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Bill No.: Summary Actions Committee&nbspVotes Floor&nbspVotes Memo Text LFIN Chamber&nbspVideo/Transcript S10221 Summary: BILL NO S10221 &nbsp SAME AS SAME AS A11285

&nbsp SPONSOR SERRANO &nbsp COSPNSR &nbsp MLTSPNSR &nbsp Amd §§2 - 8, Chap 98 of 2026; amd §§4 & 5, Chap 102 of 2026; amd §§5 & 8, Chap 100 of 2026 &nbsp Provides for emergency appropriation through May 11, 2026 for the support of government.

Go to top S10221 Text:

STATE OF NEW YORK ________________________________________________________________________

10221

IN SENATE

May 7, 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 109 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. LBD12039-03-6

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1 payrolls scheduled to be paid during the 2 period April 1 through May [ 6 ] 11 , 2026 to 3 state officers and employees of the execu- 4 tive branch, including the governor, lieu- 5 tenant governor, comptroller, and attorney 6 general, and to employees of the legisla- 7 ture. This appropriation also includes 8 payments for services performed by mental- 9 ly ill or developmentally disabled persons 10 who are employed in state-operated special 11 employment, work-for-pay or sheltered 12 workshop programs ........................ 1,799,296,469 13 --------------

14 § 3. Section 3 of chapter 98 of the laws of 2026, relating to making 15 appropriations for the support of government, as amended by chapter 109 16 of the laws of 2026, is amended to read as follows: 17 § 3. The amount specified in this section, or so much thereof as shall 18 be sufficient to accomplish the purpose designated, is hereby appropri- 19 ated and authorized to be paid as hereinafter provided, to the public 20 officers and for the purpose specified, which amount shall be available 21 for the state fiscal year beginning April 1, 2026.

22 ALL STATE DEPARTMENTS AND AGENCIES

23 For the payment of state operations non 24 personal service liabilities to the execu- 25 tive branch, including the comptroller, 26 and the attorney general, and legislature, 27 incurred in the ordinary course of busi- 28 ness, during the period April 1 through 29 May [ 6 ] 11 , 2026, pursuant to existing 30 state law and for purposes for which the 31 legislature authorized the expenditure of 32 moneys during the 2025-2026 state fiscal 33 year; provided, however, that nothing 34 contained herein shall be deemed to limit 35 or restrict the power or authority of 36 state departments or agencies to conduct 37 their activities or operations in accord- 38 ance with existing law, and further 39 provided that nothing contained herein 40 shall be deemed to supersede, nullify or 41 modify the provisions of section 40 of the 42 state finance law prescribing when appro- 43 priations made for the 2025-2026 state 44 fiscal year shall have ceased to have 45 force and effect ............................ 56,000,000 46 --------------

47 § 4. Section 4 of chapter 102 of the laws of 2026, relating to making 48 appropriations for the support of government, as amended by chapter 109 49 of the laws of 2026, is amended to read as follows: 50 § 4. The amounts specified in this section, or so much thereof as 51 shall be sufficient to accomplish the purposes designated, is hereby 52 appropriated and authorized to be paid as hereinafter provided, to the

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1 respective public officers and for the purposes specified, which amount 2 shall be available for the state fiscal year beginning April 1, 2026.

3 MISCELLANEOUS - - ALL STATE DEPARTMENTS AND AGENCIES

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

31 § 5. Section 5 of chapter 102 of the laws of 2026, relating to making 32 appropriations for the support of government, as amended by chapter 109 33 of the laws of 2026, is amended to read as follows: 34 § 5. The amounts specified in this section, or so much thereof as 35 shall be sufficient to accomplish the purposes designated, is hereby 36 appropriated and authorized to be paid as hereinafter provided, to the 37 respective public officers and for the purposes specified, which amount 38 shall be available for the state fiscal year beginning April 1, 2026.

39 MISCELLANEOUS - - ALL STATE DEPARTMENTS AND AGENCIES

40 The sum of twenty million dollars 41 ($20,000,000), or so much thereof as shall 42 be sufficient to accomplish the purpose 43 designated, is hereby appropriated for 44 contracts and grants approved for purposes 45 for which the legislature authorized the 46 expenditures of money during the 2025-2026 47 fiscal year. An amount up to twenty 48 million dollars ($20,000,000) shall be 49 available for the payment of capital 50 projects liabilities incurred during the 51 period from April 1 through May [ 6 ] 11 ,

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

16 § 6. Section 4 of chapter 98 of the laws of 2026, relating to making 17 appropriations for the support of government, as amended by chapter 109 18 of the laws of 2026, is amended to read as follows: 19 § 4. The amounts specified in this section, or so much thereof as 20 shall be sufficient to accomplish the purposes designated, is hereby 21 appropriated and authorized to be paid as hereinafter provided, to the 22 public officers and for the purposes specified, which amount shall be 23 available for the state fiscal year beginning April 1, 2026.

24 MISCELLANEOUS -- ALL STATE DEPARTMENTS AND AGENCIES

25 GENERAL STATE CHARGES

26 STATE OPERATIONS

27 GENERAL STATE CHARGES ....................... [ 748,383,000 ] 814,763,000 28 --------------

29 General Fund 30 State Purposes Account - 10050

31 For employee fringe benefits according to 32 the following project schedule including 33 those benefits which are related to 34 employees paid from funds, accounts, or 35 programs where the division of the budget 36 has issued waivers (85022) .. [ 740,485,000 ] 799,145,000

37 Project Schedule 38 PROJECT AMOUNT 39 -------------------------------------------- 40 For the state's contribution 41 to the health insurance fund 42 and deposit into the retiree 43 health benefit trust fund 44 pursuant to section 99-aa of 45 the state finance law. The 46 state's share of the health 47 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 ............ 171,000,000 6 For payments to the state 7 insurance fund for workers' 8 compensation benefits and 9 other related workers' 10 compensation costs prior to 11 or after they become 12 incurred including but not 13 limited to the benefits 14 defined in chapters 302 and 15 303 of the laws of 1985 ....... 55,000,000 16 For the state's contribution 17 to employee benefit fund 18 programs ...................... 40,500,000 19 For the state's contribution 20 to the dental insurance plan ... 7,415,000 21 For the payment of the metro- 22 politan commuter transporta- 23 tion mobility tax pursuant 24 to article 23 of the tax 25 law, as added by chapter 25 26 of the laws of 2009, on 27 behalf of the state employ- 28 ees employed in the metro- 29 politan commuter transporta- 30 tion district ... [ 5,345,000 ] 7,005,000 31 For the state's share of 32 contributions to the volun- 33 tary defined contribution 34 plan made on behalf of 35 eligible employees pursuant 36 to chapter 18 of the laws 37 of 2012 who elect to partic- 38 ipate in such plan and who 39 are not otherwise eligi- 40 ble to participate in the 41 SUNY optional retirement 42 program ........................ 1,059,000 43 For reimbursement to the unem- 44 ployment insurance fund for 45 payments made to claimants 46 formerly employed by the 47 state of New York .............. 2,000,000 48 For the state's contribution 49 to the vision care plan .......... 744,000 50 -------------- 51 Project schedule total ... 52 ........... [ 740,485,000 ] 799,145,000 53 --------------

54 For payments in accordance with section 19-a 55 of the public lands law (80567) .............. 7,720,000

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1 For the payment in-lieu of taxes to the city 2 of Albany for certain state-owned land 3 pursuant to section 19-a of the public 4 lands law. Provided however, notwithstand- 5 ing paragraph (4) of subdivision 2-a of 6 section 19-a of the public lands law, such 7 funds may be paid prior to October 1, 2026 8 (80567) ...................................... 7,720,000 9 For payment of claims for damage to personal 10 or real property or for bodily injuries or 11 wrongful death caused by officers, employ- 12 ees, or other authorized persons providing 13 service to state government while provid- 14 ing such service, and the state university 15 construction fund while acting within the 16 scope of their employment, and while oper- 17 ating motor vehicles, and for any individ- 18 uals operating motor vehicles which are 19 assigned on a permanent basis with unre- 20 stricted use to state officers and employ- 21 ees when the person is permanently 22 assigned the motor vehicle (80559) ............. 178,000 23 --------------

24 § 7. Section 5 of chapter 100 of the laws of 2026, relating to making 25 appropriations for the support of government, as amended by chapter 109 26 of the laws of 2026, is amended to read as follows: 27 § 5. The amounts specified in this section, or so much thereof as 28 shall be sufficient to accomplish the purposes designated, is hereby 29 appropriated and authorized to be paid as hereinafter provided, to the 30 public officers and for the purposes specified, which amount shall be 31 available for the state fiscal year beginning April 1, 2026.

