The House Committee on Oversight and Government Reform has initiated an investigation into allegations that New York State misused federal Medicaid funds. Chairman James Comer, along with Representatives Nick Langworthy, Marjorie Taylor Greene, and Mike Lawler, are leading the inquiry. The lawmakers have sent a letter to Governor Kathy Hochul requesting documents and communications related to the state’s Medicaid program and its use of federal funds.
The investigation follows reports suggesting that New York State withheld and clawed back Medicaid funds from localities and low-income hospitals to address budgetary issues. The lawmakers expressed concern that these actions violate legal obligations to match federal Medicaid funds.
Medicaid is a collaborative state-federal program aimed at providing healthcare for those in need. States receive reimbursement from the federal government through the Federal Medical Assistance Percentage (FMAP), which varies based on a state’s income compared to the national average. In 2023, New York’s budget changes led to withholding over $1 billion in federal Medicaid funds from localities.
The committee claims this situation has forced local governments to raise property taxes and reduce services, particularly affecting smaller counties like Broome and Erie. Additionally, it is alleged that New York engaged in practices forcing safety net hospitals to reimburse the state’s portion of Medicaid match under false pretenses for over two decades.
The lawmakers stated: “This fiscal coverup has forced local governments to increase property taxes and cut local services… Sadly, the State of New York’s abuse of the Medicaid system does not stop there.”
The investigation aims to clarify these allegations of financial impropriety involving taxpayer funds meant for healthcare coverage for vulnerable populations.



