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Bill No.: Summary Actions Committee&nbspVotes Floor&nbspVotes Memo Text LFIN Chamber&nbspVideo/Transcript S10060 Summary: BILL NO S10060 &nbsp SAME AS SAME AS A11150

&nbsp SPONSOR SERRANO &nbsp COSPNSR &nbsp MLTSPNSR &nbsp Amd §§2 - 8, Chap 98 of 2026; amd §§4 & 5, Chap 102 of 2026; amd §5, Chap 100 of 2026 &nbsp Provides for emergency appropriation through April 30, 2026 for the support of government.

Go to top S10060 Text:

STATE OF NEW YORK ________________________________________________________________________

10060

IN SENATE

April 27, 2026 ___________

Introduced by Sen. SERRANO -- (at request of the Governor) -- read twice and ordered printed, and when printed to be committed to the Committee on Rules

AN ACT making appropriations for the support of government; to amend chapter 98 of the laws of 2026, relating to making appropriations for the support of government, in relation thereto; to amend chapter 100 of the laws of 2026, relating to making appropriations for the support of government, in relation thereto; to amend chapter 102 of the laws of 2026, relating to making appropriations for the support of govern- ment, in relation thereto; and providing for the repeal of such provisions upon expiration thereof

The People of the State of New York, represented in Senate and Assem- bly, do enact as follows:

1 Section 1. Legislative intent. The legislature hereby finds and 2 declares that the enactment of these appropriations provides sufficient 3 authority to the comptroller for the purpose of making payments for the 4 purposes described herein until such time as appropriation bills submit- 5 ted by the governor pursuant to article VII of the state constitution 6 for the support of government for the state fiscal year beginning April 7 1, 2026 are enacted. 8 § 2. Section 2 of chapter 98 of the laws of 2026, relating to making 9 appropriations for the support of government, as amended by chapter 105 10 of the laws of 2026, is amended to read as follows: 11 § 2. The amounts specified in this section, or so much thereof as 12 shall be sufficient to accomplish the purposes designated, is hereby 13 appropriated and authorized to be paid as hereinafter provided, to the 14 public officers and for the purpose specified, which amount shall be 15 available for the state fiscal year beginning April 1, 2026.

16 ALL STATE DEPARTMENTS AND AGENCIES

17 For the purpose of making payments for 18 personal service, including liabilities 19 incurred prior to April 1, 2026, on the

EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD12032-01-6

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1 payrolls scheduled to be paid during the 2 period April 1 through April [ 27 ] 30 , 2026 3 to state officers and employees of the 4 executive branch, including the governor, 5 lieutenant governor, comptroller, and 6 attorney general, and to employees of the 7 legislature. This appropriation also 8 includes payments for services performed 9 by mentally ill or developmentally disa- 10 bled persons who are employed in state- 11 operated special employment, work-for-pay 12 or sheltered workshop programs ........... 13 .......................... [ 1,228,949,722 ] 1,491,021,469 14 --------------

15 § 3. Section 3 of chapter 98 of the laws of 2026, relating to making 16 appropriations for the support of government, as amended by chapter 105 17 of the laws of 2026, is amended to read as follows: 18 § 3. The amount specified in this section, or so much thereof as shall 19 be sufficient to accomplish the purpose designated, is hereby appropri- 20 ated and authorized to be paid as hereinafter provided, to the public 21 officers and for the purpose specified, which amount shall be available 22 for the state fiscal year beginning April 1, 2026.

23 ALL STATE DEPARTMENTS AND AGENCIES

24 For the payment of state operations non 25 personal service liabilities to the execu- 26 tive branch, including the comptroller, 27 and the attorney general, and legislature, 28 incurred in the ordinary course of busi- 29 ness, during the period April 1 through 30 April [ 27 ] 30 , 2026, pursuant to existing 31 state law and for purposes for which the 32 legislature authorized the expenditure of 33 moneys during the 2025-2026 state fiscal 34 year; provided, however, that nothing 35 contained herein shall be deemed to limit 36 or restrict the power or authority of 37 state departments or agencies to conduct 38 their activities or operations in accord- 39 ance with existing law, and further 40 provided that nothing contained herein 41 shall be deemed to supersede, nullify or 42 modify the provisions of section 40 of the 43 state finance law prescribing when appro- 44 priations made for the 2025-2026 state 45 fiscal year shall have ceased to have 46 force and effect ............................ 44,000,000 47 --------------

48 § 4. Section 4 of chapter 102 of the laws of 2026, relating to making 49 appropriations for the support of government, as amended by chapter 105 50 of the laws of 2026, is amended to read as follows: 51 § 4. The amounts specified in this section, or so much thereof as 52 shall be sufficient to accomplish the purposes designated, is hereby

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1 appropriated and authorized to be paid as hereinafter provided, to the 2 respective public officers and for the purposes specified, which amount 3 shall be available for the state fiscal year beginning April 1, 2026.

4 MISCELLANEOUS - - ALL STATE DEPARTMENTS AND AGENCIES

5 The sum of ten million dollars 6 ($10,000,000), or so much thereof as shall 7 be sufficient to accomplish the purpose 8 designated, is hereby appropriated for 9 contracts and grants approved for purposes 10 for which the legislature authorized the 11 expenditures of money during the 2025-2026 12 fiscal year. An amount up to ten million 13 dollars ($10,000,000) shall be available 14 for the payment of capital projects 15 liabilities incurred during the period 16 from April 1 through April [ 27 ] 30 , 2026 17 for contracts and grants approved prior to 18 April 1, 2026, provided, however, that 19 nothing contained herein shall be deemed 20 to limit or restrict the power or authori- 21 ty of state departments or agencies to 22 conduct their activities or operations in 23 accordance with existing law, and further 24 provided that nothing contained herein 25 shall be deemed to supersede, nullify, or 26 modify the provisions of section 40 of the 27 state finance law prescribing when appro- 28 priations made for the 2025-2026 fiscal 29 year shall have ceased to have force and 30 effect ...................................... 10,000,000 31 --------------

32 § 5. Section 5 of chapter 102 of the laws of 2026, relating to making 33 appropriations for the support of government, as amended by chapter 105 34 of the laws of 2026, is amended to read as follows: 35 § 5. The amounts specified in this section, or so much thereof as 36 shall be sufficient to accomplish the purposes designated, is hereby 37 appropriated and authorized to be paid as hereinafter provided, to the 38 respective public officers and for the purposes specified, which amount 39 shall be available for the state fiscal year beginning April 1, 2026.

40 MISCELLANEOUS - - ALL STATE DEPARTMENTS AND AGENCIES

41 The sum of twenty million dollars 42 ($20,000,000), or so much thereof as shall 43 be sufficient to accomplish the purpose 44 designated, is hereby appropriated for 45 contracts and grants approved for purposes 46 for which the legislature authorized the 47 expenditures of money during the 2025-2026 48 fiscal year. An amount up to twenty 49 million dollars ($20,000,000) shall be 50 available for the payment of capital 51 projects liabilities incurred during the

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1 period from April 1 through April [ 27 ] 30 , 2 2026 for contracts and grants approved 3 after April 1, 2026, provided, however, 4 that nothing contained herein shall be 5 deemed to limit or restrict the power or 6 authority of state departments or agencies 7 to conduct their activities or operations 8 in accordance with existing law, and 9 further provided that nothing contained 10 herein shall be deemed to supersede, 11 nullify, or modify the provisions of 12 section 40 of the state finance law 13 prescribing when appropriations made for 14 the 2025-2026 fiscal year shall have 15 ceased to have force and effect ............ 20,000,000 16 --------------

17 § 6. Section 4 of chapter 98 of the laws of 2026, relating to making 18 appropriations for the support of government, as amended by chapter 105 19 of the laws of 2026, is amended to read as follows: 20 § 4. The amounts specified in this section, or so much thereof as 21 shall be sufficient to accomplish the purposes designated, is hereby 22 appropriated and authorized to be paid as hereinafter provided, to the 23 public officers and for the purposes specified, which amount shall be 24 available for the state fiscal year beginning April 1, 2026.