32 JUDICIARY

33 For the purpose of making payments for 34 personal service, including liabilities 35 incurred prior to April 1, 2026, on the 36 payrolls scheduled to be paid during the 37 period April 1 through May [ 6 ] 11 , 2026 to 38 officers and employees of the judiciary .... 269,000,000 39 For the payment of state operations nonper- 40 sonal service liabilities, the sum of 41 thirty-six million dollars ($36,000,000), 42 or so much thereof as shall be sufficient 43 to accomplish the purpose designated, is 44 hereby appropriated to the judiciary out 45 of any moneys in the general fund or other 46 funds to the credit of the state purposes 47 account not otherwise appropriated. The 48 comptroller is hereby authorized and 49 directed to utilize this appropriation for 50 the purpose of making payments for nonper- 51 sonal service liabilities incurred by the 52 judiciary from April 1 through May [ 6 ] 11 , 53 2026 ........................................ 36,000,000

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1 For the payment of aid to localities liabil- 2 ities, the sum of twenty-two million 3 dollars ($22,000,000), or so much thereof 4 as shall be sufficient to accomplish the 5 purpose designated, is hereby appropriated 6 to the judiciary out of any moneys in the 7 general fund or other funds to the credit 8 of the state purposes account not other- 9 wise appropriated. The comptroller is 10 hereby authorized and directed to utilize 11 this appropriation for the purpose of 12 making payments for aid to localities 13 liabilities incurred by the judiciary from 14 April 1 through May [ 6 ] 11 , 2026 ............ 22,000,000 15 For the payment of employee fringe benefit 16 programs including, but not limited to, 17 the judiciary's contributions to the 18 health insurance fund, the employees' 19 retirement system pension accumulation 20 fund, the social security contribution 21 fund, employee benefit fund programs, the 22 dental insurance plan, the vision care 23 plan, the unemployment insurance fund, and 24 for workers' compensation benefits, the 25 sum of one hundred fifteen million seven 26 hundred fifty thousand dollars 27 ($115,750,000), or so much thereof as 28 shall be sufficient to accomplish the 29 purpose designated, is hereby appropriated 30 to the judiciary out of any moneys in the 31 general fund or other funds to the credit 32 of the state purposes account not other- 33 wise appropriated. The comptroller is 34 hereby authorized and directed to utilize 35 this appropriation for the purpose of 36 making payments for employee fringe bene- 37 fit liabilities incurred by the judiciary 38 from April 1 through May [ 6 ] 11 , 2026 ...... 115,750,000 39 --------------

40 § 8. Section 5 of chapter 98 of the laws of 2026, relating to making 41 appropriations for the support of government, as amended by chapter 109 42 of the laws of 2026, is amended to read as follows: 43 § 5. The amounts specified in this section, or so much thereof as 44 shall be sufficient to accomplish the purposes designated, is hereby 45 appropriated and authorized to be paid as hereinafter provided, to the 46 public officers and for the purposes specified, which amount shall be 47 available for the state fiscal year beginning April 1, 2026.

48 DEPARTMENT OF HEALTH

49 AID TO LOCALITIES

50 CENTER FOR COMMUNITY HEALTH PROGRAM .......... [ 48,582,000 ] 53,932,000 51 --------------

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1 General Fund 2 Local Assistance Account - 10000

3 For services and expenses related to the 4 Indian health program pursuant to a plan 5 prepared by the commissioner of health and 6 approved by the director of the budget. 7 The moneys hereby appropriated shall be 8 for payment of financial assistance here- 9 tofore accrued or hereafter to accrue 10 (26840) ..................................... 10,062,000 11 --------------

12 Special Revenue Funds - Federal 13 Federal USDA-Food and Nutrition Services Fund 14 Federal Food and Nutrition Services Account - 25022

15 For various federal food and nutritional 16 services. The moneys hereby appropriated 17 shall be available for payment of finan- 18 cial assistance heretofore accrued (26986) 19 .............................. [ 38,520,000 ] 43,870,000 20 --------------

21 CHILD HEALTH INSURANCE PROGRAM ............................. 212,950,000 22 --------------

23 Special Revenue Funds - Other 24 HCRA Resources Fund 25 Children's Health Insurance Account - 20810

26 The money hereby appropriated is available 27 for payment of aid heretofore accrued or 28 hereafter accrued. 29 Notwithstanding any other provision of law, 30 the money hereby appropriated may be 31 increased or decreased by transfer or 32 suballocation to appropriations of the 33 office of temporary and disability assist- 34 ance, for the reimbursement of local 35 district administrative costs related to 36 children newly enrolled in medicaid whose 37 household income is between 100 percent 38 and 133 percent of the federal poverty 39 level. 40 Notwithstanding any provision of law to the 41 contrary, the amounts appropriated herein 42 shall be net of refunds, rebates, 43 reimbursements, credits, repayments, 44 and/or disallowances. 45 For services and expenses related to the 46 children's health insurance program 47 authorized pursuant to title 1-A of arti- 48 cle 25 of the public health law (26931) .... 212,950,000 49 --------------

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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 ESSENTIAL PLAN PROGRAM ................................... 1,150,000,000 15 --------------

16 Special Revenue Funds - Federal 17 Federal Health and Human Services Fund 18 Essential Plan Account - 25186

19 For services and expenses related to the 20 essential plan program, in accordance 21 State Innovation Waiver provisions author- 22 ized by Section 1332 of the federal 23 patient protection and affordable care 24 act. 25 Notwithstanding any inconsistent provision 26 of law, the moneys hereby appropriated may 27 be increased or decreased by interchange 28 or transfer with any appropriation of the 29 department of health or for transfer to 30 Health Research Incorporated (HRI). 31 Notwithstanding any provision of law to the 32 contrary, the amounts appropriated herein 33 shall be net of refunds, rebates, 34 reimbursements, credits, repayments, 35 and/or disallowances. 36 The money hereby appropriated is available 37 for payment of aid heretofore accrued or 38 hereafter accrued (59054) ................ 1,150,000,000 39 --------------

40 MEDICAL ASSISTANCE PROGRAM .............................. 10,409,681,000 41 --------------

42 General Fund 43 Local Assistance Account - 10000

44 For the medical assistance program, includ- 45 ing administrative expenses, for local 46 social services districts, and for medical 47 care rates for authorized child care agen- 48 cies.

S. 10221 10

1 Notwithstanding section 40 of the state 2 finance law or any provision of law to the 3 contrary, subject to federal approval, 4 department of health state funds medicaid 5 spending, excluding payments for medical 6 services provided at state facilities 7 operated by the office of mental health, 8 the office for people with developmental 9 disabilities and the office of addiction 10 services and supports and further exclud- 11 ing any payments which are not appropri- 12 ated within the department of health, in 13 the aggregate, for the period April 1, 14 2026 through March 31, 2027, shall not 15 exceed $36,099,200,000 except as provided 16 below provided, however, such aggregate 17 limits may be adjusted by the director of 18 the budget to account for any changes in 19 the New York state federal medical assist- 20 ance percentage amount established pursu- 21 ant to the federal social security act, 22 increases in provider revenues, reductions 23 in local social services district payments 24 for medical assistance administration, 25 minimum wage increases, and beginning 26 April 1, 2012 the operational costs of the 27 New York state medical indemnity fund, 28 pursuant to chapter 59 of the laws of 29 2011, and state costs or savings from the 30 essential plan program. Such projections 31 may be adjusted by the director of the 32 budget to account for increased or expe- 33 dited department of health state funds 34 medicaid expenditures as a result of a 35 natural or other type of disaster, includ- 36 ing a governmental declaration of emergen- 37 cy. 38 The director of the budget, in consultation 39 with the commissioner of health, shall 40 assess on a quarterly basis known and 41 projected medicaid expenditures by catego- 42 ry of service and by geographic region, as 43 defined by the commissioner, incurred both 44 prior to and subsequent to such assessment 45 for each such period, and if the director 46 of the budget determines that such expend- 47 itures are expected to cause medicaid 48 spending for such period to exceed the 49 aggregate limit specified herein for such 50 period, the state medicaid director, in 51 consultation with the director of the 52 budget and the commissioner of health, 53 shall develop a medicaid savings allo- 54 cation adjustment to limit such spending 55 to the aggregate limit specified herein 56 for such period.

