Health Equity Alliance of Long Island (HEALI) is Long Island’s Social Care Network, led by Health and Welfare Council of Long Island, and integrates health and social care providers serving Nassau and Suffolk Counties. To join as a CBO partner or to find resources, please click here
Policy & Advocacy
We work with local, state, and federal government partners to advocate for effective policy decisions that will impact our neighbors and hometowns.
Coalitions & Grass Roots Organizing
We bring together nonprofits, business leaders, and lawmakers to discuss solutions to our region’s challenges.
Direct Services
We operate a series of programs that connect Long Islanders with the services they need.
Welcome to the Health & Welfare Council of Long Island
At the Health & Welfare Council of Long Island (HWCLI), our work is to ensure that our region is a welcoming and inclusive place for everyone to live. We can set the standard for what an equitable region looks like. That means safe communities, decent, affordable housing, healthy food, access to care and an opportunity to thrive. In our quest for improvements and systemic change, we face a unique set of obstacles. In fact, the poverty rate today is at its highest since 1959. Given the current assault on the country’s most vulnerable communities, our work is more important than ever.
Our Impact
11350 |
People served in 2023 alone |
76 |
Years Serving Long Island |
200+ |
Partnering Organizations |
Recent News
October 9, 2025
Federal shutdown: Nearly 100,000 Long Islanders' health care costs impacted by debate
By David Olson
Updated October 9, 2025 6:59 pm
Read on Newsday
Hanging in the balance as the federal government shutdown entered its ninth day Thursday are health insurance plans for nearly 100,000 Long Islanders, some of whom could face thousands of dollars in premium increases if government subsidies aren’t extended on Jan. 1.
One of the key sticking points in the shutdown is a Democratic demand that enhanced federal subsidies for the Affordable Care Act — also known as Obamacare — that were first enacted in 2021 be extended past their expiration date and made permanent. Democrats also are asking for the reversal of Medicaid changes that would, according to independent analyses, lead to cuts of hundreds of billions of dollars in Medicaid spending.
On Long Island, the average increase for about 28,000 people with subsidized ACA plans would be 32%, according to data from the state Department of Health. Another 70,000 who now pay no premiums will have to pay something no matter what — but more without a subsidy extension.
"Millions of low- and middle-income Americans are facing a looming health care affordability crisis," Sen. Kirsten Gillibrand (D-N.Y.) said in a virtual news conference Wednesday. Republican lawmakers, meanwhile, said discussions about extending the subsidies shouldn't be tied to the shutdown, and some support proposals to temporarily extend the aid.
WHAT NEWSDAY FOUND The government shutdown is hitting home for tens of thousands of Long Islanders who would face increases in their health insurance premiums — in some cases thousands of dollars a year — if government subsidies aren’t extended on Jan. 1. The average increase for the 28,000 Long Islanders who have subsidized Affordable Care Act plans would be 32%, according to state estimates. Another 70,000 who now pay no premiums will have to pay something no matter what — but more without a subsidy extension. At issue are enhanced ACA subsidies first enacted in 2021 but that are scheduled to expire Dec. 31. Democrats demanded those subsidies be made permanent in exchange for their support for a government funding bill. Republicans said discussion of the subsidies shouldn’t be linked to a shutdown.Many of those who receive government help with their health insurance premiums under the 2021 changes are middle class families with household incomes in the six figures. But with housing, property taxes and other costs so high on Long Island, those families would struggle to pay hundreds of dollars each month in market-rate health insurance premiums, said Vanessa Baird-Streeter, president and CEO of the nonprofit Health and Welfare Council of Long Island.
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"These are our middle-income individuals that either do not have health insurance through their employer, because the employer is small, or they are an independent contractor, or they just have subpar insurance through their employer, and they want to ensure that they have the appropriate insurance to address their health issues," she said.
The ACA has always subsidized premiums for people below certain incomes. The 2021 changes increased the amount of those subsidies for people across income levels and raised eligibility levels, including for the first time people with incomes 400% or more above the federal poverty level — $62,600 for an individual or $128,600 for a family of four nationally.
The average person or family nationwide that receives enhanced subsidies under the 2021 law would see their premiums more than double, according to an analysis released Sept. 30 by San Francisco-based health research organization KFF.