25 MISCELLANEOUS -- ALL STATE DEPARTMENTS AND AGENCIES

26 GENERAL STATE CHARGES

27 STATE OPERATIONS

28 GENERAL STATE CHARGES ....................... [ 691,626,500 ] 691,631,000 29 --------------

30 General Fund 31 State Purposes Account - 10050

32 For employee fringe benefits according to 33 the following project schedule including 34 those benefits which are related to 35 employees paid from funds, accounts, or 36 programs where the division of the budget 37 has issued waivers (85022) .. [ 683,728,500 ] 683,733,000

38 Project Schedule 39 PROJECT AMOUNT 40 -------------------------------------------- 41 For the state's contribution 42 to the health insurance fund 43 and deposit into the retiree 44 health benefit trust fund 45 pursuant to section 99-aa of 46 the state finance law. The 47 state's share of the health 48 insurance program dividends

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1 shall be available to pay 2 for the premiums in 2026-27 .. 514,422,000 3 For the state's contribution 4 to the social security 5 contribution fund ............ 116,000,000 6 For the state's contribution 7 to employee benefit fund 8 programs ...................... 40,500,000 9 For the state's contribution 10 to the dental insurance plan ... 7,415,000 11 For the payment of the metro- 12 politan commuter transporta- 13 tion mobility tax pursuant 14 to article 23 of the tax 15 law, as added by chapter 25 16 of the laws of 2009, on 17 behalf of the state employ- 18 ees employed in the metro- 19 politan commuter transporta- 20 tion district .................. 4,670,000 21 For the state's share of 22 contributions to the volun- 23 tary defined contribution 24 plan made on behalf of 25 eligible employees pursuant 26 to chapter 18 of the laws 27 of 2012 who elect to partic- 28 ipate in such plan and who 29 are not otherwise eligi- 30 ble to participate in the 31 SUNY optional retirement 32 program ........... [ 704,500 ] 709,000 33 For the state's contribution 34 to the vision care plan ........... 17,000 35 -------------- 36 Project schedule total ... 37 ........... [ 683,728,500 ] 683,733,000 38 --------------

39 For payments in accordance with section 19-a 40 of the public lands law (80567) .............. 7,720,000 41 For payment of claims for damage to personal 42 or real property or for bodily injuries or 43 wrongful death caused by officers, employ- 44 ees, or other authorized persons providing 45 service to state government while provid- 46 ing such service, and the state university 47 construction fund while acting within the 48 scope of their employment, and while oper- 49 ating motor vehicles, and for any individ- 50 uals operating motor vehicles which are 51 assigned on a permanent basis with unre- 52 stricted use to state officers and employ- 53 ees when the person is permanently 54 assigned the motor vehicle (80559) ............. 178,000 55 --------------

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1 § 7. Section 5 of chapter 100 of the laws of 2026, relating to making 2 appropriations for the support of government, as amended by chapter 105 3 of the laws of 2026, is amended to read as follows: 4 § 5. The amounts specified in this section, or so much thereof as 5 shall be sufficient to accomplish the purposes designated, is hereby 6 appropriated and authorized to be paid as hereinafter provided, to the 7 public officers and for the purposes specified, which amount shall be 8 available for the state fiscal year beginning April 1, 2026.

9 JUDICIARY

10 For the purpose of making payments for 11 personal service, including liabilities 12 incurred prior to April 1, 2026, on the 13 payrolls scheduled to be paid during the 14 period April 1 through April [ 27 ] 30 , 2026 15 to officers and employees of the judi- 16 ciary ..................................... 186,000,000 17 For the payment of state operations nonper- 18 sonal service liabilities, the sum of 19 thirteen million dollars ($13,000,000), or 20 so much thereof as shall be sufficient to 21 accomplish the purpose designated, is 22 hereby appropriated to the judiciary out 23 of any moneys in the general fund or other 24 funds to the credit of the state purposes 25 account not otherwise appropriated. The 26 comptroller is hereby authorized and 27 directed to utilize this appropriation for 28 the purpose of making payments for nonper- 29 sonal service liabilities incurred by the 30 judiciary from April 1 through April [ 27 ] 31 30 , 2026 .................................... 13,000,000 32 For the payment of aid to localities liabil- 33 ities, the sum of eleven million dollars 34 ($11,000,000), or so much thereof as shall 35 be sufficient to accomplish the purpose 36 designated, is hereby appropriated to the 37 judiciary out of any moneys in the general 38 fund or other funds to the credit of the 39 state purposes account not otherwise 40 appropriated. The comptroller is hereby 41 authorized and directed to utilize this 42 appropriation for the purpose of making 43 payments for aid to localities liabilities 44 incurred by the judiciary from April 1 45 through April [ 27 ] 30 , 2026 ................. 11,000,000 46 For the payment of employee fringe benefit 47 programs including, but not limited to, 48 the judiciary's contributions to the 49 health insurance fund, the employees' 50 retirement system pension accumulation 51 fund, the social security contribution 52 fund, employee benefit fund programs, the 53 dental insurance plan, the vision care 54 plan, the unemployment insurance fund, and

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1 for workers' compensation benefits, the 2 sum of sixty-two million two hundred fifty 3 thousand dollars ($62,250,000), or so much 4 thereof as shall be sufficient to accom- 5 plish the purpose designated, is hereby 6 appropriated to the judiciary out of any 7 moneys in the general fund or other funds 8 to the credit of the state purposes 9 account not otherwise appropriated. The 10 comptroller is hereby authorized and 11 directed to utilize this appropriation for 12 the purpose of making payments for employ- 13 ee fringe benefit liabilities incurred by 14 the judiciary from April 1 through April 15 [ 27 ] 30 , 2026 ............................... 62,250,000 16 --------------

17 § 8. Section 5 of chapter 98 of the laws of 2026, relating to making 18 appropriations for the support of government, as amended by chapter 105 19 of the laws of 2026, is amended to read as follows: 20 § 5. The amounts specified in this section, or so much thereof as 21 shall be sufficient to accomplish the purposes designated, is hereby 22 appropriated and authorized to be paid as hereinafter provided, to the 23 public officers and for the purposes specified, which amount shall be 24 available for the state fiscal year beginning April 1, 2026.

25 DEPARTMENT OF HEALTH

26 AID TO LOCALITIES

27 CENTER FOR COMMUNITY HEALTH PROGRAM .......... [ 35,890,000 ] 38,030,000 28 --------------

29 General Fund 30 Local Assistance Account - 10000

31 For services and expenses related to the 32 Indian health program pursuant to a plan 33 prepared by the commissioner of health and 34 approved by the director of the budget. 35 The moneys hereby appropriated shall be 36 for payment of financial assistance here- 37 tofore accrued or hereafter to accrue 38 (26840) ...................................... 7,000,000 39 --------------

40 Special Revenue Funds - Federal 41 Federal USDA-Food and Nutrition Services Fund 42 Federal Food and Nutrition Services Account - 25022

43 For various federal food and nutritional 44 services. The moneys hereby appropriated 45 shall be available for payment of finan- 46 cial assistance heretofore accrued (26986) 47 .............................. [ 28,890,000 ] 31,030,000 48 --------------

S. 10060 8

1 ELDERLY PHARMACEUTICAL INSURANCE COVERAGE PROGRAM ............ 1,800,000 2 --------------

3 Special Revenue Funds - Other 4 HCRA Resources Fund 5 EPIC Premium Account - 20818

6 For services and expenses of the program for 7 elderly pharmaceutical insurance coverage, 8 including reimbursement to pharmacies 9 participating in such program. The moneys 10 hereby appropriated shall be available for 11 payment of financial assistance heretofore 12 accrued (26803) .............................. 1,800,000 13 --------------

14 MEDICAL ASSISTANCE PROGRAM ............... [ 6,489,781,000 ] 8,449,731,000 15 --------------

16 General Fund 17 Local Assistance Account - 10000

18 For the medical assistance program, includ- 19 ing administrative expenses, for local 20 social services districts, and for medical 21 care rates for authorized child care agen- 22 cies. 23 Notwithstanding section 40 of the state 24 finance law or any provision of law to the 25 contrary, subject to federal approval, 26 department of health state funds medicaid 27 spending, excluding payments for medical 28 services provided at state facilities 29 operated by the office of mental health, 30 the office for people with developmental 31 disabilities and the office of addiction 32 services and supports and further exclud- 33 ing any payments which are not appropri- 34 ated within the department of health, in 35 the aggregate, for the period April 1, 36 2026 through March 31, 2027, shall not 37 exceed $36,099,200,000 except as provided 38 below provided, however, such aggregate 39 limits may be adjusted by the director of 40 the budget to account for any changes in 41 the New York state federal medical assist- 42 ance percentage amount established pursu- 43 ant to the federal social security act, 44 increases in provider revenues, reductions 45 in local social services district payments 46 for medical assistance administration, 47 minimum wage increases, and beginning 48 April 1, 2012 the operational costs of the 49 New York state medical indemnity fund, 50 pursuant to chapter 59 of the laws of 51 2011, and state costs or savings from the

