Cliff Owen / AP

The House of Representatives will vote on a bill to repeal the Affordable Care Act on Thursday. Whether the bill lives or dies could depend on the votes of three downstate New York Republican representatives. A new amendment to the bill has complicated their positions.

Wade Payne / AP

New York’s health care system is bracing for big changes in the Affordable Care Act. No one knows for certain how it will be altered, but it will almost certainly cost the state a significant amount of money.

(AP Photo/Jessica Hill)

Connecticut Governor Dannel Malloy announced that he will make more than $102 million in new cuts to the state's budget. The cuts include more than $63 million in reduced Medicaid payments to hospitals.

Jennifer Jackson, CEO of the Connecticut Hospital Association, said cuts to Medicaid will hurt patients and their communities.

Connecticut’s Department of Social Services has to implement time limits on a Medicaid program that helps some low-income people with brain injuries get job skills, in order to comply with guidelines from the federal government.

The federal Centers for Medicare and Medicaid Services sent out a memo to all 50 states in 2011 saying that “prevocational training” — or lessons in general skills, like dealing with people and time management, so people with brain injuries can get prepared for the workplace — should have a time limit.

AP Photo/Mike Groll, File

Counties across New York are concerned over reports that sales tax collections are plummeting, and are asking Governor Andrew Cuomo’s tax department for an explanation.

The New York State Association of Counties, dismayed over a report by the State Comptroller that sales tax collections have slowed to half of what they were last year, are asking Governor Andrew Cuomo’s tax department for more information, said the group’s Executive Director, Stephen Acquario.

“Are we seeing a trend here?” Acquario said the counties are asking the tax officials.