#United States #Governor Hochul #Bronx, NY #Medicaid Exemption #Bronx Safety-Net Alliance

Bronx Safety-Net Alliance Celebrates a Major Medicaid Hardship Exemption

On October 9, 2026, the Bronx Safety-Net Alliance (BSNA), a coalition comprising community health centers, hospitals, health plans, and community organizations, expressed gratitude towards Governor Kathy Hochul for the announcement that Bronx County would be exempt from the employment requirements of Medicaid under H.R. 1. This significant exemption aims to safeguard healthcare coverage for approximately 200,000 Bronx residents who are either working, seeking employment, or experiencing temporary hardships.

Understanding the implications of this exemption is crucial as it alleviates the bureaucratic hurdles that could impede these residents' access to necessary healthcare services. In a public statement, the Bronx Safety-Net Alliance commended Governor Hochul's administration for taking decisive action to maintain the health services access that many Bronx residents rely on, especially given the administrative burdens imposed by the H.R. 1 legislation.

A Collaborative Effort for Healthcare Security

Paloma Izquierdo-Hernandez, president and CEO of Urban Health Plan—a main organizer of the BSNA—stated, “This is a pivotal moment for the Bronx. We thank the governor and her team for being true allies in protecting the health coverage for New Yorkers. This exemption reflects a shared commitment to ensure that working families in the Bronx face fewer obstacles in retaining their essential healthcare.”

The Bronx is a unique case in New York State as it is the only county that meets the federal criteria for this exemption due to its high unemployment rate. According to Amir Bassiri, the state's Medicaid director, the exemption will be in effect as long as the unemployment rate in the district remains above the federal threshold.

Voices from the Community

Rose Duhan, president and CEO of the Community Health Care Association of New York State (CHCANYS), emphasized the importance of this exemption, stating it would ensure that Bronx residents can continue accessing healthcare without unnecessary bureaucratic obstacles. As community health centers face increasing economic pressures, maintaining insurance coverage becomes even more critical.

The BSNA was formed in response to the challenges posed by changes to Medicaid and the Supplemental Nutritional Assistance Program (SNAP). Following a forum held by Urban Health Plan on June 12, which prompted a coordinated effort among various stakeholders—including elected officials, health professionals, and legal advocates—a letter was sent to state health authorities urging them to request a hardship exemption from the U.S. Department of Health and Human Services and the Centers for Medicare & Medicaid Services (CMS).

Rebecca Wallach, director at New York Legal Assistance Group (NYLAG), remarked on the essential role of collaboration in maintaining Medicaid access for Bronx residents. She expressed optimism about the collective strength of the BSNA in defending the rights and dignity of New Yorkers.

The Importance of Medicaid in the Bronx

Understanding the stakes involved is vital, especially considering that the Bronx has the highest Medicaid enrollment rate in New York State. An estimated 600,000 adults aged 19 to 64 in the Bronx are enrolled in Medicaid, accounting for roughly two-thirds of this age group. The availability of the hardship exemption is critical in sustaining these numbers and ensuring continued access to necessary healthcare services.

As the New York State Department of Health collaborates with CMS to finalize the mechanics of the exemption, further details are expected to be released in November. It is advised that Medicaid beneficiaries in the Bronx remain vigilant by keeping their contact information updated, paying attention to correspondence regarding their coverage, and renewing their applications in a timely manner to maintain uninterrupted health access.

Zac Hall, senior vice president of Programs at Food Bank For New York City, reflected on this exemption as a significant victory for Bronx residents. He noted that removing administrative barriers is crucial for families struggling to make ends meet while collaborating with the Bronx Safety-Net Alliance on policies that protect access to essential services.

Looking Ahead

In summary, the Bronx Safety-Net Alliance has successfully rallied support for a Medicaid hardship exemption that is set to benefit many vulnerable residents in the Bronx. As the community health landscape continues to evolve, ensuring comprehensive access to quality care remains a shared mission among coalition members, local leaders, and health advocates. With ongoing collaboration, the Bronx community can look forward to more robust support systems that cater to their health and wellbeing needs.

About the Bronx Safety-Net Alliance

The Bronx Safety-Net Alliance is a coalition composed of various stakeholders including hospitals, federally-qualified health centers, managed care organizations, and community groups serving the Bronx County. The members are united in their mission to provide integrated, high-quality healthcare and social services to Bronx residents, regardless of their ability to pay.

About Urban Health Plan

Urban Health Plan (UHP) is one of the largest federally qualified health systems in New York State, serving communities in the South Bronx, Central Harlem, and Corona in Queens. UHP operates 13 health centers, 12 school-based health centers, and 2 mental health facilities, with a focus on continuous improvement of community health and quality of life through affordable, high-quality healthcare services. In 2025, they served over 91,000 patients and employed more than 1,000 healthcare professionals.