
New York Governor Kathy Hochul faces a House Republican investigation for allegedly hoarding $1 billion in federal Medicaid funds to plug the state’s budget hole, forcing counties to raise taxes and cut essential services while healthcare facilities struggle to survive.
Key Takeaways
- House Oversight Committee led by Chairman James Comer and Rep. Marjorie Taylor Greene is investigating NY Governor Hochul for allegedly withholding federal Medicaid funds to address state budget shortfalls.
- The alleged scheme has reportedly forced local governments to raise property taxes and cut services, with some counties severely impacted.
- Nassau University Medical Center sued the state for being denied $1.06 billion in federal Medicaid funding, claiming it had to cover New York’s costs for over two decades.
- Hochul’s administration began phasing out federal Medicaid funding to localities in May 2023, with complete elimination planned by April 2026.
- House Republicans have demanded documents and communications from Hochul’s office by July 16 regarding the state’s Medicaid program and federal fund usage.
Federal Investigation Launched Into Hochul’s Medicaid Fund Management
House Republicans have initiated a formal investigation into New York Governor Kathy Hochul’s administration over allegations of improperly managing federal Medicaid funds. The probe, led by House Oversight Committee Chairman James Comer, DOGE Subcommittee Chairwoman Marjorie Taylor Greene, and New York GOP Representatives Mike Lawler and Nick Langworthy, centers on claims that the governor’s office has withheld and clawed back over $1 billion in federal Medicaid funding from localities to address the state’s budget shortfall. This investigation reflects growing concerns about the misuse of taxpayer dollars and potential violations of federal funding requirements.
“This fiscal coverup has forced local governments to increase property taxes and cut local services,” Republican lawmakers stated in their official communication about the investigation.
The lawmakers have formally requested extensive documentation from Hochul’s administration, setting a July 16 deadline for compliance. According to the House Oversight Committee, New York has been systematically withholding federal Medicaid funds from counties and safety-net hospitals that serve vulnerable populations. This alleged scheme reportedly forces these entities to cover costs that should be the state’s responsibility, creating financial hardship while the state diverts the federal dollars to address its own budget issues.
House Republicans launched an investigation Wednesday into New York Gov. Kathy Hochul purportedly withholding Medicaid funding — including from hospitals serving the most vulnerable — in order to plug a billion-dollar hole in the state’s budget, SWR can reveal.
House Oversight…
— News News News (@NewsNew97351204) July 2, 2025
Local Governments and Healthcare Facilities Bear the Burden
The consequences of Hochul’s alleged fund mismanagement have been particularly severe for small and mid-sized counties like Broome and Erie, which have reportedly been forced to increase property taxes and reduce essential services. In Nassau County, the situation escalated dramatically when the governor initiated what critics describe as a “hostile takeover” of Nassau University Medical Center’s board, prompting several executive resignations. This move came after the medical center sued the state for being denied $1.06 billion in federal Medicaid funding that it claims it was entitled to receive.
“As a 10 year veteran of Chautauqua County government, including as county executive, I can tell you that the state saddles county government with the out-of-control cost of Medicaid,” State Sen. George Borello said, highlighting the severe financial strain placed on local governments.
According to official documentation, Hochul’s administration began phasing out federal funding for Medicaid services to localities starting in May 2023, with plans to completely eliminate it by April 2026. This policy shift has created immediate financial pressures on county governments and healthcare providers who rely on consistent federal support to deliver essential medical services to low-income residents. The Nassau University Medical Center’s lawsuit specifically claims it has been forced to cover New York’s Federal Medical Assistance Percentage costs for more than two decades.
House Republicans are investigating New York Gov. Kathy Hochul for "abuse of federal taxpayer funds."https://t.co/vn7orTo8hZ pic.twitter.com/mSs341ODxd
— NEWSMAX (@NEWSMAX) July 2, 2025
Congressional Oversight and Allegations of Long-Term Abuse
The House investigation has uncovered evidence suggesting the alleged misuse of federal funds may have been ongoing for over 20 years, potentially involving more than $1 billion at one hospital alone. In their official communication to Governor Hochul, the congressional committee stated, “The abuse of federal taxpayer funds intended to ensure health care coverage for the most vulnerable to cover up your state’s budget shortfall is unacceptable.” This stern rebuke underscores the seriousness with which President Trump’s congressional allies view these allegations of financial impropriety.
“The Committee on Oversight and Government Reform is investigating reports that the State of New York has been failing to abide by the law and match federal Medicaid funds. According to recent reports, the State of New York has been withholding or clawing back Medicaid funds from localities and low-income hospitals in order to buoy its failing balance sheet,” the lawmakers wrote in their official investigation announcement.
While Hochul’s spokesperson has dismissed the investigation as a political distraction, the facts reveal a troubling pattern of fiscal management that has real consequences for New Yorkers who depend on Medicaid services. The alleged scheme reportedly involves the state forcing safety-net hospitals to reimburse New York’s portion of Medicaid match requirements while simultaneously reporting to the federal government that these funds were being properly used by the hospitals. If proven true, these allegations could result in significant federal penalties and potentially reshape how Medicaid funding is monitored and distributed across the nation.