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1 Such medicaid savings allocation adjustment 2 shall be designed, to reduce the expendi- 3 tures authorized by the appropriations 4 herein in compliance with the following 5 guidelines: (1) reductions shall be made 6 in compliance with applicable federal law, 7 including the provisions of the Patient 8 Protection and Affordable Care Act, Public 9 Law No. 111-148, and the Health Care and 10 Education Reconciliation Act of 2010, 11 Public Law No. 111-152 (collectively 12 "Affordable Care Act") and any subsequent 13 amendments thereto or regulations promul- 14 gated thereunder; (2) reductions shall be 15 made in a manner that complies with the 16 state medicaid plan approved by the feder- 17 al centers for medicare and medicaid 18 services, provided, however, that the 19 commissioner of health is authorized to 20 submit any state plan amendment or seek 21 other federal approval, including waiver 22 authority, to implement the provisions of 23 the medicaid savings allocation adjustment 24 that meets the other criteria set forth 25 herein; (3) reductions shall be made in a 26 manner that maximizes federal financial 27 participation, to the extent practicable, 28 including any federal financial partic- 29 ipation that is available or is reasonably 30 expected to become available, in the 31 discretion of the commissioner, under the 32 Affordable Care Act; (4) reductions shall 33 be made uniformly among categories of 34 services and geographic regions of the 35 state, to the extent practicable, and 36 shall be made uniformly within a category 37 of service, to the extent practicable, 38 except where the commissioner determines 39 that there are sufficient grounds for 40 non-uniformity, including but not limited 41 to: the extent to which specific catego- 42 ries of services contributed to department 43 of health medicaid state funds spending in 44 excess of the limits specified herein; the 45 need to maintain safety net services in 46 underserved communities; or the potential 47 benefits of pursuing innovative payment 48 models contemplated by the Affordable Care 49 Act, in which case such grounds shall be 50 set forth in the medicaid savings allo- 51 cation adjustment; and (5) reductions 52 shall be made in a manner that does not 53 unnecessarily create administrative 54 burdens to medicaid applicants and recipi- 55 ents or providers.

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1 The commissioner shall seek the input of the 2 legislature, as well as organizations 3 representing health care providers, 4 consumers, businesses, workers, health 5 insurers, and others with relevant exper- 6 tise, in developing such medicaid savings 7 allocation adjustment, to the extent that 8 all or part of such adjustment, in the 9 discretion of the commissioner, is likely 10 to have a material impact on the overall 11 medicaid program, particular categories of 12 service or particular geographic regions 13 of the state. 14 (a) The commissioner shall post the medicaid 15 savings allocation adjustment on the 16 department of health's website and shall 17 provide written copies of such adjustment 18 to the chairs of the senate finance and 19 the assembly ways and means committees at 20 least 30 days before the date on which 21 implementation is expected to begin. 22 (b) The commissioner may revise the medicaid 23 savings allocation adjustment subsequent 24 to the provisions of notice and prior to 25 implementation but needs to provide a new 26 notice pursuant to subparagraph (i) of 27 this paragraph only if the commissioner 28 determines, in his or her discretion, that 29 such revisions materially alter the 30 adjustment. 31 Notwithstanding the provisions of paragraphs 32 (a) and (b) of this subdivision, the 33 commissioner need not seek the input 34 described in paragraph (a) of this subdi- 35 vision or provide notice pursuant to para- 36 graph (b) of this subdivision if, in the 37 discretion of the commissioner, expedited 38 development and implementation of a medi- 39 caid savings allocation adjustment is 40 necessary due to a public health emergen- 41 cy. 42 For purposes of this section, a public 43 health emergency is defined as: (i) a 44 disaster, natural or otherwise, that 45 significantly increases the immediate need 46 for health care personnel in an area of 47 the state; (ii) an event or condition that 48 creates a widespread risk of exposure to a 49 serious communicable disease, or the 50 potential for such widespread risk of 51 exposure; or (iii) any other event or 52 condition determined by the commissioner 53 to constitute an imminent threat to public 54 health. 55 Nothing in this paragraph shall be deemed to 56 prevent all or part of such medicaid

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1 savings allocation adjustment from taking 2 effect retroactively to the extent permit- 3 ted by the federal centers for medicare 4 and medicaid services. 5 In accordance with the medicaid savings 6 allocation adjustment, the commissioner of 7 the department of health shall reduce 8 department of health state funds medicaid 9 spending by the amount of the projected 10 overspending through, actions including, 11 but not limited to modifying or suspending 12 reimbursement methods, including but not 13 limited to all fees, premium levels and 14 rates of payment, notwithstanding any 15 provision of law that sets a specific 16 amount or methodology for any such 17 payments or rates of payment; modifying or 18 discontinuing medicaid program benefits; 19 seeking all necessary federal approvals, 20 including, but not limited to waivers, 21 waiver amendments; and suspending time 22 frames for notice, approval or certif- 23 ication of rate requirements, notwith- 24 standing any provision of law, rule or 25 regulation to the contrary, including but 26 not limited to sections 2807 and 3614 of 27 the public health law, section 18 of chap- 28 ter 2 of the laws of 1988, and 18 NYCRR 29 505.14(h). 30 The department of health shall prepare a 31 quarterly report that sets forth: (a) 32 known and projected department of health 33 medicaid expenditures as described in 34 subdivision (1) of this section, and 35 factors that could result in medicaid 36 disbursements for the relevant state 37 fiscal year to exceed the projected 38 department of health state funds disburse- 39 ments in the enacted budget financial plan 40 pursuant to subdivision 3 of section 23 of 41 the state finance law, including spending 42 increases or decreases due to: enrollment 43 fluctuations, rate changes, utilization 44 changes, MRT investments, and shift of 45 beneficiaries to managed care; and vari- 46 ations in offline medicaid payments; and 47 (b) the actions taken to implement any 48 medicaid savings allocation adjustment 49 implemented pursuant to subdivision (4) of 50 this section, including information 51 concerning the impact of such actions on 52 each category of service and each 53 geographic region of the state. Each such 54 quarterly report shall be provided to the 55 chairs of the senate finance and the 56 assembly ways and means committees and

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1 shall be posted on the department of 2 health's website in a timely manner. 3 The money hereby appropriated is to be 4 available for payment of aid heretofore 5 accrued or hereafter accrued to munici- 6 palities, and to providers of medical 7 services pursuant to section 367-b of the 8 social services law, and for payment of 9 state aid to municipalities and to provid- 10 ers of family care where payment systems 11 through the fiscal intermediaries are not 12 operational. 13 Notwithstanding any inconsistent provision 14 of law to the contrary, funds may be used 15 by the department for outside legal 16 assistance on issues involving the federal 17 government, the conduct of preadmission 18 screening and annual resident reviews 19 required by the state's medicaid program, 20 computer matching with insurance carriers 21 to insure that medicaid is the payer of 22 last resort and activities related to the 23 management of the pharmacy benefit avail- 24 able under the medicaid program. 25 Notwithstanding any inconsistent provision 26 of law, in lieu of payments authorized by 27 the social services law, or payments of 28 federal funds otherwise due to the local 29 social services districts for programs 30 provided under the federal social security 31 act or the federal food stamp act, funds 32 herein appropriated, in amounts certified 33 by the state commissioner of temporary and 34 disability assistance or the state commis- 35 sioner of health as due from local social 36 services districts each month as their 37 share of payments made pursuant to section 38 367-b of the social services law may be 39 set aside by the state comptroller in an 40 interest-bearing account in order to 41 ensure the orderly and prompt payment of 42 providers under section 367-b of the 43 social services law pursuant to an esti- 44 mate provided by the commissioner of 45 health of each local social services 46 district's share of payments made pursuant 47 to section 367-b of the social services 48 law. 49 Notwithstanding any inconsistent provision 50 of law, funding made available by these 51 appropriations shall support direct salary 52 costs and related fringe benefits within 53 the medical assistance program associated 54 with any minimum wage increase that takes 55 effect during the timeframe of these 56 appropriations, pursuant to section 652 of