S. 10060 9

1 essential plan program. Such projections 2 may be adjusted by the director of the 3 budget to account for increased or expe- 4 dited department of health state funds 5 medicaid expenditures as a result of a 6 natural or other type of disaster, includ- 7 ing a governmental declaration of emergen- 8 cy. 9 The director of the budget, in consultation 10 with the commissioner of health, shall 11 assess on a quarterly basis known and 12 projected medicaid expenditures by catego- 13 ry of service and by geographic region, as 14 defined by the commissioner, incurred both 15 prior to and subsequent to such assessment 16 for each such period, and if the director 17 of the budget determines that such expend- 18 itures are expected to cause medicaid 19 spending for such period to exceed the 20 aggregate limit specified herein for such 21 period, the state medicaid director, in 22 consultation with the director of the 23 budget and the commissioner of health, 24 shall develop a medicaid savings allo- 25 cation adjustment to limit such spending 26 to the aggregate limit specified herein 27 for such period. 28 Such medicaid savings allocation adjustment 29 shall be designed, to reduce the expendi- 30 tures authorized by the appropriations 31 herein in compliance with the following 32 guidelines: (1) reductions shall be made 33 in compliance with applicable federal law, 34 including the provisions of the Patient 35 Protection and Affordable Care Act, Public 36 Law No. 111-148, and the Health Care and 37 Education Reconciliation Act of 2010, 38 Public Law No. 111-152 (collectively 39 "Affordable Care Act") and any subsequent 40 amendments thereto or regulations promul- 41 gated thereunder; (2) reductions shall be 42 made in a manner that complies with the 43 state medicaid plan approved by the feder- 44 al centers for medicare and medicaid 45 services, provided, however, that the 46 commissioner of health is authorized to 47 submit any state plan amendment or seek 48 other federal approval, including waiver 49 authority, to implement the provisions of 50 the medicaid savings allocation adjustment 51 that meets the other criteria set forth 52 herein; (3) reductions shall be made in a 53 manner that maximizes federal financial 54 participation, to the extent practicable, 55 including any federal financial partic- 56 ipation that is available or is reasonably

S. 10060 10

1 expected to become available, in the 2 discretion of the commissioner, under the 3 Affordable Care Act; (4) reductions shall 4 be made uniformly among categories of 5 services and geographic regions of the 6 state, to the extent practicable, and 7 shall be made uniformly within a category 8 of service, to the extent practicable, 9 except where the commissioner determines 10 that there are sufficient grounds for 11 non-uniformity, including but not limited 12 to: the extent to which specific catego- 13 ries of services contributed to department 14 of health medicaid state funds spending in 15 excess of the limits specified herein; the 16 need to maintain safety net services in 17 underserved communities; or the potential 18 benefits of pursuing innovative payment 19 models contemplated by the Affordable Care 20 Act, in which case such grounds shall be 21 set forth in the medicaid savings allo- 22 cation adjustment; and (5) reductions 23 shall be made in a manner that does not 24 unnecessarily create administrative 25 burdens to medicaid applicants and recipi- 26 ents or providers. 27 The commissioner shall seek the input of the 28 legislature, as well as organizations 29 representing health care providers, 30 consumers, businesses, workers, health 31 insurers, and others with relevant exper- 32 tise, in developing such medicaid savings 33 allocation adjustment, to the extent that 34 all or part of such adjustment, in the 35 discretion of the commissioner, is likely 36 to have a material impact on the overall 37 medicaid program, particular categories of 38 service or particular geographic regions 39 of the state. 40 (a) The commissioner shall post the medicaid 41 savings allocation adjustment on the 42 department of health's website and shall 43 provide written copies of such adjustment 44 to the chairs of the senate finance and 45 the assembly ways and means committees at 46 least 30 days before the date on which 47 implementation is expected to begin. 48 (b) The commissioner may revise the medicaid 49 savings allocation adjustment subsequent 50 to the provisions of notice and prior to 51 implementation but needs to provide a new 52 notice pursuant to subparagraph (i) of 53 this paragraph only if the commissioner 54 determines, in his or her discretion, that 55 such revisions materially alter the 56 adjustment.

S. 10060 11

1 Notwithstanding the provisions of paragraphs 2 (a) and (b) of this subdivision, the 3 commissioner need not seek the input 4 described in paragraph (a) of this subdi- 5 vision or provide notice pursuant to para- 6 graph (b) of this subdivision if, in the 7 discretion of the commissioner, expedited 8 development and implementation of a medi- 9 caid savings allocation adjustment is 10 necessary due to a public health emergen- 11 cy. 12 For purposes of this section, a public 13 health emergency is defined as: (i) a 14 disaster, natural or otherwise, that 15 significantly increases the immediate need 16 for health care personnel in an area of 17 the state; (ii) an event or condition that 18 creates a widespread risk of exposure to a 19 serious communicable disease, or the 20 potential for such widespread risk of 21 exposure; or (iii) any other event or 22 condition determined by the commissioner 23 to constitute an imminent threat to public 24 health. 25 Nothing in this paragraph shall be deemed to 26 prevent all or part of such medicaid 27 savings allocation adjustment from taking 28 effect retroactively to the extent permit- 29 ted by the federal centers for medicare 30 and medicaid services. 31 In accordance with the medicaid savings 32 allocation adjustment, the commissioner of 33 the department of health shall reduce 34 department of health state funds medicaid 35 spending by the amount of the projected 36 overspending through, actions including, 37 but not limited to modifying or suspending 38 reimbursement methods, including but not 39 limited to all fees, premium levels and 40 rates of payment, notwithstanding any 41 provision of law that sets a specific 42 amount or methodology for any such 43 payments or rates of payment; modifying or 44 discontinuing medicaid program benefits; 45 seeking all necessary federal approvals, 46 including, but not limited to waivers, 47 waiver amendments; and suspending time 48 frames for notice, approval or certif- 49 ication of rate requirements, notwith- 50 standing any provision of law, rule or 51 regulation to the contrary, including but 52 not limited to sections 2807 and 3614 of 53 the public health law, section 18 of chap- 54 ter 2 of the laws of 1988, and 18 NYCRR 55 505.14(h).

S. 10060 12

1 The department of health shall prepare a 2 quarterly report that sets forth: (a) 3 known and projected department of health 4 medicaid expenditures as described in 5 subdivision (1) of this section, and 6 factors that could result in medicaid 7 disbursements for the relevant state 8 fiscal year to exceed the projected 9 department of health state funds disburse- 10 ments in the enacted budget financial plan 11 pursuant to subdivision 3 of section 23 of 12 the state finance law, including spending 13 increases or decreases due to: enrollment 14 fluctuations, rate changes, utilization 15 changes, MRT investments, and shift of 16 beneficiaries to managed care; and vari- 17 ations in offline medicaid payments; and 18 (b) the actions taken to implement any 19 medicaid savings allocation adjustment 20 implemented pursuant to subdivision (4) of 21 this section, including information 22 concerning the impact of such actions on 23 each category of service and each 24 geographic region of the state. Each such 25 quarterly report shall be provided to the 26 chairs of the senate finance and the 27 assembly ways and means committees and 28 shall be posted on the department of 29 health's website in a timely manner. 30 The money hereby appropriated is to be 31 available for payment of aid heretofore 32 accrued or hereafter accrued to munici- 33 palities, and to providers of medical 34 services pursuant to section 367-b of the 35 social services law, and for payment of 36 state aid to municipalities and to provid- 37 ers of family care where payment systems 38 through the fiscal intermediaries are not 39 operational. 40 Notwithstanding any inconsistent provision 41 of law to the contrary, funds may be used 42 by the department for outside legal 43 assistance on issues involving the federal 44 government, the conduct of preadmission 45 screening and annual resident reviews 46 required by the state's medicaid program, 47 computer matching with insurance carriers 48 to insure that medicaid is the payer of 49 last resort and activities related to the 50 management of the pharmacy benefit avail- 51 able under the medicaid program. 52 Notwithstanding any inconsistent provision 53 of law, in lieu of payments authorized by 54 the social services law, or payments of 55 federal funds otherwise due to the local 56 social services districts for programs

S. 10060 13

1 provided under the federal social security 2 act or the federal food stamp act, funds 3 herein appropriated, in amounts certified 4 by the state commissioner of temporary and 5 disability assistance or the state commis- 6 sioner of health as due from local social 7 services districts each month as their 8 share of payments made pursuant to section 9 367-b of the social services law may be 10 set aside by the state comptroller in an 11 interest-bearing account in order to 12 ensure the orderly and prompt payment of 13 providers under section 367-b of the 14 social services law pursuant to an esti- 15 mate provided by the commissioner of 16 health of each local social services 17 district's share of payments made pursuant 18 to section 367-b of the social services 19 law. 20 Notwithstanding any inconsistent provision 21 of law, funding made available by these 22 appropriations shall support direct salary 23 costs and related fringe benefits within 24 the medical assistance program associated 25 with any minimum wage increase that takes 26 effect during the timeframe of these 27 appropriations, pursuant to section 652 of 28 the labor law. Each eligible organization 29 in receipt of funding made available by 30 these appropriations may be required to 31 submit written certification, in such form 32 and at such time the commissioner may 33 prescribe, attesting to the total amount 34 of funds used by the eligible organiza- 35 tion, how such funding will be or was used 36 for purposes eligible under these appro- 37 priations and any other reporting deemed 38 necessary by the commissioner. The amounts 39 appropriated herein may include advances 40 to organizations authorized to receive 41 such funds to accomplish this purpose. 42 Notwithstanding any other provision of law, 43 the money hereby appropriated may be 44 increased or decreased by interchange or 45 transfer, with any appropriation of the 46 department of health and the office of 47 medicaid inspector general and may be 48 increased or decreased by transfer or 49 suballocation between these appropriated 50 amounts and appropriations of the depart- 51 ment of health state purpose account, the 52 office of mental health, office for people 53 with developmental disabilities, the 54 office of addiction services and supports, 55 the department of family assistance office 56 of temporary and disability assistance,

