the federal stimulus moneys are used for the purpose for which they are intended.

Cutbacks will include four school-based health programs, three community clinics, two mental health day treatment programs, and the consolidation of three other hospital-based programs. At the time of the March 2009 announcement, Aviles said these cuts address a fraction of the problem and pointed to additional reductions in the future.

In early April, Aviles circulated a letter to HHC's employees and its community advisory board stating that due to decisions by Governor Paterson the cuts would be significantly deeper than those reported in March.

The effect of the initial and additional funding cutbacks on the ability of HHC to deliver effective community care is unclear. The process by which the cuts were decided upon by Governor Paterson has not yet been reported.

It is unclear whether the cutbacks will impact the efficacy in New York City of President Obama's initiative to expand affordable access to healthcare, or how the cuts will affect New York City's ability to offer HHC's industry leading electronic health record system as a model for integrating modern information technology into the healthcare delivery system at the national level.

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