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1 the labor law. Each eligible organization 2 in receipt of funding made available by 3 these appropriations may be required to 4 submit written certification, in such form 5 and at such time the commissioner may 6 prescribe, attesting to the total amount 7 of funds used by the eligible organiza- 8 tion, how such funding will be or was used 9 for purposes eligible under these appro- 10 priations and any other reporting deemed 11 necessary by the commissioner. The amounts 12 appropriated herein may include advances 13 to organizations authorized to receive 14 such funds to accomplish this purpose. 15 Notwithstanding any other provision of law, 16 the money hereby appropriated may be 17 increased or decreased by interchange or 18 transfer, with any appropriation of the 19 department of health and the office of 20 medicaid inspector general and may be 21 increased or decreased by transfer or 22 suballocation between these appropriated 23 amounts and appropriations of the depart- 24 ment of health state purpose account, the 25 office of mental health, office for people 26 with developmental disabilities, the 27 office of addiction services and supports, 28 the department of family assistance office 29 of temporary and disability assistance, 30 the department of corrections and communi- 31 ty supervision, the office of information 32 technology services, the state university 33 of New York, and office of children and 34 family services, the office of medicaid 35 inspector general, the state education 36 department, and the state office for the 37 aging with the approval of the director of 38 the budget, who shall file such approval 39 with the department of audit and control 40 and copies thereof with the chairman of 41 the senate finance committee and the 42 chairman of the assembly ways and means 43 committee. 44 Notwithstanding any inconsistent provision 45 of law to the contrary, the moneys hereby 46 appropriated may be used for payments to 47 the centers for medicaid and medicare 48 services for obligations incurred related 49 to the pharmaceutical costs of dually 50 eligible medicare/medicaid beneficiaries 51 participating in the medicare drug benefit 52 authorized by P.L. 108-173. 53 Notwithstanding any inconsistent provision 54 of law, the moneys hereby appropriated 55 shall not be used for any existing rates, 56 fees, fee schedule, or procedures which

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1 may affect the cost of care and services 2 provided by personal care providers, case 3 managers, health maintenance organiza- 4 tions, out of state medical facilities 5 which provide care and services to resi- 6 dents of the state, providers of transpor- 7 tation services, that are altered, 8 amended, adjusted or otherwise changed by 9 a local social services district unless 10 previously approved by the department of 11 health and the director of the budget. 12 Notwithstanding any inconsistent provision 13 of law to the contrary, funds shall be 14 made available to the commissioner of the 15 office of mental health or the commission- 16 er of the office of addiction services and 17 supports, in consultation with the commis- 18 sioner of health and approved by the 19 director of the budget, and consistent 20 with appropriations made therefor, to 21 implement allocation adjustment developed 22 by each such commissioner which shall 23 describe mental health or substance use 24 disorder services that should be developed 25 to meet service needs resulting from the 26 reduction of inpatient behavioral health 27 services provided under the medicaid 28 program, by programs licensed pursuant to 29 article 31 or 32 of the mental hygiene 30 law. Such programs may include programs 31 that are licensed pursuant to both article 32 31 of the mental hygiene law and article 33 28 of the public health law, or certified 34 under both article 32 of the mental 35 hygiene law and article 28 of the public 36 health law. 37 Notwithstanding any inconsistent provision 38 of law, the moneys hereby appropriated may 39 be available for payments associated with 40 the resolution by settlement agreement or 41 judgment of rate appeals and/or litigation 42 where the department of health is a party. 43 For services and expenses of the medical 44 assistance program including hospital 45 inpatient services and general hospitals 46 that are safety-net providers that evince 47 severe financial distress, pursuant to 48 criteria determined by the commissioner, 49 shall be eligible for awards for amounts 50 appropriated herein, to enable such 51 providers to maintain operations and vital 52 services while establishing long term 53 solutions to achieve sustainable health 54 services. 55 Notwithstanding any inconsistent provisions 56 of law, no expenditures shall be used for

S. 10221 17

1 the medical assistance program for any 2 expenses not explicitly authorized in law 3 without the approval of the director of 4 the budget. 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 (26947) ....................... 145,428,000 14 For services and expenses of the medical 15 assistance program including hospital 16 outpatient and emergency room services. 17 Notwithstanding any provision of law to the 18 contrary, the portion of this appropri- 19 ation covering fiscal year 2026-27 shall 20 supersede and replace any duplicative (i) 21 reappropriation for this item covering 22 fiscal year 2026-27, and (ii) appropri- 23 ation for this item covering fiscal year 24 2026-27 set forth in chapter 53 of the 25 laws of 2025 (26948) ........................ 43,494,000 26 For services and expenses of the medical 27 assistance program including clinic 28 services. 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 (26949) ........................ 85,188,000 38 For services and expenses of the medical 39 assistance program including nursing home 40 services. 41 Notwithstanding any provision of law to the 42 contrary, the portion of this appropri- 43 ation covering fiscal year 2026-27 shall 44 supersede and replace any duplicative (i) 45 reappropriation for this item covering 46 fiscal year 2026-27, and (ii) appropri- 47 ation for this item covering fiscal year 48 2026-27 set forth in chapter 53 of the 49 laws of 2025 (26950) ....................... 214,110,000 50 For services and expenses of the medical 51 assistance program including other long 52 term care services. 53 Notwithstanding any provision of law to the 54 contrary, the portion of this appropri- 55 ation covering fiscal year 2026-27 shall 56 supersede and replace any duplicative (i)

S. 10221 18

1 reappropriation for this item covering 2 fiscal year 2026-27, and (ii) appropri- 3 ation for this item covering fiscal year 4 2026-27 set forth in chapter 53 of the 5 laws of 2025 (26951) ..................... 1,019,916,000 6 For services and expenses of the medical 7 assistance program including managed care 8 services including regional planning 9 activities of the finger lakes health 10 systems agency, including statewide coor- 11 dination and demonstration of best prac- 12 tices. The department shall make grants 13 within amounts appropriated therefor, to 14 assure high-quality and accessible primary 15 care, to provide technical assistance to 16 support financial and business planning 17 for integrated systems of care, and to 18 assist primary care providers in the 19 adoption, implementation, and meaningful 20 use of electronic health record technolo- 21 gy. 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 (26952) ....................... 934,260,000 31 For services and expenses for health homes 32 including grants to health homes. 33 Notwithstanding any provision of law to the 34 contrary, the portion of this appropri- 35 ation covering fiscal year 2026-27 shall 36 supersede and replace any duplicative (i) 37 reappropriation for this item covering 38 fiscal year 2026-27, and (ii) appropri- 39 ation for this item covering fiscal year 40 2026-27 set forth in chapter 53 of the 41 laws of 2025 (29548) ........................ 22,620,000 42 For services and expenses of the medical 43 assistance program including pharmacy 44 services provided, however, that no funds 45 shall be made available pursuant to this 46 appropriation for any drug not explicitly 47 authorized in any enacted law, rule, or 48 regulation without approval from the 49 director of the budget. 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. 10221 19