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1 the department of corrections and communi- 2 ty supervision, the office of information 3 technology services, the state university 4 of New York, and office of children and 5 family services, the office of medicaid 6 inspector general, the state education 7 department, and the state office for the 8 aging with the approval of the director of 9 the budget, who shall file such approval 10 with the department of audit and control 11 and copies thereof with the chairman of 12 the senate finance committee and the 13 chairman of the assembly ways and means 14 committee. 15 Notwithstanding any inconsistent provision 16 of law to the contrary, the moneys hereby 17 appropriated may be used for payments to 18 the centers for medicaid and medicare 19 services for obligations incurred related 20 to the pharmaceutical costs of dually 21 eligible medicare/medicaid beneficiaries 22 participating in the medicare drug benefit 23 authorized by P.L. 108-173. 24 Notwithstanding any inconsistent provision 25 of law, the moneys hereby appropriated 26 shall not be used for any existing rates, 27 fees, fee schedule, or procedures which 28 may affect the cost of care and services 29 provided by personal care providers, case 30 managers, health maintenance organiza- 31 tions, out of state medical facilities 32 which provide care and services to resi- 33 dents of the state, providers of transpor- 34 tation services, that are altered, 35 amended, adjusted or otherwise changed by 36 a local social services district unless 37 previously approved by the department of 38 health and the director of the budget. 39 Notwithstanding any inconsistent provision 40 of law to the contrary, funds shall be 41 made available to the commissioner of the 42 office of mental health or the commission- 43 er of the office of addiction services and 44 supports, in consultation with the commis- 45 sioner of health and approved by the 46 director of the budget, and consistent 47 with appropriations made therefor, to 48 implement allocation adjustment developed 49 by each such commissioner which shall 50 describe mental health or substance use 51 disorder services that should be developed 52 to meet service needs resulting from the 53 reduction of inpatient behavioral health 54 services provided under the medicaid 55 program, by programs licensed pursuant to 56 article 31 or 32 of the mental hygiene

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1 law. Such programs may include programs 2 that are licensed pursuant to both article 3 31 of the mental hygiene law and article 4 28 of the public health law, or certified 5 under both article 32 of the mental 6 hygiene law and article 28 of the public 7 health law. 8 Notwithstanding any inconsistent provision 9 of law, the moneys hereby appropriated may 10 be available for payments associated with 11 the resolution by settlement agreement or 12 judgment of rate appeals and/or litigation 13 where the department of health is a party. 14 For services and expenses of the medical 15 assistance program including hospital 16 inpatient services and general hospitals 17 that are safety-net providers that evince 18 severe financial distress, pursuant to 19 criteria determined by the commissioner, 20 shall be eligible for awards for amounts 21 appropriated herein, to enable such 22 providers to maintain operations and vital 23 services while establishing long term 24 solutions to achieve sustainable health 25 services. 26 Notwithstanding any inconsistent provisions 27 of law, no expenditures shall be used for 28 the medical assistance program for any 29 expenses not explicitly authorized in law 30 without the approval of the director of 31 the budget. 32 Notwithstanding any provision of law to the 33 contrary, the portion of this appropri- 34 ation covering fiscal year 2026-27 shall 35 supersede and replace any duplicative (i) 36 reappropriation for this item covering 37 fiscal year 2026-27, and (ii) appropri- 38 ation for this item covering fiscal year 39 2026-27 set forth in chapter 53 of the 40 laws of 2025 (26947) ......... [ 96,952,000 ] 121,190,000 41 For services and expenses of the medical 42 assistance program including hospital 43 outpatient and emergency room services. 44 Notwithstanding any provision of law to the 45 contrary, the portion of this appropri- 46 ation covering fiscal year 2026-27 shall 47 supersede and replace any duplicative (i) 48 reappropriation for this item covering 49 fiscal year 2026-27, and (ii) appropri- 50 ation for this item covering fiscal year 51 2026-27 set forth in chapter 53 of the 52 laws of 2025 (26948) ......... [ 28,996,000 ] 36,245,000 53 For services and expenses of the medical 54 assistance program including clinic 55 services.

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1 Notwithstanding any provision of law to the 2 contrary, the portion of this appropri- 3 ation covering fiscal year 2026-27 shall 4 supersede and replace any duplicative (i) 5 reappropriation for this item covering 6 fiscal year 2026-27, and (ii) appropri- 7 ation for this item covering fiscal year 8 2026-27 set forth in chapter 53 of the 9 laws of 2025 (26949) ......... [ 56,792,000 ] 70,990,000 10 For services and expenses of the medical 11 assistance program including nursing home 12 services. 13 Notwithstanding any provision of law to the 14 contrary, the portion of this appropri- 15 ation covering fiscal year 2026-27 shall 16 supersede and replace any duplicative (i) 17 reappropriation for this item covering 18 fiscal year 2026-27, and (ii) appropri- 19 ation for this item covering fiscal year 20 2026-27 set forth in chapter 53 of the 21 laws of 2025 (26950) ........ [ 142,740,000 ] 178,425,000 22 For services and expenses of the medical 23 assistance program including other long 24 term care services. 25 Notwithstanding any provision of law to the 26 contrary, the portion of this appropri- 27 ation covering fiscal year 2026-27 shall 28 supersede and replace any duplicative (i) 29 reappropriation for this item covering 30 fiscal year 2026-27, and (ii) appropri- 31 ation for this item covering fiscal year 32 2026-27 set forth in chapter 53 of the 33 laws of 2025 (26951) ........ [ 679,944,000 ] 849,930,000 34 For services and expenses of the medical 35 assistance program including managed care 36 services including regional planning 37 activities of the finger lakes health 38 systems agency, including statewide coor- 39 dination and demonstration of best prac- 40 tices. The department shall make grants 41 within amounts appropriated therefor, to 42 assure high-quality and accessible primary 43 care, to provide technical assistance to 44 support financial and business planning 45 for integrated systems of care, and to 46 assist primary care providers in the 47 adoption, implementation, and meaningful 48 use of electronic health record technolo- 49 gy. 50 Notwithstanding any provision of law to the 51 contrary, the portion of this appropri- 52 ation covering fiscal year 2026-27 shall 53 supersede and replace any duplicative (i) 54 reappropriation for this item covering 55 fiscal year 2026-27, and (ii) appropri- 56 ation for this item covering fiscal year

S. 10060 17

1 2026-27 set forth in chapter 53 of the 2 laws of 2025 (26952) ........ [ 622,840,000 ] 778,550,000 3 For services and expenses for health homes 4 including grants to health homes. 5 Notwithstanding any provision of law to the 6 contrary, the portion of this appropri- 7 ation covering fiscal year 2026-27 shall 8 supersede and replace any duplicative (i) 9 reappropriation for this item covering 10 fiscal year 2026-27, and (ii) appropri- 11 ation for this item covering fiscal year 12 2026-27 set forth in chapter 53 of the 13 laws of 2025 (29548) ......... [ 15,080,000 ] 18,850,000 14 For services and expenses of the medical 15 assistance program including pharmacy 16 services provided, however, that no funds 17 shall be made available pursuant to this 18 appropriation for any drug not explicitly 19 authorized in any enacted law, rule, or 20 regulation without approval from the 21 director of the budget. 22 Notwithstanding any provision of law to the 23 contrary, the portion of this appropri- 24 ation covering fiscal year 2026-27 shall 25 supersede and replace any duplicative (i) 26 reappropriation for this item covering 27 fiscal year 2026-27, and (ii) appropri- 28 ation for this item covering fiscal year 29 2026-27 set forth in chapter 53 of the 30 laws of 2025 (26953) ........ [ 287,704,000 ] 359,630,000 31 For services and expenses of the medical 32 assistance program including transporta- 33 tion services. 34 Notwithstanding any provision of law to the 35 contrary, the portion of this appropri- 36 ation covering fiscal year 2026-27 shall 37 supersede and replace any duplicative (i) 38 reappropriation for this item covering 39 fiscal year 2026-27, and (ii) appropri- 40 ation for this item covering fiscal year 41 2026-27 set forth in chapter 53 of the 42 laws of 2025 (26954) ......... [ 41,328,000 ] 51,660,000 43 For services and expenses of the medical 44 assistance program including dental 45 services. 46 Notwithstanding any provision of law to the 47 contrary, the portion of this appropri- 48 ation covering fiscal year 2026-27 shall 49 supersede and replace any duplicative (i) 50 reappropriation for this item covering 51 fiscal year 2026-27, and (ii) appropri- 52 ation for this item covering fiscal year 53 2026-27 set forth in chapter 53 of the 54 laws of 2025 (26955) ............ [ 316,000 ] 395,000

