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Washington State Hospitals Projected to Lose $6 billion from Medicaid Cuts

Washington Senator Maria Cantwell, together with the Washington State Hospital Association and Washington Association for Community Health, released a study that reportedly shows that the state’s hospitals will lose an estimated $6 billion through 2033 from the Medicare cuts contained in HR 1. According to press accounts , the report details “how coming Medicaid losses from uncompensated care are expected to strain hospitals’ finances, likely leading to clinic closures, longer ER wait times and other challenges for patients”. Unfortunately, we only have press accounts to rely on, because there is absolutely no reference to this study on either the Senator’s web site or the Washington State Hospital Association’s site. This isn’t the first time this blog has run into this kind of selective disclosure, but it’s frustrating nonetheless.

September State Payrolls Continue to Confirm a Flat Labor Market

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The monthly State Employment Reports from the US Bureau of Labor Statistics continue to provide little in the way of useful information. Rather, they simply confirm that the US labor market is stuck in the mud. There was little change in state labor statistics reported in the September release. Just two states posted m/m increases in nonfarm payrolls in the month, New Jersey and South Carolina, while Wisconsin saw a decrease. No substantive change was reported for the remaining 47 states. On a y/y basis, seven states posted what the BLS considered statistically significant employment gains, with South Carolina heading the list with a  2.3% y/y increase. All of the employment sectors in South Carolina saw y/y gains, but professional services and health and ed posted the most notable gains. Louisiana and Utah rounded out the top three, with Louisiana enjoying a boost in construction employment and Utah benefiting from growth in construction and professional services employment. The ...

Philly Fed Services Indexes Mixed in October

The responses to Federal Reserve Bank of Philadelphia’s Nonmanufacturing Business Outlook Survey were mixed in October. The top line firm specific general business activity index rose to +12.9 in October from +0.3 in September, but the regional general business activity index slipped to -23.6 from -22 in the prior month. Similarly, the employment indexes weakened m/m, with the full time index falling from +19 to a still positive +12, and the part-time employment index dropping to +1.3 from +10.7. However, the average workweek index firmed to +11.3 in October from +8.5 in September. While the capex indexes also fell, 44% of respondents expect 2027 capital spending to be higher than in 2026, for a diffusion index reading of +18.5. Finally, the six-month general forward business activity indexes declined m/m, but the firm specific activity index remained positive at +11.3 compared to +20.3 in September, while the regional expectations index fell to a negative -9.0 from +2.0 in the p...

Arizona Joins Nevada’s Colorado River Lawsuit

This blog has previously reported on the controversy surrounding the federal government’s plan for the allocation of Colorado River water. The release of the federal government’s plan in August was driven by the inability of the seven states that share the Colorado River water to come up with a plan for managing the river’s decreased flow.  According to the press release from Arizona Governor Katie Hobbs’ office, the state is joining Nevada’s lawsuit against the US Interior Department “to hold the federal government accountable for failing to enforce Upper Basin water delivery obligations to Lake Mead and prevent cuts of up to 3 million acre-feet per year”. The press release further notes that the federal government’s plan would “slash the Central Arizona Project’s Colorado River allocation by 77% over the next two years”.  

Study: Ohio Posts the Largest Decline in Home Affordability

A new study from the National Housing Conference concludes that Ohio saw the biggest decline in home ownership affordability among US states during the period 2020 through 2025. The study compared the income and home ownership costs in 390 metropolitan statistical areas (MSA) in the US. According to the report, Ohio’s MSAs saw a nearly 41% decline in affordability. However, Ohio wasn’t much of an outlier, as any other states were close behind. Arkansas, Indiana, New York and Illinois rounded out the top five and all posed declines in affordability of over 36% in the study period. 

New York Fed Services Indexes Take Another Leg Down

Conditions in the New York-Northern New Jersey service sector continued to deteriorate in October according to the results of the Federal Reserve Bank of New York’s Business Leaders Survey . The top line business activity index moved further into negative territory this month, dropping 12 points to -20.7 in October from -8.7 in September and +0.5 in August. The business climate index, which was already firmly in negative territory, was essentially unchanged in October at -35.0. The employee count index was a touch better m/m, moving from -4.9 in September to a neutral 0.0 in October. The six-month forward expectations indices generally moved lower m/m, with the forward-looking business activity index falling into negative territory for the first time since December 2025 at -5.1 in October from +5.0 in September, and the business climate expectations index falling 1.8 points lower to -20.8. The forward-looking capex index also moved negative for the first time since late 2025, falling 4...

Philly Fed Manufacturing Indexes Ease Again in October

For the second consecutive month, the indexes that make up the Federal Reserve Bank of Philadelphia’s Manufacturing Business Outlook Survey moved lower, but remained in positive territory. The top line general business activity index fell to +20.9 in October, from +37.8 in September and +47.4 in August. New orders and shipments were also down notably, with new orders falling to a just positive +4.3 in October from +29.2 in September, and shipments dropping to +15.3 from +27.7. The employment indexes also posted moderate m/m declines. The forward-looking six-month expectations indexes posted sharp declines, with the general business activity index falling to +33.0 in October from +52.9 in September and +73.6 in August. The other expectations indexes generally posted similar m/m declines. Finally, 52.2% of respondents expected higher total capital spending in 2027 than in 2026, with 47.8% indicating that their total capex spend would be unchanged next year.