Gov. Andrew Cuomo in an interview on WCNY on Thursday once again said a single-payer health care program would be best devised on the federal level and questioned the financial viability of such a program on the state level.

Advocates for a single-payer health care measure, known as the New York Health Act, were buoyed this month by the flipping of the state Senate to Democratic control after years of the measure not gaining a floor vote under the Republican majority.

But questions remain over how New York would pay for the program, estimated to cost about $150 billion. New York’s budget alone is about $170 billion with state and federal spending combined.

“I have a lot of great ideas of Christmas gifts that I want to get, but then I have to deal with the reality of the cost in the budget,” Cuomo said in the interview on The Capitol Pressroom. “Single-payer health plan, for example: Conceptually I think it’s the right way to go in. I believe it’s more feasible financially on the national level. No state has been able to finance the transition costs.”

The Democratic conference will have as many as 40 members in the 63-seat state Senate. But the lawmakers themselves will represent a diverse array of districts, from New York City to the Hudson Valley, as well as western New York and Long Island — districts with constituents that could flinch at large-scale tax hikes.

Sen. Andrea Stewart-Cousins, who is expected to become the new majority leader, has said she is not supportive of increasing taxes.

But the new Democratic Senate is expected to quickly pass an array of measures that have stalled in the chamber, from a bolstering of abortion protections in New York, to voting reforms and the DREAM Act.

On health care, Cuomo has been supportive of codifying aspects of the Affordable Care Act into state law, such as the health exchange that currently exists through executive order.

“There will be rhetorical desire to do things,” Cuomo said. “Governmentally there will have to be a reality test to get all things to fit in the budget.”

Cuomo’s budget office has once again singled he will keep executive branch spending in the budget to a less than 2 percent spending increase.

“The question will be: Do we all agree on the concept? Yes. How do we do it? And the how is as important as the desire,” he said. “That’s what we will have to work through.”