S. 10060 18

1 For services and expenses of the medical 2 assistance program including non-institu- 3 tional and other spending. 4 The money hereby appropriated is available 5 for payment of liabilities heretofore 6 accrued or hereafter accrued. 7 Notwithstanding any inconsistent provision 8 of law, the money hereby appropriated may 9 be available for payments to any county or 10 public school districts associated with 11 additional claims for school supportive 12 health services. 13 Notwithstanding any provision of law to the 14 contrary, the portion of this appropri- 15 ation covering fiscal year 2026-27 shall 16 supersede and replace any duplicative (i) 17 reappropriation for this item covering 18 fiscal year 2026-27, and (ii) appropri- 19 ation for this item covering fiscal year 20 2026-27 set forth in chapter 53 of the 21 laws of 2025 (26956) ......... [ 82,416,000 ] 103,020,000 22 For services and expenses of the medical 23 assistance program including medical 24 services provided at state facilities 25 operated by the office of mental health, 26 the office for people with developmental 27 disabilities and the office of addiction 28 services and supports. 29 Notwithstanding any provision of law to the 30 contrary, the portion of this appropri- 31 ation covering fiscal year 2026-27 shall 32 supersede and replace any duplicative (i) 33 reappropriation for this item covering 34 fiscal year 2026-27, and (ii) appropri- 35 ation for this item covering fiscal year 36 2026-27 set forth in chapter 53 of the 37 laws of 2025 (26961) ........ [ 384,616,000 ] 480,770,000 38 --------------

39 Special Revenue Funds - Federal 40 Federal Health and Human Services Fund 41 Medicaid Direct Account - 25106

42 For services and expenses for the medical 43 assistance program, including administra- 44 tive expenses for local social services 45 districts, pursuant to title XIX of the 46 federal social security act or its succes- 47 sor program. 48 The moneys hereby appropriated are to be 49 available for payment of aid heretofore 50 accrued or hereafter accrued to munici- 51 palities, and to providers of medical 52 services pursuant to section 367-b of the 53 social services law, and for payment of 54 state aid to municipalities and to provid-

S. 10060 19

1 ers of family care where payment systems 2 through the fiscal intermediaries are not 3 operational. 4 Notwithstanding any inconsistent provision 5 of law, funding made available by these 6 appropriations shall support direct salary 7 costs and related fringe benefits within 8 the medical assistance program associated 9 with any minimum wage increase that takes 10 effect during the timeframe of these 11 appropriations, pursuant to section 652 of 12 the labor law. Each eligible organization 13 in receipt of funding made available by 14 these appropriations may be required to 15 submit written certification, in such form 16 and at such time the commissioner may 17 prescribe, attesting to the total amount 18 of funds used by the eligible organiza- 19 tion, how such funding will be or was used 20 for purposes eligible under these appro- 21 priations and any other reporting deemed 22 necessary by the commissioner. The amounts 23 appropriated herein may include advances 24 to organizations authorized to receive 25 such funds to accomplish this purpose. 26 Notwithstanding any other provision of law, 27 the money hereby appropriated may be 28 increased or decreased by interchange or 29 transfer, with any appropriation of the 30 department of health and the office of 31 medicaid inspector general and may be 32 increased or decreased by transfer or 33 suballocation between these appropriated 34 amounts and appropriations of the office 35 of mental health, office for people with 36 developmental disabilities, the office of 37 addiction services and supports, the 38 department of family assistance office of 39 temporary and disability assistance, 40 office of children and family services, 41 the department of financial services, 42 department of corrections and community 43 supervision, the office of information 44 technology services, the state university 45 of New York, the state education depart- 46 ment, and the state office for the aging 47 with the approval of the director of the 48 budget, who shall file such approval with 49 the department of audit and control and 50 copies thereof with the chairman of the 51 senate finance committee and the chairman 52 of the assembly ways and means committee. 53 Notwithstanding any inconsistent provision 54 of law, in lieu of payments authorized by 55 the social services law, or payments of 56 federal funds otherwise due to the local

S. 10060 20

1 social services districts for programs 2 provided under the federal social security 3 act or the federal food stamp act, funds 4 herein appropriated, in amounts certified 5 by the state commissioner of temporary and 6 disability assistance or the state commis- 7 sioner of health as due from local social 8 services districts each month as their 9 share of payments made pursuant to section 10 367-b of the social services law may be 11 set aside by the state comptroller in an 12 interest-bearing account in order to 13 ensure the orderly and prompt payment of 14 providers under section 367-b of the 15 social services law pursuant to an esti- 16 mate provided by the commissioner of 17 health of each local social services 18 district's share of payments made pursuant 19 to section 367-b of the social services 20 law. 21 Notwithstanding any inconsistent provision 22 of law to the contrary, funds shall be 23 made available to the commissioner of the 24 office of mental health or the commission- 25 er of the office of addiction services and 26 supports, in consultation with the commis- 27 sioner of health and approved by the 28 director of the budget, and consistent 29 with appropriations made therefor, to 30 implement allocation adjustment developed 31 by each such commissioner which shall 32 describe mental health or substance use 33 disorder services that should be developed 34 to meet service needs resulting from the 35 reduction of inpatient behavioral health 36 services provided under the medicaid 37 program, by programs licensed pursuant to 38 article 31 or 32 of the mental hygiene 39 law. Such programs may include programs 40 that are licensed pursuant to both article 41 31 of the mental hygiene law and article 42 28 of the public health law, or certified 43 under both article 32 of the mental 44 hygiene law and article 28 of the public 45 health law. 46 Notwithstanding any inconsistent provision 47 of law, the moneys hereby appropriated may 48 be available for payments associated with 49 the resolution by settlement agreement or 50 judgment of rate appeals and/or litigation 51 where the department of health is a party. 52 Notwithstanding any inconsistent provisions 53 of law, no expenditures shall be used for 54 the medical assistance program for any 55 expenses not explicitly authorized in law

S. 10060 21

1 without the approval of the director of 2 the budget. 3 For services and expenses of the medical 4 assistance program including hospital 5 inpatient services. 6 Notwithstanding any provision of law to the 7 contrary, the portion of this appropri- 8 ation covering fiscal year 2026-27 shall 9 supersede and replace any duplicative (i) 10 reappropriation for this item covering 11 fiscal year 2026-27, and (ii) appropri- 12 ation for this item covering fiscal year 13 2026-27 set forth in chapter 53 of the 14 laws of 2025 (26947) ........ [ 227,655,000 ] 303,540,000 15 For services and expenses of the medical 16 assistance program including hospital 17 outpatient and emergency room services. 18 Notwithstanding any provision of law to the 19 contrary, the portion of this appropri- 20 ation covering fiscal year 2026-27 shall 21 supersede and replace any duplicative (i) 22 reappropriation for this item covering 23 fiscal year 2026-27, and (ii) appropri- 24 ation for this item covering fiscal year 25 2026-27 set forth in chapter 53 of the 26 laws of 2025 (26948) ......... [ 40,572,000 ] 54,096,000 27 For services and expenses of the medical 28 assistance program including clinic 29 services. 30 Notwithstanding any provision of law to the 31 contrary, the portion of this appropri- 32 ation covering fiscal year 2026-27 shall 33 supersede and replace any duplicative (i) 34 reappropriation for this item covering 35 fiscal year 2026-27, and (ii) appropri- 36 ation for this item covering fiscal year 37 2026-27 set forth in chapter 53 of the 38 laws of 2025 (26949) ......... [ 65,691,000 ] 87,588,000 39 For services and expenses of the medical 40 assistance program including nursing home 41 services. 42 Notwithstanding any provision of law to the 43 contrary, the portion of this appropri- 44 ation covering fiscal year 2026-27 shall 45 supersede and replace any duplicative (i) 46 reappropriation for this item covering 47 fiscal year 2026-27, and (ii) appropri- 48 ation for this item covering fiscal year 49 2026-27 set forth in chapter 53 of the 50 laws of 2025 (26950) ........ [ 338,220,000 ] 450,960,000 51 For services and expenses of the medical 52 assistance program including other long 53 term care services. 54 Notwithstanding any provision of law to the 55 contrary, the portion of this appropri- 56 ation covering fiscal year 2026-27 shall

