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Investigation into Hochul Administration’s Medicaid Contract

Lawmakers in a meeting discussing Medicaid home healthcare reforms

News Summary

New York lawmakers are investigating whether Governor Kathy Hochul’s administration rigged the bidding process for an $11 billion Medicaid home healthcare program. The inquiry revealed potential pre-selection of contractors and raised concerns over the integrity of the bidding process, with lawmakers questioning health officials and discussing the welfare of beneficiaries relying on the program. Critics worry that proposed changes may disrupt vital services for over 250,000 New Yorkers dependent on CDPAP, the Consumer Directed Personal Assistance Program.


New York lawmakers are investigating allegations that Governor Kathy Hochul’s administration may have rigged the bidding process for an $11 billion Medicaid home healthcare program. This investigation unveiled new evidence during a hearing in Lower Manhattan, after months of controversy surrounding the revamp of the Consumer Directed Personal Assistance Program (CDPAP).

The hearing included extensive questioning of Health Commissioner James McDonald and representatives from Public Partnerships LLC (PPL), the company awarded the lucrative contract. The inquiry was co-chaired by State Senator James Skoufis, who is the chair of the Committee on Investigations and Government Operations.

Senator Skoufis challenged the administration with a draft of legislation from April 2024, which appeared to suggest that PPL was predetermined as the contractor. The existence of this draft bill was first reported earlier in June. Although McDonald claimed ignorance of the draft, he insisted that the contract process remained fair and transparent.

The proposed revamp of CDPAP aims to reduce instances of waste, fraud, and abuse. Since 2018, the program’s budget has surged from $3 billion to $11 billion slated for 2024. The reform plans to consolidate various middlemen firms into a single fiscal intermediary to oversee home health aides compensated by Medicaid.

Despite the reform’s intent, some Senators expressed dissatisfaction, given that they had initially backed the changes in last year’s budget discussions. During the hearing, an executive from PPL claimed that the company had no engagement with the governor’s office or the health department prior to the start of the contract process, raising questions about the integrity of the bidding procedure.

The Hochul administration did not refute the claims regarding the drafted legislation but asserted that the procurement process was conducted in compliance with standard protocols. Criticism was directed at Health Commissioner McDonald for his lack of essential data during the hearing, particularly concerning program beneficiaries and caregivers. This led to frustration among lawmakers regarding McDonald’s preparedness and responses.

Senator Siela Bynoe criticized McDonald for not providing pertinent information and for not addressing notable transition issues within the health care program. Lawmakers, including Skoufis, suggested the necessity for further investigation into the bid-rigging allegations. Additionally, U.S. Representative Ritchie Torres communicated with the state Inspector General, advocating for an investigation into the claims related to the bidding process for the substantial contract.

Torres also expressed concerns regarding the overall transparency of the bidding and called for the release of all submitted bids. The state Health Department oversaw the procurement process, although it had previously exempted the office of state Comptroller Tom DiNapoli from involvement.

Significant concerns were expressed about the upcoming transition period, which affects over 250,000 New Yorkers relying on CDPAP for essential home healthcare services. Critics of the proposed transition to PPL argue that it may lead to disruptions in these vital services, potentially causing job losses for home health aides who provide care.

In their defense, the Hochul administration maintained that the transition aims to improve oversight, efficiency, and mitigate excessive spending on healthcare services. As investigations continue, the scrutiny over the administration’s actions raises pressing questions about accountability and the future landscape of home healthcare services in New York.

As the investigation unfolds, it remains to be seen how lawmakers and public health officials will navigate the challenges posed by this significant healthcare procurement and what implications it may have for the state’s most vulnerable populations.

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STAFF HERE NEW YORK WRITER
Author: STAFF HERE NEW YORK WRITER

NEW YORK STAFF WRITER The NEW YORK STAFF WRITER represents the experienced team at HERENewYork.com, your go-to source for actionable local news and information in New York, the five boroughs, and beyond. Specializing in "news you can use," we cover essential topics like product reviews for personal and business needs, local business directories, politics, real estate trends, neighborhood insights, and state news affecting the area—with deep expertise drawn from years of dedicated reporting and strong community input, including local press releases and business updates. We deliver top reporting on high-value events such as New York Fashion Week, Macy's Thanksgiving Day Parade, and Tribeca Film Festival. Our coverage extends to key organizations like the Greater New York Chamber of Commerce and United Way of New York, plus leading businesses in finance and media that power the local economy such as JPMorgan Chase, Goldman Sachs, and Bloomberg. As part of the broader HERE network, including HEREBuffalo.com, we provide comprehensive, credible insights into New York's dynamic landscape.

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