1 2026-27 set forth in chapter 53 of the 2 laws of 2025 (26953) ....................... 431,556,000 3 For services and expenses of the medical 4 assistance program including transporta- 5 tion 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 (26954) ........................ 61,992,000 15 For services and expenses of the medical 16 assistance program including dental 17 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 (26955) ........................... 474,000 27 For services and expenses of the medical 28 assistance program including non-institu- 29 tional and other spending. 30 The money hereby appropriated is available 31 for payment of liabilities heretofore 32 accrued or hereafter accrued. 33 Notwithstanding any inconsistent provision 34 of law, the money hereby appropriated may 35 be available for payments to any county or 36 public school districts associated with 37 additional claims for school supportive 38 health services. 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 (26956) ....................... 123,624,000 48 For services and expenses of the medical 49 assistance program including medical 50 services provided at state facilities 51 operated by the office of mental health, 52 the office for people with developmental 53 disabilities and the office of addiction 54 services and supports. 55 Notwithstanding any provision of law to the 56 contrary, the portion of this appropri-

S. 10221 20

1 ation covering fiscal year 2026-27 shall 2 supersede and replace any duplicative (i) 3 reappropriation for this item covering 4 fiscal year 2026-27, and (ii) appropri- 5 ation for this item covering fiscal year 6 2026-27 set forth in chapter 53 of the 7 laws of 2025 (26961) ....................... 576,924,000 8 --------------

9 Special Revenue Funds - Federal 10 Federal Health and Human Services Fund 11 Medicaid Direct Account - 25106

12 For services and expenses for the medical 13 assistance program, including administra- 14 tive expenses for local social services 15 districts, pursuant to title XIX of the 16 federal social security act or its succes- 17 sor program. 18 The moneys hereby appropriated are to be 19 available for payment of aid heretofore 20 accrued or hereafter accrued to munici- 21 palities, and to providers of medical 22 services pursuant to section 367-b of the 23 social services law, and for payment of 24 state aid to municipalities and to provid- 25 ers of family care where payment systems 26 through the fiscal intermediaries are not 27 operational. 28 Notwithstanding any inconsistent provision 29 of law, funding made available by these 30 appropriations shall support direct salary 31 costs and related fringe benefits within 32 the medical assistance program associated 33 with any minimum wage increase that takes 34 effect during the timeframe of these 35 appropriations, pursuant to section 652 of 36 the labor law. Each eligible organization 37 in receipt of funding made available by 38 these appropriations may be required to 39 submit written certification, in such form 40 and at such time the commissioner may 41 prescribe, attesting to the total amount 42 of funds used by the eligible organiza- 43 tion, how such funding will be or was used 44 for purposes eligible under these appro- 45 priations and any other reporting deemed 46 necessary by the commissioner. The amounts 47 appropriated herein may include advances 48 to organizations authorized to receive 49 such funds to accomplish this purpose. 50 Notwithstanding any other provision of law, 51 the money hereby appropriated may be 52 increased or decreased by interchange or 53 transfer, with any appropriation of the 54 department of health and the office of

S. 10221 21

1 medicaid inspector general and may be 2 increased or decreased by transfer or 3 suballocation between these appropriated 4 amounts and appropriations of the office 5 of mental health, office for people with 6 developmental disabilities, the office of 7 addiction services and supports, the 8 department of family assistance office of 9 temporary and disability assistance, 10 office of children and family services, 11 the department of financial services, 12 department of corrections and community 13 supervision, the office of information 14 technology services, the state university 15 of New York, the state education depart- 16 ment, and the state office for the aging 17 with the approval of the director of the 18 budget, who shall file such approval with 19 the department of audit and control and 20 copies thereof with the chairman of the 21 senate finance committee and the chairman 22 of the assembly ways and means committee. 23 Notwithstanding any inconsistent provision 24 of law, in lieu of payments authorized by 25 the social services law, or payments of 26 federal funds otherwise due to the local 27 social services districts for programs 28 provided under the federal social security 29 act or the federal food stamp act, funds 30 herein appropriated, in amounts certified 31 by the state commissioner of temporary and 32 disability assistance or the state commis- 33 sioner of health as due from local social 34 services districts each month as their 35 share of payments made pursuant to section 36 367-b of the social services law may be 37 set aside by the state comptroller in an 38 interest-bearing account in order to 39 ensure the orderly and prompt payment of 40 providers under section 367-b of the 41 social services law pursuant to an esti- 42 mate provided by the commissioner of 43 health of each local social services 44 district's share of payments made pursuant 45 to section 367-b of the social services 46 law. 47 Notwithstanding any inconsistent provision 48 of law to the contrary, funds shall be 49 made available to the commissioner of the 50 office of mental health or the commission- 51 er of the office of addiction services and 52 supports, in consultation with the commis- 53 sioner of health and approved by the 54 director of the budget, and consistent 55 with appropriations made therefor, to 56 implement allocation adjustment developed

S. 10221 22

1 by each such commissioner which shall 2 describe mental health or substance use 3 disorder services that should be developed 4 to meet service needs resulting from the 5 reduction of inpatient behavioral health 6 services provided under the medicaid 7 program, by programs licensed pursuant to 8 article 31 or 32 of the mental hygiene 9 law. Such programs may include programs 10 that are licensed pursuant to both article 11 31 of the mental hygiene law and article 12 28 of the public health law, or certified 13 under both article 32 of the mental 14 hygiene law and article 28 of the public 15 health law. 16 Notwithstanding any inconsistent provision 17 of law, the moneys hereby appropriated may 18 be available for payments associated with 19 the resolution by settlement agreement or 20 judgment of rate appeals and/or litigation 21 where the department of health is a party. 22 Notwithstanding any inconsistent provisions 23 of law, no expenditures shall be used for 24 the medical assistance program for any 25 expenses not explicitly authorized in law 26 without the approval of the director of 27 the budget. 28 For services and expenses of the medical 29 assistance program including hospital 30 inpatient services. 31 Notwithstanding any provision of law to the 32 contrary, the portion of this appropri- 33 ation covering fiscal year 2026-27 shall 34 supersede and replace any duplicative (i) 35 reappropriation for this item covering 36 fiscal year 2026-27, and (ii) appropri- 37 ation for this item covering fiscal year 38 2026-27 set forth in chapter 53 of the 39 laws of 2025 (26947) ....................... 379,425,000 40 For services and expenses of the medical 41 assistance program including hospital 42 outpatient and emergency room services. 43 Notwithstanding any provision of law to the 44 contrary, the portion of this appropri- 45 ation covering fiscal year 2026-27 shall 46 supersede and replace any duplicative (i) 47 reappropriation for this item covering 48 fiscal year 2026-27, and (ii) appropri- 49 ation for this item covering fiscal year 50 2026-27 set forth in chapter 53 of the 51 laws of 2025 (26948) ........................ 67,620,000 52 For services and expenses of the medical 53 assistance program including clinic 54 services. 55 Notwithstanding any provision of law to the 56 contrary, the portion of this appropri-

S. 10221 23

1 ation covering fiscal year 2026-27 shall 2 supersede and replace any duplicative (i) 3 reappropriation for this item covering 4 fiscal year 2026-27, and (ii) appropri- 5 ation for this item covering fiscal year 6 2026-27 set forth in chapter 53 of the 7 laws of 2025 (26949) ....................... 109,485,000 8 For services and expenses of the medical 9 assistance program including nursing home 10 services. 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 (26950) ....................... 563,700,000 20 For services and expenses of the medical 21 assistance program including other long 22 term care services. 23 Notwithstanding any provision of law to the 24 contrary, the portion of this appropri- 25 ation covering fiscal year 2026-27 shall 26 supersede and replace any duplicative (i) 27 reappropriation for this item covering 28 fiscal year 2026-27, and (ii) appropri- 29 ation for this item covering fiscal year 30 2026-27 set forth in chapter 53 of the 31 laws of 2025 (26951) ..................... 1,608,045,000 32 For services and expenses of the medical 33 assistance program including managed care 34 services including regional planning 35 activities of the finger lakes health 36 systems agency, including statewide coor- 37 dination and demonstration of best prac- 38 tices. The department shall make grants 39 within amounts appropriated therefor, to 40 assure high-quality and accessible primary 41 care, to provide technical assistance to 42 support financial and business planning 43 for integrated systems of care, and to 44 assist primary care providers in the 45 adoption, implementation, and meaningful 46 use of electronic health record technolo- 47 gy. 48 Notwithstanding any inconsistent provision 49 of law, rule, or regulation to the contra- 50 ry, funds appropriated herein shall not be 51 subject to article 6 of the financial 52 services law. 53 Notwithstanding any inconsistent provision 54 of law, rule, or regulation to the contra- 55 ry, funds appropriated herein shall only 56 be made available for applied behavior

