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counties to use discretion for optional Medicaid services. These are practical solutions to a decades old problem. The recent proposals by the Medicaid Redesign Team certainly offer suggestions worthy of consideration by Governor Cuomo. While these proposals are very local and specific, they can serve as the basis for additional broad-based Medicaid reform. It is critical for both Governor Cuomo and the state Legislature to consider these proposals as a way to reduce the highest spending item in our state budget. Albanys runaway Medicaid spending continues to strangle taxpayers and undercuts the overall quality of health care in the Empire State. If Albany were able to find a way to reduce its Medicaid spending per capita currently the nations highest at $2,283 and more than twice the national average of $1,026, our local governments would not have to compromise many of the programs and services currently in jeopardy. I am eager to hear feedback from my constituents on an issue like Medicaid that jeopardizes our state budget each year. Through my Facebook page, Assemblyman Dave McDonough, constituents can send me a note, post a comment on my wall and answer surveys posted to my main page. I want to be able to take your concerns right to Albany, and I urge my constituents to take advantage of this opportunity to connect with me online. This year will be a challenging and difficult one for families across our state. Amidst political gridlock in Washington, D.C., Governor Cuomo worked in a bipartisan manner to accomplish great things with me and my colleagues in the Legislature in 2011. We led by example and designed a path for brighter days ahead. My hope is that Governor Cuomo will see another opportunity here to lead by example, and tackle a decades-old problem that continues to waste more taxpayer money each year. Assemblyman McDonough represents the 19th Assembly District in Nassau County. For more information, visit Assemblyman McDonoughs website. ###