Writings

PDF available: Introduction The One Big Beautiful Bill Act (OBBBA) represents one of the most consequential shifts in federal health policy in recent years. The Congressional Budget Office (CBO) estimated that over 10 years, the OBBBA would result in $990 billion in reduced Medicaid spending and cause 10 million Americans to lose health insurance coverage, with more than half of them losing coverage by 2027. [i] The Appendix of this Issue Brief shows the CBO’s anticipated co

Enhancing Access to AI Tools for Healthcare Providers Across New York   PDF version: Key Takeaways   This paper proposes establishing a healthcare-focused, AI public-private platform to enable broader access to AI’s benefits in patient care, outcomes, and operational efficiency, and to help close the technological divide among healthcare entities. New York State has two important precedents for a new public-private platform involving health information technology and AI: the

The Back to School season led me to ponder a public policy paradox that has interested me for some time. That paradox is the divergent trajectories of the healthcare sector and the education sector in the United States over the last several decades – especially in the last decade. Healthcare and education arguably are the two most important sectors in American life: both sectors engage nearly every American at some point in their lives, are massive in size, and...

 The intersection of recent federal healthcare and immigration policy changes will have a significant impact not only on the recipients of government-funded healthcare services and on non-U.S. citizens residing in New York, but also on the immigrants who comprise New York’s healthcare workforce.

From the standpoint of healthcare in New York State, which is the principal preoccupation of the Step Two Policy Project, the passage into law of the One Big Beautiful Bill Act (OBBBA) on July 4, 2025, was highly consequential. What comes next for healthcare in New York is still a puzzle that policymakers and stakeholders are now beginning to confront.

Together, court-mandated outpatient treatment and involuntary removal and hospitalization represent a safety net for individuals who fall through the cracks in the system of voluntary care, often cycling through hospitals, jails, and shelters.

Community Schools represent an integrated educational approach designed to transform traditional schools into community hubs by offering comprehensive services and supports to students and their families. Linking school-based health services and Community Schools is a low-barrier, high-impact approach to improving educational and health outcomes for students, and to better engaging families and the surrounding community in supporting student success.