S. 10221 24

1 analysis services if such services are 2 recommended by a health care or mental 3 health care practitioner authorized under 4 title eight of the education law who has 5 been designated as an applied behavior 6 analysis center of excellence provider by 7 the commissioner of health. 8 Notwithstanding any provision of law to the 9 contrary, the portion of this appropri- 10 ation covering fiscal year 2026-27 shall 11 supersede and replace any duplicative (i) 12 reappropriation for this item covering 13 fiscal year 2026-27, and (ii) appropri- 14 ation for this item covering fiscal year 15 2026-27 set forth in chapter 53 of the 16 laws of 2025 (26952) ..................... 1,962,340,000 17 For services and expenses of the medical 18 assistance program including pharmacy 19 services, provided, however, that no funds 20 shall be made available pursuant to this 21 appropriation for any drug not explicitly 22 authorized in any heretofore enacted law, 23 rule, or regulation without approval from 24 the director of the budget. 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 (26953) ....................... 591,095,000 34 For services and expenses of the medical 35 assistance program including transporta- 36 tion services. 37 Notwithstanding any provision of law to the 38 contrary, the portion of this appropri- 39 ation covering fiscal year 2026-27 shall 40 supersede and replace any duplicative (i) 41 reappropriation for this item covering 42 fiscal year 2026-27, and (ii) appropri- 43 ation for this item covering fiscal year 44 2026-27 set forth in chapter 53 of the 45 laws of 2025 (26954) ........................ 79,410,000 46 For services and expenses of the medical 47 assistance program including dental 48 services. 49 Notwithstanding any provision of law to the 50 contrary, the portion of this appropri- 51 ation covering fiscal year 2026-27 shall 52 supersede and replace any duplicative (i) 53 reappropriation for this item covering 54 fiscal year 2026-27, and (ii) appropri- 55 ation for this item covering fiscal year

S. 10221 25

1 2026-27 set forth in chapter 53 of the 2 laws of 2025 (26955) ......................... 9,180,000 3 For services and expenses of the medical 4 assistance program including noninstitu- 5 tional and other spending. 6 The money hereby appropriated is available 7 for payment of liabilities heretofore 8 accrued or hereafter accrued. 9 Notwithstanding any provision of law to the 10 contrary, the portion of this appropri- 11 ation covering fiscal year 2026-27 shall 12 supersede and replace any duplicative (i) 13 reappropriation for this item covering 14 fiscal year 2026-27, and (ii) appropri- 15 ation for this item covering fiscal year 16 2026-27 set forth in chapter 53 of the 17 laws of 2025 (26956) ....................... 899,025,000 18 Notwithstanding any inconsistent provision 19 of law, subject to the approval of the 20 director of the budget, upon submission of 21 an allocation adjustment from the commis- 22 sioner of health, the amount appropriated 23 herein, together with any available feder- 24 al matching funds, may be transferred or 25 suballocated to the office of mental 26 health, office of addiction services and 27 supports, office for people with develop- 28 mental disabilities, division of housing 29 and community renewal, New York state 30 housing trust fund corporation, and office 31 of temporary and disability assistance for 32 services and expenses related to providing 33 affordable housing. Any such spending 34 shall consider the geographical location 35 of the grants. 36 Notwithstanding any provision of law to the 37 contrary, the portion of this appropri- 38 ation covering fiscal year 2026-27 shall 39 supersede and replace any duplicative (i) 40 reappropriation for this item covering 41 fiscal year 2026-27, and (ii) appropri- 42 ation for this item covering fiscal year 43 2026-27 set forth in chapter 53 of the 44 laws of 2025 (29521) ....................... 480,770,000 45 --------------

46 § 9. Section 6 of chapter 98 of the laws of 2026, relating to making 47 appropriations for the support of government, as amended by chapter 109 48 of the laws of 2026, is amended to read as follows: 49 § 6. The amounts specified in this section, or so much thereof as 50 shall be sufficient to accomplish the purposes designated, is hereby 51 appropriated and authorized to be paid as hereinafter provided, to the 52 public officers and for the purposes specified, which amount shall be 53 available for the state fiscal year beginning April 1, 2026.

S. 10221 26

1 DEPARTMENT OF LABOR

2 AID TO LOCALITIES

3 UNEMPLOYMENT INSURANCE BENEFIT PROGRAM ... [ 1,215,000,000 ] 1,260,000,000 4 --------------

5 Enterprise Funds 6 Unemployment Insurance Benefit Fund 7 Unemployment Insurance Benefit Account - 50650

8 For payment of unemployment insurance bene- 9 fits pursuant to article 18 of the labor 10 law or as authorized by the federal 11 government through the disaster unemploy- 12 ment assistance program, the emergency 13 unemployment compensation program, the 14 extended benefit program, the federal 15 additional compensation program or any 16 other federally funded unemployment bene- 17 fit program (34787) ...... [ 1,215,000,000 ] 1,260,000,000 18 --------------

19 § 10. Section 8 of chapter 100 of the laws of 2026, relating to making 20 appropriations for the support of government, as amended by chapter 109 21 of the laws of 2026, is amended to read as follows: 22 § 8. The amounts specified in this section, or so much thereof as 23 shall be sufficient to accomplish the purposes designated, is hereby 24 appropriated and authorized to be paid as hereinafter provided, to the 25 public officers and for the purposes specified, which amount shall be 26 available for the state fiscal year beginning April 1, 2026.

27 DEPARTMENT OF TRANSPORTATION

28 AID TO LOCALITIES

29 ADDITIONAL MASS TRANSPORTATION ASSISTANCE PROGRAM ........... 42,536,150 30 --------------

31 General Fund 32 Local Assistance Account - 10000

33 Notwithstanding any inconsistent provision 34 of law, the following appropriations are 35 for the payment of mass transportation 36 operating assistance provided that 37 payments from this appropriation shall be 38 made pursuant to a financial plan approved 39 by the director of the budget. 40 To the Capital District transportation 41 authority for the operating expenses ther- 42 eof (53206) .................................. 9,590,650 43 To the Central New York regional transporta- 44 tion authority for the operating expenses 45 thereof (53207) .............................. 6,906,575 46 To the Rochester-Genesee regional transpor-

S. 10221 27

1 tation authority for the operating 2 expenses thereof (53208) ..................... 8,229,375 3 To the Niagara Frontier transportation 4 authority for the operating expenses ther- 5 eof (53209) .................................. 9,876,025 6 To all other public transportation systems 7 serving primarily outside of the metropol- 8 itan commuter transportation district 9 eligible to receive operating assistance 10 under the provisions of section 18-b of 11 the transportation law for the operating 12 expenses thereof in accordance with a 13 service and usage formula to be estab- 14 lished by the commissioner of transporta- 15 tion with the approval of the director of 16 the budget (53210) ........................... 7,178,100 17 To Rockland county for the expenses thereof, 18 incurred for public transportation 19 services within the county provided 20 directly or under contract (53211) ............... 8,375 21 To the city of New York for the operating 22 expenses of the Staten Island ferry 23 notwithstanding any other provision of law 24 (53212) ......................................... 81,725 25 To the county of Westchester for the operat- 26 ing expenses thereof incurred for the 27 public transportation services, provided 28 within the county directly or under 29 contract (53213) ............................... 137,175 30 To the county of Nassau or its sub-grantees 31 for the operating expenses thereof 32 incurred for public transportation 33 services (53214) ............................... 165,925 34 To the county of Suffolk for operating 35 expenses thereof incurred for public 36 transportation services, provided within 37 the county directly or under contract 38 (53215) ......................................... 64,550 39 To the city of New York for the operating 40 expenses thereof incurred for public 41 transportation services, provided within 42 the city directly or under contract 43 (53216) ........................................ 218,425 44 To all other public transportation systems 45 serving primarily within the metropolitan 46 commuter transportation district eligible 47 to receive operating assistance under the 48 provisions of section 18-b of the trans- 49 portation law for the operating expenses 50 thereof in accordance with a service and 51 usage formula to be established by the 52 commissioner of transportation with the 53 approval of the director of the budget 54 (53217) ......................................... 79,250 55 --------------

