Over 95 percent of New Yorkers have health insurance — one of the highest coverage rates in the country. That could soon change if lawmakers are unable to chart a new course for the state’s Medicaid program amid federal cuts.

Governor Kathy Hochul has provided sparse details about the future of the program, which makes up the largest share of the state budget. The public may gain more insight on Tuesday, when lawmakers will get a chance to grill agency heads at the annual Medicaid budget hearing.

President Donald Trump’s “big beautiful bill” has already jeopardized funding for the state’s flagship Essential Plan, which covers New Yorkers not eligible for Medicaid. That plan has expanded over the past decade and now covers 1.7 million New Yorkers. On top of further burdening the state’s health care system, advocates say forthcoming federal cuts to Medicaid could undermine the state’s progress on curbing overdoses, trigger widespread job losses, and threaten local economies.

Here are our questions about the future of New York’s Medicaid program.

Like many New York City mayors before him, Zohran Mamdani is trekking up to Albany on Wednesday to beg the state for money. But the new mayor is arming himself with an unusually provocative argument: that state leaders have systematically deprived the city of what it’s owed, and that it’s time to fix the imbalance.

“New York City is the economic engine of this state,” Mamdani said at a recent press conference, where he made a case for tax increases on the wealthy and corporations to help cover the city’s growing budget gap. “While we contribute the majority of state revenue growth, we do not receive the same proportion of state funds.”

The argument was a preview of Mamdani’s testimony at Wednesday’s annual “Tin Cup Day,” where the mayor and his aides will ask Albany leaders for tax hikes — and potentially other forms of aid — as part of the upcoming state budget.

On Thursday, New York Focus reported on a Brooklyn foreclosure auction that ended with Emigrant Bank acquiring a Windsor Terrace home for $100 after an allegedly inflated minimum bidding price may have chilled the bidding.