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November 4, 2026
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Politics · Suffolk County

Fitzpatrick and O’Keefe Clash Over Spending and Health Care in 8th Assembly District

The incumbent Republican and the Democratic challenger present opposing views on state budget growth, single-payer insurance, and local development as voters head to the polls.

By Olga Kaur ·

Illustration for: Fitzpatrick and O’Keefe Clash Over Spending and Health Care in 8th Assembly District
Illustration generated for this article, not a news photograph.

Residents of the 8th Assembly District face a choice between two divergent strategies for managing state finances and public services on November 3. Incumbent Assemblyman Mike Fitzpatrick, a Republican, runs on a platform of fiscal restraint and economic branding. His challenger, Democrat Lynn Trupiano-O’Keefe, centers her campaign on expanding state-funded health care and creating housing for young workers and veterans.

Fitzpatrick, seeking his 13th term, points to the growth of the New York state budget as evidence of excessive spending. He notes that the budget rose from $93 billion when he first took office to $277 billion today. He argues that these increases have not alleviated the financial pressures on residents and businesses. Fitzpatrick advocates for structural efficiency and lower taxes to make New York competitive with other states. He opposes recent proposals to alter public employee pensions, specifically Tier 6, citing potential burdens on taxpayers.

A key component of Fitzpatrick’s agenda involves rebranding the State University of New York system as the University of New York. He proposes that campuses adopt names such as the University of New York at Stony Brook to improve national visibility. Fitzpatrick stated that the current system lacks a strong national brand identity. He has discussed this concept with Governor Kathy Hochul and SUNY leadership. He also supports increased investment in college athletics, particularly football at Stony Brook, to drive visitor traffic and local economic activity.

O’Keefe, a first-time candidate with 36 years of experience in nuclear medicine, prioritizes the New York Health Act. This proposal would establish a single-payer system funded primarily by payroll taxes. She argues that a state-administered program would reduce administrative costs, insurance premiums, and deductibles for families and employers. Coverage under this system would include dental, vision, hearing, and long-term care. O’Keefe contends that the current system forces many people to stay in jobs or relationships to maintain their health insurance.

Both candidates agree that housing affordability is a critical issue but propose different mechanisms to address it. Fitzpatrick supports transit-oriented development to increase density near railroad stations in Smithtown, St. James, and Kings Park. He believes modest housing increases will support local downtowns and keep young residents on Long Island. He emphasizes the need for expanded sewer infrastructure to protect groundwater while allowing for growth. O’Keefe proposes a pilot program to utilize vacant buildings at the former Kings Park Psychiatric Center for housing. She plans to work with vocational schools, unions, and nonprofits to create opportunities for young workers and veterans.

The candidates also disagree on the role of the state in supporting local businesses and specific industries. Fitzpatrick highlights the Hauppauge Industrial Park and regional research institutions as economic assets. He supports speed cameras on Route 347 and legislation protecting retail employees from retaliation during shoplifting incidents. O’Keefe criticizes the current approval processes for small businesses, citing Ghost Town Coffee in Kings Park, which took two years to open. She argues that the state should reduce red tape and improve outreach to help veterans and seniors access existing assistance programs.

O’Keefe specifically addresses the struggles of seniors on fixed incomes, noting rising costs for heating oil and property taxes. She calls for additional tax credits and better utility cost management to help older residents remain in their homes. She also emphasizes accessibility improvements, such as better sidewalk design and lighting, to accommodate residents with disabilities. Fitzpatrick acknowledges the importance of local revitalization, including Main Street projects in Smithtown, but stresses the need for clear communication between town officials and utility companies.

The race features distinct approaches to constituent communication. Fitzpatrick defends his record by citing secured funding for local historical societies and his focus on structural spending problems. O’Keefe criticizes the incumbent for insufficient communication about his legislative work. She promises regular town halls and direct access for residents. O’Keefe describes herself as a community-focused candidate rather than a traditional politician, aiming to be accessible and accountable to the district she seeks to represent.

Source: TBR News Media

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