The 70,000 Long Islanders earning up to 250% of the poverty level, but making too much for Medicaid, paid $0 premiums through a federally funded state program that is being phased out because funding is being eliminated. If the subsidies are extended, they'll still pay something, but less than if the enhanced aid expires.
Highest earners would see biggest increaseThe lower the income, the higher the percentage of the premium is generally paid for by the subsidy, so low- and lower-middle-income people would generally face the biggest percentage increases, said Matt McGough, an ACA analyst for KFF. People with higher incomes would often see the largest dollar amount increases, he said.
Generally, the ceiling for subsidies is at about 550% — $176,825 for a family of four — to 600% of the poverty level. For example, a family of four in Melville with a $176,825 household income would see their premiums for the cheapest ACA plan jump 131%, from $8,829 a year to $20,423 a year, according to a KFF online calculator.
"People are going to make choices — choices between groceries and health insurance premiums, choices between rent or mortgage and health insurance premiums," Baird-Streeter said.
Many may choose to forgo insurance, said David Nemiroff, president and CEO of Harmony Healthcare, which runs nine nonprofit health centers in Nassau.
"If they can’t afford health insurance and become uninsured, we will take care of them," he said. But, he said, "it'll become increasingly challenging to do that financially" unless the organization receives more state and federal grants to help subsidize care.
Political sidesGillibrand blamed Republicans for the government shutdown and said while "Democrats are ready to negotiate. ... Republicans are refusing to come to the table."
Long Island’s two Republican congressmen, Reps. Andrew Garbarino (R-Bayport) and Nick LaLota (R-Amityville) blamed Senate Democrats for voting against a bill that would have kept the government open.
"Discussions around the premium tax credits will be had when Senate Democrats reopen the government," Garbarino said in a statement. "These policies are intricate and require time and thoughtful discussion to reach compromise."
Gillibrand said there’s little time left to reach an agreement, because ACA open enrollment begins Nov. 1.
LaLota said in a statement he supports a bill sponsored by Rep. Jen Kiggans (R-Va.) to extend the subsidies for a year. Rep. Tom Suozzi (D-Glen Cove) is the lead Democratic sponsor of that bill, which Democratic House Minority Leader Hakeem Jeffries Tuesday called "a laughable proposition" because enrollees should get these benefits permanently.
On Wednesday, he softened his opposition, and his harsh criticism of lawmakers supporting the compromise, stating, "At the end of the day the caucus in good faith will evaluate anything presented by the Senate."
October 2, 2025
Posted October 2, 2025
By Joseph D'Alessandro
Read on Long Island Herald
With the federal government currently in shutdown, U.S. Rep. Laura Gillen, who represents New York’s Congressional District 4, offered a bipartisan solution.
Gillen shared her perspective on the federal government’s shutdown at the Family and Health Center office in Uniondale on Oct. 2, calling for her Republican colleagues in the house to hear Democrats’ concerns about the budget.
Health care spending is at the center of the disagreement in the House. The budget Congress had attempted to pass, up until Oct. 1 at midnight, includes cuts to a selection of programs that Gillen called “the largest cut to health care in America's history.”
Gillen called for both parties to seek a bipartisan solution before rising health costs contribute to the financial burden of families across her district.
“If House Republicans governed responsibly, they would have met with us,” she said. “Instead, they've chosen to throw our health care system into further crisis, just months after they voted to gut Medicaid for millions of children, seniors and people with disabilities.”
September 30, 2025
Long Island parents pay an average of $24G for child care. Here's how families get help.
By Victor Ocasio
Updated September 30th, 2025
Read on Newsday
Few costs on Long Island are as hefty as the price of child care, with some parents paying as much as $24,000 a year to ensure their child is safe while they are at work.
Parents on Long Island, regardless of income levels, often find covering the cost of child care difficult, and few options to help with the costs, local experts said. Even as the income thresholds that determine which families can receive financial assistance have increased, demand for child care aid, particularly for children 5 or under, remains high.
