Savings on the Cost of Health Care for Government Personnel under the NYHA on Long Island

This is a letter to the editor that I am going to send to Newsday (in hopes it will be published) and the  charts showing Dr. George Jolly’s calculations of employee savings for the Town of Huntington, Northport-Eastport Union Free School District  and  Suffolk County.

At the historic joint hearing of the NY State Senate and Assembly on the New York Health Act, local Assemblyman Andrew Raia, stayed for the whole thirteen hours. He said he supported the idea of health care for all but had questions about the cost.   The NY Health Act would provide health care for everyone, including dental, eye care and long-term care, without deductions, co-pays, or networks, allowing free choice among doctors and health care providers.

The Rand report and the Friedman report both show long term savings for NY State, when compared to the costs of current for-profit insurance system. Testimony told of even further savings due to reduced cost of employee health care for Towns, School Districts and Counties.   Assemblyman Raia questioned whether these savings could be realized for Long Island.  Dr. George Jolly has calculated the annual savings for the Town of Huntington to be over $18 million, the savings for Northport-Eastport Union Free School District are over $14 million and for Suffolk County the savings would be over $612 million dollars.  Money that could result in lower property taxes for citizens of these Towns and Suffolk County.  School districts, Towns and Counties throughout NY State would see similar savings.  The New York Health Act not only makes moral sense but economic sense.  It is time our Assembly and State Senate pass the New York Health Act.

Sergia Coffey, PhD

Rand Report: Liu, Jodi L.;  Chapin White, Sarah A. Nowak, Asa Wilks, Jamie Ryan, Christine Eibner;  “An Assessment of the New York Health Act A Single-Payer Option for New York State”, Rand Corp., 2018 https://d3n8a8pro7vhmx.cloudfront.net/pnhpnymetro/pages/3980/attachments/original/1533068488/RAND_NYHA_full_study_RR2424_compiled.pdf?1533068488

Friedman, Gerald;  “Economic Analysis of the New York Health Act”,  2015   http://www.infoshare.org/main/Economic_Analysis_New_York_Health_Act_-_GFriedman_-_April_2015.pdf

2018 Town of Huntington NYHA Work Sheet

Total pay Group pay Group pay Group Pay Effective Total
Bracket emp # for Group Taxed at 6% Taxed at 12% Taxed at 18% Bracket Rate Tax
$0-25k 290 $1,897,546 $1,897,546 $0 $0 6% $113,853
$25-128.4k 627 $48,368,072 $15,675,000 $32,693,072 $0 10.1% $4,863,669
over $128.4k 26 $3,614,607 $650,000 $2,688,400 $276,207 11.4% $411,325
   Total Salaries $53,880,225 Total NYHA Assessment $5,388,847
Total employees 943
Total 2018 Budget $194,244,079 80% of Assessment is
2018 Medical Expense $22,500,000 Employer Contribution $4,311,077
% of 2018 Budget 11.6% % of 2018 Budget 2.8%
% of payroll 41.8% % of payroll 8.0%
Expected 2018 savings $18,188,923

(Calculations based on the tax plan proposed in the 2018 Rand Research Report, “An Assessment of the New York Health Act”)

2018  Northport-Eastport Union Free School District  NYHA Work Sheet

Total pay Group pay Group pay Group Pay Effective Total
Bracket emp # for Group Taxed at 6% Taxed at 12% Taxed at 18% Bracket Rate Tax
$0-25k 340 $3,576,133 $3,576,133 $0 $0 6% $214,568
$25-128.4k 782 $62,255,647 $19,550,000 $42,705,647 $0 10.1% $6,297,678
over $128.4k 131 $19,006,215 $3,275,000 $13,545,400 $2,185,815 11.7% $2,215,395
   Total Salaries $84,837,995 Total NYHA Assessment $8,727,640
Total employees 1,253
Total 2018 Budget $166,810,381 80% of Assessment is
2018 Medical Expense $21,195,526 Employer Contribution $6,982,112
% of 2018 Budget 12.7% % of 2018 Budget 5.2%
% of payroll 25.0% % of payroll 8.2%
Expected 2018 savings $14,213,414

(Calculations based on the tax plan proposed in the 2018 Rand Research Report, “An Assessment of the New York Health Act”)

2018 Suffolk County NYHA Work Sheet

Total pay Group pay Group pay Group Pay Effective Total
Bracket emp # for Group Taxed at 6% Taxed at 12% Taxed at 18% Bracket Rate Tax
$0-25k 1869 $21,444,236 $21,444,236 $0 $0 6% $1,286,654
$25-128.4k 6356 $450,371,593 $158,900,000 $291,471,593 $0 9.9% $44,510,591
over $128.4k 2833 $518,164,090 $70,825,000 $292,932,200 $154,406,890 13.0% $67,194,604
   Total Salaries $989,979,919 Total NYHA Assessment $112,991,850
Total employees 11,058
Total 2018 Budget $3,060,000,000 80% of Assessment is
2018 Medical Expense $447,170,000 Employer Contribution $90,393,480
% of 2018 Budget 14.6% % of 2018 Budget 3.7%
% of payroll 45.2% % of payroll 9.1%

Expected 2018 savings on employee healthcare costs  —  $356,776,520

Suffolk County 2016 “Local Share” of Medicaid cost (eliminated by the NYHA) —  $256,134,440

Total potential annual savings  —  $612,910,960

(Calculations based on the tax plan proposed in the 2018 Rand Research Report, “An Assessment of the New York Health Act”)