S. 10221 28

1 DEDICATED MASS TRANSPORTATION TRUST FUND PROGRAM ......... 2 ............................................ [ 61,360,250 ] 199,534,250 3 --------------

4 Special Revenue Funds - Other 5 Dedicated Mass Transportation Trust Fund 6 Non-MTA Capital Account - 20853

7 Notwithstanding any inconsistent provision 8 of law, the following appropriations are 9 for payment of mass transportation operat- 10 ing assistance for public transportation 11 systems eligible to receive operating 12 assistance under the provisions of section 13 18-b of the transportation law, provided 14 that payments from this appropriation 15 shall be made pursuant to a financial plan 16 approved by the director of the budget. 17 To the Capital District transportation 18 authority for the operating expenses ther- 19 eof (54253) .................................. 2,585,875 20 To the Central New York regional transporta- 21 tion authority for the operating expenses 22 thereof (54251) .............................. 2,304,275 23 To the Rochester-Genesee regional transpor- 24 tation authority for the operating 25 expenses thereof (54252) ..................... 2,582,850 26 To the Niagara Frontier regional transporta- 27 tion authority for the operating expenses 28 thereof (54254) .............................. 3,364,300 29 To all other public transportation bus 30 systems serving primarily areas outside of 31 the metropolitan transportation commuter 32 district eligible to receive operating 33 assistance under the provisions of section 34 18-b of the transportation law for the 35 operating expenses thereof in accordance 36 with the service and usage formula to be 37 established by the commissioner of trans- 38 portation with the approval of the direc- 39 tor of the budget (54250) .................... 2,197,950 40 --------------

41 Special Revenue Funds - Other 42 Dedicated Mass Transportation Trust Fund 43 Railroad Account - 20852

44 To the metropolitan transportation authority 45 for deposit in the metropolitan transpor- 46 tation authority dedicated tax fund for 47 the expenses of the New York city transit 48 authority, the Manhattan and Bronx surface 49 transit operating authority, and the 50 Staten Island rapid transit operating 51 authority, the Long Island rail road 52 company and the Metro-North commuter rail-

S. 10221 29

1 road company which includes the New York 2 state portion of the Harlem, Hudson, Port 3 Jervis, Pascack, and the New Haven commu- 4 ter railroad service regardless of whether 5 the services are provided directly or 6 pursuant to joint service agreements. No 7 expenditure shall be made hereunder until 8 a certificate of approval has been issued 9 by the director of the budget and a copy 10 of such certificate filed with the state 11 comptroller, the chairperson of the senate 12 finance committee and the chairperson of 13 the assembly ways and means committee. 14 Moneys appropriated herein may be made 15 available at such times and upon such 16 conditions as may be deemed appropriate by 17 the commissioner of transportation and the 18 director of the budget in accordance with 19 the following: 20 To the metropolitan transportation authority 21 for the operating expenses of the Long 22 Island rail road company and the Metro- 23 North commuter railroad company which 24 include operating expenses for the New 25 York state portion of Harlem, Hudson, Port 26 Jervis, Pascack, and New Haven commuter 27 railroad services regardless of whether 28 such services are provided directly or 29 pursuant to joint service agreements 30 (54282) ....................... [ 7,260,000 ] 27,996,000 31 --------------

32 Special Revenue Funds - Other 33 Dedicated Mass Transportation Trust Fund 34 Transit Authorities Account - 20851

35 To the metropolitan transportation authority 36 for deposit in the metropolitan transpor- 37 tation authority dedicated tax fund for 38 the expenses of the New York city transit 39 authority, the Manhattan and Bronx surface 40 transit operating authority, and the 41 Staten Island rapid transit operating 42 authority, the Long Island rail road 43 company and the Metro-North commuter rail- 44 road company which includes the New York 45 state portion of the Harlem, Hudson, Port 46 Jervis, Pascack, and the New Haven commu- 47 ter railroad service regardless of whether 48 the services are provided directly or 49 pursuant to joint service agreements. No 50 expenditure shall be made hereunder until 51 a certificate of approval has been issued 52 by the director of the budget and a copy 53 of such certificate filed with the state 54 comptroller, the chairperson of the senate

S. 10221 30

1 finance committee and the chairperson of 2 the assembly ways and means committee. 3 Moneys appropriated herein may be made 4 available at such times and upon such 5 conditions as may be deemed appropriate by 6 the commissioner of transportation and the 7 director of the budget in accordance with 8 the following: 9 To the metropolitan transportation authority 10 for the operating expenses of the New York 11 city transit authority, the Manhattan and 12 Bronx surface transit operating authority, 13 and the Staten Island rapid transit oper- 14 ating authority (53173) ...... [ 41,065,000 ] 158,503,000 15 --------------

16 MASS TRANSPORTATION ASSISTANCE PROGRAM ....................... 6,312,750 17 --------------

18 General Fund 19 Local Assistance Account - 10000

20 For payment to the metropolitan transporta- 21 tion authority for the costs of the 22 student fare for school children program 23 for the 2026-27 school year provided 24 however, that the program shall maintain 25 the same eligibility criteria and discount 26 structure for students as was provided 27 during the 2019-20 school year. No expend- 28 iture shall be made hereunder until a 29 certificate of approval has been issued by 30 the director of the budget and a copy of 31 such certificate filed with the state 32 comptroller, the chairperson of the senate 33 finance committee and the chairperson of 34 the assembly ways and means committee. 35 Moneys appropriated herein may only be 36 made available prior to the beginning of 37 each school year semester designated fall, 38 spring, and summer after the receipt of 39 student fare passes by the New York City 40 department of education from the metropol- 41 itan transportation authority (53175) ........ 6,312,750 42 --------------

43 MASS TRANSPORTATION OPERATING ASSISTANCE FUND PROGRAM .... 44 ........................................... [ 167,533,375 ] 374,961,075 45 --------------

46 Special Revenue Funds - Other 47 Mass Transportation Operating Assistance Fund 48 Metropolitan Mass Transportation Operating Assistance 49 Account - 21402

S. 10221 31

1 Notwithstanding any inconsistent provision 2 of law, the following appropriations are 3 for payment of mass transportation operat- 4 ing assistance provided that payments from 5 this appropriation shall be made pursuant 6 to a financial plan approved by the direc- 7 tor of the budget. 8 To the metropolitan transportation authority 9 for the operating expenses of the New York 10 city transit authority, the Manhattan and 11 Bronx surface transit operating authority, 12 and the Staten Island rapid transit oper- 13 ating authority (53176) .................... 142,443,400 14 To the metropolitan transportation authority 15 for the operating expenses of the Long 16 Island rail road company and the Metro- 17 North commuter railroad company which 18 includes the New York state portion of 19 Harlem, Hudson, Port Jervis, Pascack, and 20 the New Haven commuter railroad services 21 regardless of whether the services are 22 provided directly or pursuant to joint 23 service agreements (53177) .................. 64,984,300 24 To Rockland county for the expenses thereof 25 incurred for public transportation 26 services within the county, provided 27 directly or under contract (53178) ........... 1,591,325 28 To the city of New York for the operating 29 expenses of the Staten Island ferry 30 notwithstanding any other provisions of 31 law (53179) ................................. 14,831,275 32 To the county of Westchester for the operat- 33 ing expenses thereof incurred for public 34 transportation services, provided within 35 the county directly or under contract 36 (53180) ..................................... 25,355,925 37 To the county of Nassau or its sub-grantees 38 for the operating expenses thereof 39 incurred for public transportation 40 services (53181) ............................ 30,880,275 41 To the county of Suffolk for operating 42 expenses thereof incurred for public 43 transportation services, provided within 44 the county directly or under contract 45 (53182) ..................................... 12,027,150 46 To the city of New York for the operating 47 expenses thereof incurred for public 48 transportation services, provided within 49 the city directly or under contract; 50 provided however, that $2,000,000 of this 51 appropriation shall be for expenses 52 incurred for the Staten Island express bus 53 service (53183) ............................. 39,794,050 54 To all other public transportation systems 55 serving primarily within the metropolitan 56 commuter transportation district, as

