that's what happens when you push the cost of Medicaid to the counties and ultimately the property owners. I believe NY is one of the few states that does not completely fund medicaid
"In state fiscal year 2012, New York’s counties will pay more than $7.1 billion for Medicaid, or about 13 percent of total expenditures which are projected to be $53 billion.1 ...In fiscal year 2008, New York’s counties paid $6.5 billion for Medicaid, or about 16 percent of total expenditures.2
The financial burden this requirement places on counties is highly unusual. Many states do not require any local contribution, and among those that do none come close to what is required in New York. The policy is problematic for two reasons: It places an inequitable burden on taxpayers in less affluent communities, and it reduces the pressure to contain costs."
http://www.cbcny.org/sites/default/files/REPORT_Medicaid_12122012.pdf