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A recently released report from the federal Centers for Medicare & Medicaid Services offers a timely update on what has long been one of New York State's most alarming concerns: explosive growth in Medicaid spending. In analyzing the federal findings, which summarize nearly $1 trillion in nationwide spending on Medicaid for the fiscal year ending in September 2024, the Albany-based Empire Center for Public Policy writes, "New York's Medicaid program remained a spending outlier in 2024, with per-resident outlays that were 24 percent higher than those of any other state and 77 percent above the national average." Many of us in the Legislature have long decried this out-of-control spending, which, for many years, has been the heaviest of burdens for counties and local property taxpayers.