S. 10060 22

1 supersede and replace any duplicative (i) 2 reappropriation for this item covering 3 fiscal year 2026-27, and (ii) appropri- 4 ation for this item covering fiscal year 5 2026-27 set forth in chapter 53 of the 6 laws of 2025 (26951) ....... [ 964,827,000 ] 1,286,436,000 7 For services and expenses of the medical 8 assistance program including managed care 9 services including regional planning 10 activities of the finger lakes health 11 systems agency, including statewide coor- 12 dination and demonstration of best prac- 13 tices. The department shall make grants 14 within amounts appropriated therefor, to 15 assure high-quality and accessible primary 16 care, to provide technical assistance to 17 support financial and business planning 18 for integrated systems of care, and to 19 assist primary care providers in the 20 adoption, implementation, and meaningful 21 use of electronic health record technolo- 22 gy. 23 Notwithstanding any inconsistent provision 24 of law, rule, or regulation to the contra- 25 ry, funds appropriated herein shall not be 26 subject to article 6 of the financial 27 services law. 28 Notwithstanding any inconsistent provision 29 of law, rule, or regulation to the contra- 30 ry, funds appropriated herein shall only 31 be made available for applied behavior 32 analysis services if such services are 33 recommended by a health care or mental 34 health care practitioner authorized under 35 title eight of the education law who has 36 been designated as an applied behavior 37 analysis center of excellence provider by 38 the commissioner of health. 39 Notwithstanding any provision of law to the 40 contrary, the portion of this appropri- 41 ation covering fiscal year 2026-27 shall 42 supersede and replace any duplicative (i) 43 reappropriation for this item covering 44 fiscal year 2026-27, and (ii) appropri- 45 ation for this item covering fiscal year 46 2026-27 set forth in chapter 53 of the 47 laws of 2025 (26952) ..... [ 1,177,404,000 ] 1,569,872,000 48 For services and expenses of the medical 49 assistance program including pharmacy 50 services, provided, however, that no funds 51 shall be made available pursuant to this 52 appropriation for any drug not explicitly 53 authorized in any heretofore enacted law, 54 rule, or regulation without approval from 55 the director of the budget.

S. 10060 23

1 Notwithstanding any provision of law to the 2 contrary, the portion of this appropri- 3 ation covering fiscal year 2026-27 shall 4 supersede and replace any duplicative (i) 5 reappropriation for this item covering 6 fiscal year 2026-27, and (ii) appropri- 7 ation for this item covering fiscal year 8 2026-27 set forth in chapter 53 of the 9 laws of 2025 (26953) ........ [ 354,657,000 ] 472,876,000 10 For services and expenses of the medical 11 assistance program including transporta- 12 tion services. 13 Notwithstanding any provision of law to the 14 contrary, the portion of this appropri- 15 ation covering fiscal year 2026-27 shall 16 supersede and replace any duplicative (i) 17 reappropriation for this item covering 18 fiscal year 2026-27, and (ii) appropri- 19 ation for this item covering fiscal year 20 2026-27 set forth in chapter 53 of the 21 laws of 2025 (26954) ......... [ 47,646,000 ] 63,528,000 22 For services and expenses of the medical 23 assistance program including dental 24 services. 25 Notwithstanding any provision of law to the 26 contrary, the portion of this appropri- 27 ation covering fiscal year 2026-27 shall 28 supersede and replace any duplicative (i) 29 reappropriation for this item covering 30 fiscal year 2026-27, and (ii) appropri- 31 ation for this item covering fiscal year 32 2026-27 set forth in chapter 53 of the 33 laws of 2025 (26955) .......... [ 5,508,000 ] 7,344,000 34 For services and expenses of the medical 35 assistance program including noninstitu- 36 tional and other spending. 37 The money hereby appropriated is available 38 for payment of liabilities heretofore 39 accrued or hereafter accrued. 40 Notwithstanding any provision of law to the 41 contrary, the portion of this appropri- 42 ation covering fiscal year 2026-27 shall 43 supersede and replace any duplicative (i) 44 reappropriation for this item covering 45 fiscal year 2026-27, and (ii) appropri- 46 ation for this item covering fiscal year 47 2026-27 set forth in chapter 53 of the 48 laws of 2025 (26956) ........ [ 539,415,000 ] 719,220,000 49 Notwithstanding any inconsistent provision 50 of law, subject to the approval of the 51 director of the budget, upon submission of 52 an allocation adjustment from the commis- 53 sioner of health, the amount appropriated 54 herein, together with any available feder- 55 al matching funds, may be transferred or 56 suballocated to the office of mental

S. 10060 24

1 health, office of addiction services and 2 supports, office for people with develop- 3 mental disabilities, division of housing 4 and community renewal, New York state 5 housing trust fund corporation, and office 6 of temporary and disability assistance for 7 services and expenses related to providing 8 affordable housing. Any such spending 9 shall consider the geographical location 10 of the grants. 11 Notwithstanding any provision of law to the 12 contrary, the portion of this appropri- 13 ation covering fiscal year 2026-27 shall 14 supersede and replace any duplicative (i) 15 reappropriation for this item covering 16 fiscal year 2026-27, and (ii) appropri- 17 ation for this item covering fiscal year 18 2026-27 set forth in chapter 53 of the 19 laws of 2025 (29521) ........ [ 288,462,000 ] 384,616,000 20 --------------

21 § 9. Section 6 of chapter 98 of the laws of 2026, relating to making 22 appropriations for the support of government, as amended by chapter 105 23 of the laws of 2026, is amended to read as follows: 24 § 6. The amounts specified in this section, or so much thereof as 25 shall be sufficient to accomplish the purposes designated, is hereby 26 appropriated and authorized to be paid as hereinafter provided, to the 27 public officers and for the purposes specified, which amount shall be 28 available for the state fiscal year beginning April 1, 2026.

29 DEPARTMENT OF LABOR

30 AID TO LOCALITIES

31 UNEMPLOYMENT INSURANCE BENEFIT PROGRAM ...... [ 810,000,000 ] 990,000,000 32 --------------

33 Enterprise Funds 34 Unemployment Insurance Benefit Fund 35 Unemployment Insurance Benefit Account - 50650

36 For payment of unemployment insurance bene- 37 fits pursuant to article 18 of the labor 38 law or as authorized by the federal 39 government through the disaster unemploy- 40 ment assistance program, the emergency 41 unemployment compensation program, the 42 extended benefit program, the federal 43 additional compensation program or any 44 other federally funded unemployment bene- 45 fit program (34787) ......... [ 810,000,000 ] 990,000,000 46 --------------

47 § 10. Section 7 of chapter 98 of the laws of 2026, relating to making 48 appropriations for the support of government, as amended by chapter 105 49 of the laws of 2026, is amended to read as follows:

S. 10060 25

1 § 7. The amounts specified in this section, or so much thereof as 2 shall be sufficient to accomplish the purposes designated, is hereby 3 appropriated and authorized to be paid as hereinafter provided, to the 4 public officers and for the purposes specified, which amount shall be 5 available for the state fiscal year beginning April 1, 2026.

6 DEPARTMENT OF MENTAL HYGIENE

7 OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES

8 AID TO LOCALITIES

9 COMMUNITY SERVICES PROGRAM .................. [ 465,453,000 ] 608,823,000 10 --------------

11 General Fund 12 Local Assistance Account - 10000

13 For services and expenses of the community 14 services program, net of disallowances, 15 for community programs for people with 16 developmental disabilities pursuant to 17 article 41 of the mental hygiene law, 18 and/or chapter 620 of the laws of 1974, 19 chapter 660 of the laws of 1977, chapter 20 412 of the laws of 1981, chapter 27 of the 21 laws of 1987, chapter 729 of the laws of 22 1989, chapter 329 of the laws of 1993 and 23 other provisions of the mental hygiene 24 law. Notwithstanding any inconsistent 25 provision of law, the following appropri- 26 ation shall be net of prior and/or current 27 year refunds, rebates, reimbursements, and 28 credits. 29 Notwithstanding any other provision of law, 30 advances and reimbursement made pursuant 31 to subdivision (d) of section 41.15 and 32 section 41.18 of the mental hygiene law 33 shall be allocated pursuant to a plan and 34 in a manner prescribed by the agency head 35 and approved by the director of the budg- 36 et. The moneys hereby appropriated are 37 available to reimburse or advance locali- 38 ties and voluntary non-profit agencies for 39 expenditures made during local fiscal 40 periods commencing January 1, 2026, April 41 1, 2026 or July 1, 2026, and for advances 42 for the 3 month period beginning January 43 1, 2027. 44 Notwithstanding the provisions of article 41 45 of the mental hygiene law or any other 46 inconsistent provision of law, rule or 47 regulation, the commissioner, pursuant to 48 such contract and in the manner provided 49 therein, may pay all or a portion of the 50 expenses incurred by such voluntary agen-

