New York Governor Kathy Hochul has issued a warning about a proposed federal tax and domestic policy bill, known as the “One Big Beautiful Bill,” currently being debated in Congress.
If enacted, this bill could cause health insurance premiums in New York to rise by an average of 38 percent for many residents, particularly low-income individuals using the state health insurance marketplace.
Specifically, about 140,000 low-income New Yorkers could face an average monthly premium increase of $114, while couples might see increases averaging $228 per month.
The premium hikes stem largely from the bill’s plan to eliminate the enhanced premium tax credits established under the American Rescue Plan, which have significantly helped reduce insurance costs and expanded coverage.
Without these credits, insurers predict higher premiums and a rise in the number of uninsured individuals. In New York alone, the number of uninsured could increase to 1.5 million, with 65,000 to 80,000 people potentially losing coverage altogether.
The impact varies by region, with the Mohawk Valley facing the steepest increases—up to a 49 percent rise in premiums for couples, equating to about $270 more per month.
Other regions such as Southern Tier, Central New York, Western New York, Finger Lakes, and Mid-Hudson also face significant cost increases ranging from 31 to 48 percent.
Health officials emphasize the risks of these changes. New York State Health Commissioner Dr. James McDonald noted that cuts to federal healthcare support threaten access to affordable insurance, potentially forcing many to forego necessary medical care or face financial hardship.
Governor Hochul criticized the bill, stating it would slash healthcare coverage for millions and raise costs by hundreds of dollars monthly. She pledged to advocate for New Yorkers if their congressional representatives do not stand up for their constituents.
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