In a strongly worded letter to Governor Kathy Hochul, Bronx Borough President Vanessa L. Gibson has expressed grave concern over the state’s decision to transition School-Based Health Centers (SBHCs) from a fee-for-service model to Medicaid Managed Care.

The move, she warned, could significantly disrupt healthcare access for thousands of children across New York, especially in underserved communities like The Bronx.

“School-based health centers have long been a lifeline for low-income families,” Gibson stated. “Transitioning to Medicaid Managed Care could mean reduced reimbursements, increased administrative burdens, and potential closures of these vital centers.”

Gibson emphasized that most SBHCs are operated by non-profits and local hospitals that may not have the capacity to manage the added complexities of the new system. She fears the shift could force some centers to scale back services or shut down altogether, leaving children without critical health support.

The Borough President called on the Governor to delay the transition and work collaboratively with legislators, healthcare providers, and community advocates to find a more viable solution.

“Adding uncertainty to an already strained healthcare system, especially for our children, is unacceptable,” Gibson added. “We must prioritize uninterrupted care and ensure our youth continue to have access to the services they need to thrive.”

Gibson’s appeal joins a growing chorus of voices from healthcare workers, unions, and advocacy groups urging the state to reconsider its approach to school-based healthcare reform.