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flag Hochul claims her CDPAP overhaul saved $1B and stabilized Medicaid, but critics say it disrupted care and underpaid workers.

flag Governor Kathy Hochul said her overhaul of New York’s CDPAP, which consolidated fiscal intermediaries into Public Partnerships (PPL), saved over $1 billion—double initial estimates—and stabilized Medicaid by curbing mismanagement. flag She credited the change with reducing administrative costs and ensuring timely payments and expanded benefits for caregivers. flag However, advocates and some lawmakers dispute the claims, citing disrupted care, reduced local support, and inadequate pay increases. flag Despite a proposed 1.7% raise for direct care workers—less than the 2.7% demanded—state officials highlighted over $4 billion in recent investments, including $850 million in fiscal year 2025.

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