Increased investments in Medicaid rates supported by the Greater NY Hospital Association: While the State intended to provide a one-time 2% trend factor increase for hospitals and a 1.5% increase for nursing homes in 2018, those increases were more than wiped out by the 1.5% cut the Executive budget would restore. While we strongly support eliminating the 1.5% cut, this merely brings us back to payment amounts from early 2020, prior to the pandemic. Therefore, hospitals and nursing homes have had no true Medicaid rate inflation increases since 2008. GNYHA supports increasing the 1% for hospitals and nursing homes to keep pace with current inflation and to make up for 14 years of no inflation updates.