S. 10060 26

1 cies arising out of loans which are funded 2 from the proceeds of bonds and notes 3 issued by the dormitory authority of the 4 state of New York. 5 Notwithstanding any other provision of law, 6 the money hereby appropriated may be 7 transferred to state operations and/or any 8 appropriation of the office for people 9 with developmental disabilities with the 10 approval of the director of the budget. 11 Notwithstanding any inconsistent provision 12 of law, moneys from this appropriation may 13 be used for state aid of up to 100 percent 14 of the net deficit costs of day training 15 programs and family support services. 16 Notwithstanding the provisions of section 17 16.23 of the mental hygiene law and any 18 other inconsistent provision of law, with 19 relation to the operation of certified 20 family care homes, including family care 21 homes sponsored by voluntary not-for-pro- 22 fit agencies, moneys from this appropri- 23 ation may be used for payments to purchase 24 general services including but not limited 25 to respite providers, up to a maximum of 26 14 days, at rates to be established by the 27 commissioner and approved by the director 28 of the budget in consideration of factors 29 including, but not limited to, geographic 30 area and number of clients cared for in 31 the home and for payment in an amount 32 determined by the commissioner for the 33 personal needs of each client residing in 34 the family care home. 35 Notwithstanding the provisions of subdivi- 36 sion 12 of section 8 of the state finance 37 law and any other inconsistent provision 38 of law, moneys from this appropriation may 39 be used for expenses of family care homes 40 including payments to operators of certi- 41 fied family care homes for damages caused 42 by clients to personal and real property 43 in accordance with standards established 44 by the commissioner and approved by the 45 director of the budget. 46 Notwithstanding any inconsistent provision 47 of law, moneys from this appropriation may 48 be used for appropriate day program 49 services and residential services includ- 50 ing, but not limited to, direct housing 51 subsidies to individuals, start-up 52 expenses for family care providers, envi- 53 ronmental modifications, adaptive technol- 54 ogies, appraisals, property options, 55 feasibility studies and preoperational 56 expenses.

S. 10060 27

1 Notwithstanding any inconsistent provision 2 of law except pursuant to a chapter of the 3 laws of 2025 authorizing a 2.6 percent 4 targeted inflationary increase, for the 5 period commencing on April 1, 2025 and 6 ending March 31, 2026 the commissioner 7 shall not apply any other inflationary 8 increases, cost of living type increases, 9 inflation factors, or trend factors for 10 the purpose of establishing rates of 11 payments, contracts or any other form of 12 reimbursement; provided that this shall 13 not prevent the commissioner from applying 14 prior adjustments for the purpose of 15 establishing rates resulting from a rebas- 16 ing of base year costs. 17 Notwithstanding section 6908 of the educa- 18 tion law and any other provision of law, 19 rule or regulation to the contrary, direct 20 support staff in programs certified or 21 approved by the office for people with 22 developmental disabilities, including the 23 home and community based services waiver 24 programs that the office for people with 25 developmental disabilities is authorized 26 to administer with federal approval pursu- 27 ant to subdivision (c) of section 1915 of 28 the federal social security act, are 29 authorized to provide such tasks as OPWDD 30 may specify when performed under the 31 supervision, training and periodic 32 inspection of a registered professional 33 nurse and in accordance with an authorized 34 practitioner's ordered care. 35 Notwithstanding any other provision of law 36 to the contrary, and consistent with 37 section 33.07 of the mental hygiene law, 38 the directors of facilities licensed but 39 not operated by the office for people with 40 developmental disabilities who act as 41 federally-appointed representative payees 42 and who assume management responsibility 43 over the funds of a resident may continue 44 to use such funds for the cost of the 45 resident's care and treatment, consistent 46 with federal law and regulations. 47 Funds appropriated herein shall be available 48 in accordance with the following: 49 Notwithstanding any inconsistent provision 50 of law, the director of the budget is 51 authorized to make suballocations from 52 this appropriation to the department of 53 health medical assistance program. 54 Notwithstanding any inconsistent provision 55 of law, and pursuant to criteria estab- 56 lished by the commissioner of the office

S. 10060 28

1 for people with developmental disabilities 2 and approved by the director of the budg- 3 et, expenditures may be made from this 4 appropriation for residential facilities 5 which are pending recertification as 6 intermediate care facilities for people 7 with developmental disabilities. 8 Notwithstanding the provisions of section 9 41.36 of the mental hygiene law and any 10 other inconsistent provision of law, 11 moneys from this appropriation may be used 12 for payment up to $250 per year per 13 client, at such times and in such manner 14 as determined by the commissioner on the 15 basis of financial need for the personal 16 needs of each client residing in voluntar- 17 y-operated community residences and volun- 18 tary-operated community residential alter- 19 natives, including individualized 20 residential alternatives under the home 21 and community based services waiver. The 22 commissioner shall, subject to the 23 approval of the director of the budget, 24 alter existing advance payment schedules 25 for voluntary-operated community resi- 26 dences established pursuant to section 27 41.36 of the mental hygiene law. 28 Notwithstanding any inconsistent provision 29 of law, moneys from this appropriation may 30 be used for the operation of clinics 31 licensed pursuant to article 16 of the 32 mental hygiene law including, but not 33 limited to, supportive and habilitative 34 services consistent with the home and 35 community based services waiver. 36 For the state and/or local share of medical 37 assistance services expenses incurred by 38 the department of health for the provision 39 of medical assistance services to people 40 with developmental disabilities (37835) .. 41 ............................. [ 420,012,000 ] 560,016,000 42 For services and expenses of the community 43 services program, net of disallowances, 44 for community programs for people with 45 developmental disabilities pursuant to 46 article 41 of the mental hygiene law, 47 and/or chapter 620 of the laws of 1974, 48 chapter 660 of the laws of 1977, chapter 49 412 of the laws of 1981, chapter 27 of the 50 laws of 1987, chapter 729 of the laws of 51 1989, chapter 329 of the laws of 1993 and 52 other provisions of the mental hygiene 53 law. Notwithstanding any inconsistent 54 provision of law, the following appropri- 55 ation shall be net of prior and/or current

S. 10060 29

1 year refunds, rebates, reimbursements, and 2 credits. 3 Notwithstanding any other provision of law, 4 advances and reimbursement made pursuant 5 to subdivision (d) of section 41.15 and 6 section 41.18 of the mental hygiene law 7 shall be allocated pursuant to a plan and 8 in a manner prescribed by the agency head 9 and approved by the director of the budg- 10 et. The moneys hereby appropriated are 11 available to reimburse or advance locali- 12 ties and voluntary non-profit agencies for 13 expenditures made during local fiscal 14 periods commencing January 1, 2026, April 15 1, 2026 or July 1, 2026, and for advances 16 for the 3 month period beginning January 17 1, 2027. 18 Notwithstanding the provisions of article 41 19 of the mental hygiene law or any other 20 inconsistent provision of law, rule or 21 regulation, the commissioner, pursuant to 22 such contract and in the manner provided 23 therein, may pay all or a portion of the 24 expenses incurred by such voluntary agen- 25 cies arising out of loans which are funded 26 from the proceeds of bonds and notes 27 issued by the dormitory authority of the 28 state of New York. 29 Notwithstanding any other provision of law, 30 the money hereby appropriated may be 31 transferred to state operations and/or any 32 appropriation of the office for people 33 with developmental disabilities with the 34 approval of the director of the budget. 35 Notwithstanding any inconsistent provision 36 of law, moneys from this appropriation may 37 be used for state aid of up to 100 percent 38 of the net deficit costs of day training 39 programs and family support services. 40 Notwithstanding the provisions of section 41 16.23 of the mental hygiene law and any 42 other inconsistent provision of law, with 43 relation to the operation of certified 44 family care homes, including family care 45 homes sponsored by voluntary not-for-pro- 46 fit agencies, moneys from this appropri- 47 ation may be used for payments to purchase 48 general services including but not limited 49 to respite providers, up to a maximum of 50 14 days, at rates to be established by the 51 commissioner and approved by the director 52 of the budget in consideration of factors 53 including, but not limited to, geographic 54 area and number of clients cared for in 55 the home and for payment in an amount 56 determined by the commissioner for the

