Apr 18, 2005 — This year's budget battle resulted in the first on-time spending plan in 20 years. It also produced modest Medicaid reform, including a cap on the rate of cost increases and a new preferred prescription drug list. But the fight over Medicaid exposed a deep rift within the New York State Association of Counties. NYSAC suspended its president, Clifford Donaldson, for siding publicly with the unions and with the hospital association. The organization's board wanted deeper Medicaid cuts than the unions were willing to accept. Donaldson is manager for Essex County and lives in Saranac Lake. He plans to meet with the NYSAC board's fifteen members about the dispute tomorrow. His regular term as president of the organization expires in September. He spoke with Brian Mann.