Although Island residents report higher incomes than the rest of the state and nation, according to U.S. Census Bureau data — the median household income for Nassau was $143,144 in 2024, and $126, 863 in Suffolk, compared with $83,730 for nation and $85,820 statewide — the cost of care represents a significant financial barrier for local families, experts said.
"The cost of living on Long Island has just increased exponentially and child care just adds to that cost," said Vanessa Baird-Streeter, president and CEO of the Health and Welfare Council of Long Island. The nonprofit connects struggling Islanders and their families to local social services.
"In certain instances, child care costs more than our state colleges," she said. "That's difficult for parents to be able to navigate without some assistance from government."
To help parents make ends meet, the state, through federal funding, provides billions of dollars in assistance programs for families that qualify, according to the state comptroller's office.
Here's what to know about the cost of child care and how parents can apply for assistance.
How much does child care cost?The average price to care for an infant in a day care center is $24,000 per year on Long Island and around $20,000 for a licensed in-home provider to offer 30 hours of care or more a week, according to a 2024 market rate survey conducted by the state Office of Children and Family Services.
"Child care costs more than a year of public college," said Jennifer Rojas, executive director of the Child Care Council of Suffolk, an advocacy group for children and families based in Commack. "With our housing costs on Long Island and everything else, it's just unsustainable."
Why is affordable child care essential?"We need affordable and consistent child care," said Steven Kent, chief economist for the Long Island Association, a business group. "It's a very important part of creating a viable and vital workforce."
Without access to child care, Kent said, parents often decide that one parent will stay home and care for their children while the other works, which means fewer workers are contributing to local businesses and the region's tax base. For families, that means one less income is available to help pay for expenses, he said.
"Families are juggling housing, food and child care, and a lot of the time juggling whether they can afford to work," said Vicki Sylvain, director of community outreach and engagement for the Child Care Council of Nassau.
Because of the massive need for child care, Sylvain said it's important for government resources to ensure that more parents have access to assistance.
"It's a challenge that's across the board, not just for the areas that are underserved or have economic challenges," she said.
How can parents offset child care costs?Some programs are available to Long Island parents through county governments and nonprofits, but options are limited, Rojas said.
One program that's available is the state's Child Care Assistance Program, which is funded by state and federal dollars and is administered through Social Services departments in Nassau and Suffolk.
Additionally, regional scholarships are available through nonprofits like the Workforce Development Institute.
What is the state's Child Care Assistance Program?CCAP, overseen by the state's Office of Children and Family Servicers, provides financial assistance for families that meet certain income and residency requirements. The program relies on federal dollars, which accounted for three quarters of the roughly $12.9 billion provided by the program to New York State families between April 2015 and March 2025, according to the state comptroller's office.
The program can cover more than 90% of market rate costs for child care for most families but coverage is based on income and family size, the governor's office said last year. Most families of four who receive the subsidy pay around $15 per week in care.
Families seeking financial aid must not make more than 85% of the state's median income, according to the Office of Children and Family Services.
For a family of three, for example, the state median income is $112,231.56 in 2025, according to the agency. As a result, a family of that size would meet the wage requirements if they earned a combined annual income of $95,396.83 or less.
To determine eligibility for CCAP assistance, visit the state's Child Care Assistance Questionnaire. But even if you believe you are not eligible, Sylvain suggests that interested parents still apply through their local Department of Social Services.
What other options are available?The Workforce Development Institute, a nonprofit with offices throughout the state, including Long Island, offers scholarships to help with the cost of care.
The institute's Child Care Scholarship Program is limited in its funding and only offers windows to apply during the year, Sylvain said.
Recipients receive an average monthly scholarship of $1,000 per child to cover the cost of full-time care, the WDI website says.
To qualify for the scholarship, parents with children 5 years old or younger must meet income requirements that are dependent on family size; must be working, enrolled in school or a training program for at least 10 hours per week; and must live outside New York City.
What other programs or investments in child care are in the works?Gov. Kathy Hochul announced several investments this year that were included in the state's 2026 budget. Among them are the investment of $400 million to bolster the state's existing CCAP program and $110 million to build or renovate child care centers throughout the state.
The state also announced an increase to the Child Tax Credit that gives eligible parents a $1,000 credit for kids under 4, and a $500 credit for families for kids between 4 and 16 years old.
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