New York Focus Explains How County Legislatures Administer Medicaid

In an explainer, New York Focus describes how New York's 62 county governments function, including their role as the local administrative arm for Medicaid and SNAP. County legislatures pass budgets, conduct oversight, and in many cases share power with an elected county executive; social services, public safety, and health typically make up the largest budget shares. The piece notes that over half of the state's 939 county legislative seats are on the ballot in next week's midterm elections, with results potentially shifting control of these bodies. Outside New York City, counties collectively raise about $37 billion in revenue and will need to absorb roughly $1 billion in added costs next year due to federal SNAP cuts.

Finance