When will the next State five-year transportation capital program be reauthorized?

The State's current five-year transportation program expires on March 31, 2026. The timing and structure of the next program - whether a new multi-year authorization or a short-term extension - will depend on several key factors, including: the overall condition of the State and national economy; reauthorization and implementation of the federal surface transportation program, which accounts for nearly 40 percent of total transportation infrastructure funding in New York; and changes in federal policy, including eligible transportation activities and funding flexibility. Together, these variables will significantly influence the State's approach to capital planning and investment decisions.

How does one go about getting a transportation project funded in New York State?

There is no single mechanism for securing transportation funding in New York State. Successfully advancing a project typically requires a coordinated series of steps, including: Identifying an eligible public-sector project sponsor, which in many cases will also be responsible for managing project funds. Ensuring the project aligns with State priorities, such as safety, economic development, accessibility, resilience, and climate goals. Confirming the proposed activity is eligible for funding and identifying the appropriate State or federal categorical program. Ensuring the project is included in a public capital plan and, where applicable, a Metropolitan Planning Organization's Transportation Improvement Program (TIP). Projects that progress through these steps are best positioned for State and federal funding consideration.

What types of projects are most successful in receiving State and/or federal funds?

New York's transportation programs support a broad range of projects benefiting individuals of all ages and abilities. Eligible activities include roads and bridges; bicycle and pedestrian infrastructure; public recreational trails; freight rail projects; commercial, business, and general aviation airport improvements; and public transportation rolling stock, passenger amenities, and facilities. Across all modes, the most successful projects typically demonstrate: a clear and realistic scope and cost estimate; project readiness, including environmental review underway or complete; identification of required local matching funds; and clear ownership and control of necessary rights-of-way.

Can your experts help with forecasting future State and federal funding resources?

Yes. While past performance is not a guarantee of future results, our advisors bring decades of experience analyzing State and federal financial and capital planning documents. Key resources - including New York State's comprehensive quarterly financial plans and capital program and financing plans provide critical insight into fiscal conditions, revenue trends, investment priorities, and potential risks. These documents form a solid foundation for informed funding forecasts and long-term strategic planning.

Healthcare

Expert Guidance Across New York's Health and Human Services Sectors

Evan SUllivan

Executive Vice President

Adam Mandel

Senior Vice President

Sara ROsenberger

Vice President

Thomas Gatto

Vice President

Practice Leadership

Ostroff Associates' healthcare advisory practice is led by Evan Sullivan, Adam Mandel, Sara Rosenberger, and Tom Gatto —seasoned professionals whose combined expertise spans the full healthcare and human services continuum in New York.

Our team brings firsthand knowledge of how state government actually works. They advise hospitals, nursing homes, intellectual and developmental disability service agencies, behavioral health organizations, addiction treatment providers, and community-based organizations on the policy, funding, and regulatory dynamics that shape programs administered by State agencies. Their work helps clients align strategic priorities with state policy direction, secure funding and regulatory outcomes, and build programs that are positioned for long-term sustainability.

NYS Department of Health (DOH)

NYS Office for People With Developmental Disabilities (OPWDD)

NYS Office of Mental Health (OMH)

NYS Office of Addiction Services and Supports (OASAS)

How We Support Clients

Healthcare organizations face a landscape that is constantly shifting with new regulations, tightening reimbursements, evolving Medicaid structures, and legislative changes that can reshape operations overnight. Having the right guidance isn't just helpful. It's essential.

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Our team provides strategic budget, policy, regulatory, reimbursement, and government relations counsel to organizations across New York's healthcare delivery systems, including:

Strategic engagement with DOH, OPWDD, OMH, OASAS, the Division of the Budget, and legislative leadership.
Monitoring, drafting, and advancing healthcare legislation and budget initiatives
Certificate of Need (CON) strategy and approvals, including new facility development, program expansion, and site changes.
Medicaid reimbursement strategy, rate issues, and administrative appeals.
Capital funding and transformation initiatives, including state capital grants, safety net funding programs, and other infrastructure financing strategies.
Support securing and navigating supplemental and distressed funding programs.
Program development, service expansion, and licensing or certification approvals across DOH, OMH, OASAS, and OPWDD regulatory frameworks.
Payor strategies, including managed care and commercial payor dynamics, utilization management trends, reimbursement timing and predictability, and administrative processes affecting provider stability.

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Why Clients Choose Us

Government affairs is fundamentally about relationships, timing, and knowing how decisions get made. That knowledge isn't something you can build overnight – and in healthcare, the cost of being late to the table or missing a policy window can be significant.

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Clients come to us because we bring both the policy expertise to understand the landscape and the trusted relationships and insight on how to move within it. We translate the day-to-day realities of healthcare delivery into effective advocacy – from drafting proposals to navigating agency processes and payor dynamics. We build coalitions, align priorities across sectors, and deliver clear, unified messaging to the policymakers and stakeholders who matter most.

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We know how decisions get made in New York. We help position clients early, credibly, and where it counts.

Contact us to learn more on how Ostroff Associates' healthcare team can help you.

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Expert Guidance Across New York's Health and Human Services Sectors

Contact us to learn more on how Ostroff Associates' healthcare team can help you.

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