Local Impact: NY-23

How do Rep. Langworthy’s votes and positions affect his constituents in Western New York and the Southern Tier? Each entry below links to the documented source.

Last updated: March 24, 2026

Healthcare

Medicaid & Hospital Access CBO projects 1.3M+ dually eligible (Medicare + Medicaid) people would lose Medicaid coverage. Eight Southern Tier hospitals identified at risk. ECMC laid off 150 workers in January 2026, citing inadequate Medicaid reimbursements. → Rural hospitals & Medicaid cuts | Medicaid coverage cuts | Steuben rural impact | Medicaid rural summary

ACA Premiums 6,300+ NY-23 residents use ACA marketplace. Enhanced premium tax credits expired December 31, 2025. Langworthy voted against restoring them, then two weeks later demanded insurers explain premium increases. → CEO hearing on premiums | PTC pivot

Pharmacy Reform Langworthy publicly urged action on PBM reform, then stayed silent when the provision was stripped. → PBM reform fact-check

Food & Farm

SNAP $295 billion reduction in food assistance over 10 years. Langworthy claims “no SNAP cuts.” → SNAP cuts | SNAP rural summary

Farm Bill Langworthy claimed credit for a farm bill that failed in committee and blamed Democrats for the failure. → Farm bill victory claim | Farm workforce

Veterans

VA rural healthcare access and service gaps in the district. → VA rural summary | Veterans support claim

Energy & Utility Costs

NYSEG rates up 16.8% in 2024; PSC approved another increase in 2025. Langworthy introduced the Energy Choice Act (pre-empts state clean energy law) but has not commented on rate proceedings. → Utility rates investigation | NYSEG rate hike silence | Energy Choice Act | Energy policy & donors

Tax Policy

“No tax on tips/overtime” provisions carry income phase-outs and FLSA eligibility requirements that most district residents would not meet. IDA tax exemptions shift $776M in property tax burden to homeowners across 8 counties. → PTC pivot (includes tax complexity) | IDA donor-exemption pattern | Campaign finance & IDA apparatus

Constituent Access

Zero in-person town halls documented since January 2023. 100% of documented responses to constituent letters are form letters, often arriving after votes are cast. → Constituent access — town halls | Correspondence tracker

Childcare & Family Services

HHS froze Child Care and Development Fund, TANF, and SSBG for New York in January 2026. Langworthy cited Minnesota fraud involving a different program to justify the freeze. → Childcare freeze

County Profiles

Deep-dive impact profiles for individual counties in NY-23:

All entries link to fully sourced fact-checks. See individual pages for citations, methodology, and verdict.