Key facts
- Grassroots organizers are mobilizing to unseat Republican Rep. Nicole Malliotakis.
- The campaign is focused on President Donald Trump's Medicaid policy.
- As many as 60,000 residents in Malliotakis' district may lose health insurance.
- Hospitals in the district are projected to incur $60 million in uncompensated care costs.
- Mike DeCillis is backed by New Kings Democrats and NY-11 for Health Care.
Grassroots organizers are mobilizing to unseat Republican Rep. Nicole Malliotakis, the only Republican member of Congress from New York City, with little help from the Democratic establishment. The campaign is centered on President Donald Trump's "One Big Beautiful Bill Act," which is expected to impose significant new paperwork requirements for Medicaid, potentially leading to millions of low-income Americans losing coverage.
According to a state Department of Health analysis, up to 60,000 residents in Malliotakis' south Brooklyn and Staten Island district are projected to lose their health insurance once the policy is fully implemented. Additionally, hospitals in the area are estimated to face $60 million in uncompensated care costs. One independent hospital on Staten Island is already considering a merger due to financial losses.
In the final days of the campaign, organizers from New Kings Democrats and NY-11 for Health Care are urging voters to support Mike DeCillis, who is making his third bid for the seat.