S. 10060 30

1 personal needs of each client residing in 2 the family care home. 3 Notwithstanding the provisions of subdivi- 4 sion 12 of section 8 of the state finance 5 law and any other inconsistent provision 6 of law, moneys from this appropriation may 7 be used for expenses of family care homes 8 including payments to operators of certi- 9 fied family care homes for damages caused 10 by clients to personal and real property 11 in accordance with standards established 12 by the commissioner and approved by the 13 director of the budget. 14 Notwithstanding any inconsistent provision 15 of law, moneys from this appropriation may 16 be used for appropriate day program 17 services and residential services includ- 18 ing, but not limited to, direct housing 19 subsidies to individuals, start-up 20 expenses for family care providers, envi- 21 ronmental modifications, adaptive technol- 22 ogies, appraisals, property options, 23 feasibility studies and preoperational 24 expenses. 25 Notwithstanding any inconsistent provision 26 of law, moneys from this appropriation may 27 be used to fund continuity of care 28 services, family reimbursed respite, other 29 than personal services and direct housing 30 subsidies for people who are enrolled in 31 OPWDD's self-direction program, provided 32 any or all such costs are identified in a 33 self-direction budget approved by OPWDD. 34 Notwithstanding any inconsistent provision 35 of law except pursuant to a chapter of the 36 laws of 2025 authorizing a 2.6 percent 37 targeted inflationary increase, for the 38 period commencing on April 1, 2025 and 39 ending March 31, 2026 the commissioner 40 shall not apply any other inflationary 41 increases, cost of living type increases, 42 inflation factors, or trend factors for 43 the purpose of establishing rates of 44 payments, contracts or any other form of 45 reimbursement; provided that this shall 46 not prevent the commissioner from applying 47 prior adjustments for the purpose of 48 establishing rates resulting from a rebas- 49 ing of base year costs. 50 Notwithstanding section 6908 of the educa- 51 tion law and any other provision of law, 52 rule or regulation to the contrary, direct 53 support staff in programs certified or 54 approved by the office for people with 55 developmental disabilities, including the 56 home and community based services waiver

S. 10060 31

1 programs that the office for people with 2 developmental disabilities is authorized 3 to administer with federal approval pursu- 4 ant to subdivision (c) of section 1915 of 5 the federal social security act, are 6 authorized to provide such tasks as OPWDD 7 may specify when performed under the 8 supervision, training and periodic 9 inspection of a registered professional 10 nurse and in accordance with an authorized 11 practitioner's ordered care. 12 Notwithstanding any other provision of law 13 to the contrary, and consistent with 14 section 33.07 of the mental hygiene law, 15 the directors of facilities licensed but 16 not operated by the office for people with 17 developmental disabilities who act as 18 federally-appointed representative payees 19 and who assume management responsibility 20 over the funds of a resident may continue 21 to use such funds for the cost of the 22 resident's care and treatment, consistent 23 with federal law and regulations. 24 Funds appropriated herein shall be available 25 in accordance with the following: 26 Notwithstanding any other provision of law 27 to the contrary, funds appropriated herein 28 are available to reimburse in- and 29 out-of-state private residential schools, 30 pursuant to subdivision (c) of section 31 13.37-a and subdivision (g) of section 32 13.38 of the mental hygiene law, for costs 33 of supporting the residential and day 34 program services available to individuals 35 who are over the age of 21 years of age, 36 provided that the amount paid for residen- 37 tial services and/or maintenance costs is 38 net of any supplemental security income 39 benefit to which the individual receiving 40 services is eligible, and provided further 41 that funding for nonresidential services 42 will be in an amount not to exceed the 43 maximum reimbursement for appropriate day 44 services delivered by the office for 45 people with developmental disabilities 46 certified or approved providers other than 47 in- and out-of-state private residential 48 schools, unless otherwise authorized by 49 the director of the budget. 50 Notwithstanding section 163 of the state 51 finance law, section 142 of the economic 52 development law, and article 41 of the 53 mental hygiene law, the commissioner of 54 the office for people with developmental 55 disabilities may make the funds appropri- 56 ated herein available as state aid, a loan

S. 10060 32

1 or a grant, pursuant to terms and condi- 2 tions established by the commissioner of 3 the office for people with developmental 4 disabilities, to cover a portion of the 5 development costs of private, public 6 and/or non-profit organizations, including 7 corporations and partnerships established 8 pursuant to the private housing finance 9 law and/or any other statutory provisions, 10 for supportive housing units that have 11 been set aside for individuals with intel- 12 lectual and developmental disabilities. 13 Further, the office for people with devel- 14 opmental disabilities shall have a lien on 15 the real property developed with such 16 state aid, loans or grants, which shall be 17 in the amount of the loan or grant, for a 18 maximum term of 30 years, or other longer 19 term consistent with the requirements of 20 another regulatory agency. 21 For services and expenses related to the 22 provision of residential services to 23 people with developmental disabilities 24 (37802) ...................... [ 26,379,000 ] 28,333,000 25 For services and expenses related to the 26 provision of day program services to 27 people with developmental disabilities 28 (37803) ....................... [ 6,480,000 ] 6,960,000 29 For services and expenses related to the 30 provision of family support services to 31 people with developmental disabilities 32 (37804) ....................... [ 7,290,000 ] 7,830,000 33 For services and expenses related to the 34 provision of workshop, day training and 35 employment services to people with devel- 36 opmental disabilities. Notwithstanding any 37 other provision of law, up to [ $62,100 ] 38 $66,700 of this appropriation may be 39 transferred to the New York State Educa- 40 tion Departments' Adult Career and Contin- 41 uing Education Services - Vocational Reha- 42 bilitation (ACCES-VR) program to support 43 the LongTerm Sheltered Employment program 44 operated by FEDCAP Rehabilitation 45 Services, Inc. (37805) ....... [ 4,212,000 ] 4,524,000 46 For other services and expenses provided to 47 people with developmental disabilities 48 including but not limited to hepatitis B, 49 care at home waiver, epilepsy services, 50 Special Olympics New York, Inc. and volun- 51 tary fingerprinting (37806) ... [ 1,080,000 ] 1,160,000 52 --------------

53 § 11. Section 8 of chapter 98 of the laws of 2026, relating to making 54 appropriations for the support of government, as amended by chapter 105 55 of the laws of 2026, is amended to read as follows:

S. 10060 33

1 § 8. The amounts specified in this section, or so much thereof as 2 shall be sufficient to accomplish the purposes designated, is hereby 3 appropriated and authorized to be paid as hereinafter provided, to the 4 public officers and for the purposes specified, which amount shall be 5 available for the state fiscal year beginning April 1, 2026.

6 DEPARTMENT OF VETERANS' SERVICES

7 AID TO LOCALITIES

8 BLIND VETERAN ANNUITY ASSISTANCE PROGRAM ....................... 385,000 9 --------------

10 General Fund 11 Local Assistance Account - 10000

12 For payment of annuities to blind veterans 13 and eligible surviving spouses. Up to 14 $15,000 of this appropriation may be 15 transferred to state operations for admin- 16 istrative costs associated with this 17 program (54606) ................................ 385,000 18 --------------

19 VETERANS' BENEFITS ADVISING PROGRAM ............. [ 162,000 ] 174,000 20 --------------

21 Special Revenue Funds - Other 22 Homeless Veterans Assistance Fund 23 Homeless Veterans Assistance Account - 20204

24 For services and expenses related to home- 25 less veterans' housing (54815) .. [ 162,000 ] 174,000 26 --------------

27 § 12. No expenditure may be made from any appropriation in this act, 28 until a certificate of approval has been issued by the director of the 29 budget and a copy of such certificate shall have been filed with the 30 state comptroller, the chairman of the senate finance committee and the 31 chairman of the assembly ways and means committee provided, however, 32 that any expenditures from any appropriation in this act made by the 33 legislature or judiciary shall not require such certificate.

34 § 13. All expenditures and disbursements made against the appropri- 35 ations in this act shall, upon final action by the legislature on appro- 36 priation bills submitted by the governor pursuant to article VII of the 37 state constitution for the support of government for the state fiscal 38 year beginning April 1, 2026, be transferred by the comptroller as 39 expenditures and disbursements to such appropriations for all state 40 departments and agencies, as applicable, in amounts equal to the amounts 41 charged against the appropriations in this act for each such department, 42 agency, and the legislature and the judiciary.

43 § 14. Severability clause. If any clause, sentence, paragraph, subdi- 44 vision, section or part of this act shall be adjudged by any court of 45 competent jurisdiction to be invalid, such judgment shall not affect,

S. 10060 34

1 impair, or invalidate the remainder thereof, but shall be confined in 2 its operation to the clause, sentence, paragraph, subdivision, section 3 or part thereof directly involved in the controversy in which such judg- 4 ment shall have been rendered. It is hereby declared to be the intent of 5 the legislature that this act would have been enacted even if such 6 invalid provisions had not been included herein.

7 § 15. This act shall take effect immediately and shall be deemed to 8 have been in full force and effect on and after April 1, 2026; provided, 9 however, that upon the transfer of expenditures and disbursements by the 10 comptroller as provided in section thirteen of this act, the appropri- 11 ations made by this act and subject to such section shall be deemed 12 repealed.

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