May 31
How Will Single Payer Work?

​Each year for the last several years the Assembly passes a bill that would establish a single payer health system in New York.  So far the Republican-controlled Senate has not taken up this issue.  As we wind down the 2018 legislative session the Assembly will once again vote on a single payer bill.

Here are some questions and answers about what to expect if single payer health insurance becomes reality in New York.  According to a report published by the Empire Center, an independent, non-partisan, non-profit think tank based in Albany, NY, taxes would need to be raised by $92 billion to cover the cost of a state-run single payer system. Big I New York opposes efforts to establish a single payer system in New York.



What plans are available?
  • Medicare
  • Medicaid
  • Veterans' Administration
  • Workers' Compensation
  • Other government programs
  • Employer-provided benefits
  • Privately purchased coverage
New York Health Plan
Who is eligible?
  • The elderly or disabled
  • The poor
  • Veterans
  • Injured workers
  • Employees of firms offering benefits
  • Individuals who purchase coverage
All New York residents regardless of immigration status
What care is provided?Varies according to planAll office visits, tests, procedures, hospital stays, medications
What providers are covered?Varies according to planAll available providers
What costs are covered?Varies according to planAll expenses with no copayments, coinsurance, or deductibles
Who negotiates fees with providersFederal government, state government, employers, private health plansState government
Who manages care?Federal government, state government, employers, private health plansState government
Who pays?Taxpayers, employers, employees, individual premium payersTaxpayers


This information was adapted from material published by the Empire Center.  For more information visit

Kathy Weinheimer, CPCU, AAI
Senior VP Industry Relations



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