S. 10221 32

1 defined in section 1262 of the public 2 authorities law, eligible to receive oper- 3 ating assistance under the provisions of 4 section 18-b of the transportation law for 5 the operating expenses thereof in accord- 6 ance with a service and usage formula to 7 be established by the commissioner of 8 transportation with the approval of the 9 director of the budget (53184) .............. 14,542,125 10 --------------

11 Special Revenue Funds - Other 12 Mass Transportation Operating Assistance Fund 13 Public Transportation Systems Operating Assistance 14 Account - 21401

15 Notwithstanding any inconsistent provision 16 of law, the following appropriations are 17 for payment of mass transportation operat- 18 ing assistance provided that payments from 19 this appropriation shall be made pursuant 20 to a financial plan approved by the direc- 21 tor of the budget. 22 To the Capital District transportation 23 authority for the operating expenses ther- 24 eof (53185) .................................. 4,623,425 25 To the Central New York regional transporta- 26 tion authority for the operating expenses 27 thereof (53186) .............................. 4,278,125 28 To the Rochester-Genesee regional transpor- 29 tation authority for the operating 30 expenses thereof (53187) ..................... 5,339,850 31 To the Niagara Frontier transportation 32 authority for the operating expenses ther- 33 eof (53188) .................................. 7,986,200 34 To all other public transportation bus 35 systems serving primarily areas outside of 36 the metropolitan commuter transportation 37 district eligible to receive operating 38 assistance under the provisions of section 39 18-b of the transportation law for the 40 operating expenses thereof in accordance 41 with the service and usage formula to be 42 established by the commissioner of trans- 43 portation with the approval of the direc- 44 tor of the budget (53189) .................... 6,283,650 45 --------------

46 MASS TRANSPORTATION OPERATING ASSISTANCE PROGRAM ............ 55,467,475 47 --------------

48 General Fund 49 Local Assistance Account - 10000

50 Notwithstanding any inconsistent provision 51 of law, the following appropriations are

S. 10221 33

1 for the payment of mass transportation 2 operating assistance pursuant to section 3 18-b of the transportation law. 4 To the metropolitan transportation authority 5 for the operating expenses of the New York 6 city transit authority, the Manhattan and 7 Bronx surface transit operating authority, 8 and the Staten Island rapid transit oper- 9 ating authority (53192) ........................ 548,850 10 To the metropolitan transportation authority 11 for the operating expenses of the Long 12 Island rail road company and the Metro- 13 North commuter railroad company which 14 include operating expenses for the New 15 York state portion of Harlem, Hudson, Port 16 Jervis, Pascack, and New Haven commuter 17 railroad services regardless of whether 18 such services are provided directly or 19 pursuant to joint service agreements 20 (53193) ........................................ 916,650 21 To the city of New York for the operating 22 expenses of the Staten Island ferry 23 notwithstanding any other provision of law 24 (53198) ......................................... 77,250 25 To the county of Westchester for the operat- 26 ing expenses thereof incurred for the 27 public transportation services, provided 28 within the county directly or under 29 contract (53199) ................................ 65,275 30 To the county of Nassau or its sub-grantees 31 for the operating expenses thereof 32 incurred for public transportation 33 services (53200) ................................ 52,800 34 To the county of Suffolk for operating 35 expenses thereof incurred for public 36 transportation services, provided within 37 the county directly or under contract 38 (53201) ......................................... 18,700 39 To the city of New York for the operating 40 expenses thereof incurred for public 41 transportation services, provided within 42 the city directly or under contract 43 (53202) ........................................ 184,275 44 To all other public transportation systems 45 serving primarily within the metropolitan 46 commuter transportation district eligible 47 to receive operating assistance under the 48 provisions of section 18-b of the trans- 49 portation law for the operating expenses 50 thereof in accordance with a service and 51 usage formula to be established by the 52 commissioner of transportation with the 53 approval of the director of the budget 54 (53203) ......................................... 51,900 55 To the Capital District transportation

S. 10221 34

1 authority for the operating expenses ther- 2 eof (53194) .................................... 347,325 3 To the Central New York regional transporta- 4 tion authority for the operating expenses 5 thereof (53195) ................................ 548,125 6 To the Rochester-Genesee regional transpor- 7 tation authority for the operating 8 expenses thereof (53196) ....................... 685,125 9 To the Niagara Frontier transportation 10 authority for the operating expenses ther- 11 eof (53197) .................................... 713,500 12 To all other public transportation systems 13 serving primarily outside the metropolitan 14 commuter transportation district eligible 15 to receive operating assistance under the 16 provisions of section 18-b of the trans- 17 portation law for the operating expenses 18 thereof in accordance with a service and 19 usage formula to be established by the 20 commissioner of transportation with the 21 approval of the director of the budget 22 (53204) ........................................ 510,175 23 --------------

24 Special Revenue Funds - Other 25 Mass Transportation Operating Assistance Fund 26 Metropolitan Mass Transportation Operating Assistance 27 Account - 21402

28 Notwithstanding any inconsistent provision 29 of law, the following appropriations are 30 for the payment of mass transportation 31 operating assistance pursuant to section 32 18-b of the transportation law and section 33 88-a of the state finance law. 34 To the metropolitan transportation authority 35 for the operating expenses of the New York 36 city transit authority, the Manhattan and 37 Bronx surface transit operating authority, 38 and the Staten Island rapid transit oper- 39 ating authority (53192) ..................... 39,119,150 40 To the metropolitan transportation authority 41 for the operating expenses of the Long 42 Island rail road company and the Metro- 43 North commuter railroad company which 44 include operating expenses for the New 45 York state portion of Harlem, Hudson, Port 46 Jervis, Pascack, and New Haven commuter 47 railroad services regardless of whether 48 such services are provided directly or 49 pursuant to joint service agreements 50 (53193) ...................................... 6,396,350 51 To the city of New York for the operating 52 expenses of the Staten Island ferry 53 (53198) ........................................ 615,675

S. 10221 35

1 To the county of Westchester for the operat- 2 ing expenses thereof incurred for public 3 transportation services, provided within 4 the county directly or under contract 5 (53199) ........................................ 635,575 6 To the county of Nassau or its sub-grantees 7 for the operating expenses thereof 8 incurred for public transportation 9 services (53200) ............................... 582,075 10 To the county of Suffolk for operating 11 expenses thereof incurred for public 12 transportation services, provided within 13 the county directly or under contract 14 (53201) ........................................ 212,375 15 To the city of New York for the operating 16 expenses thereof incurred for public 17 transportation services, provided within 18 the city directly or under contract 19 (53202) ...................................... 1,507,775 20 To eligible public transportation systems 21 serving primarily within the metropolitan 22 commuter transportation district, as 23 defined in section 1262 of the public 24 authorities law, eligible to receive oper- 25 ating assistance under the provisions of 26 section 18-b of the transportation law for 27 the operating expenses thereof in accord- 28 ance with a service and usage formula to 29 be established by the commissioner of 30 transportation with the approval of the 31 director of the budget (53203) ................. 454,550 32 --------------

33 Special Revenue Funds - Other 34 Mass Transportation Operating Assistance Fund 35 Public Transportation Systems Operating Assistance 36 Account - 21401

37 Notwithstanding any inconsistent provision 38 of law, the following appropriations are 39 for the payment of mass transportation 40 operating assistance pursuant to section 41 18-b of the transportation law and section 42 88-a of the state finance law. 43 To the Capital District transportation 44 authority for the operating expenses ther- 45 eof (53194) .................................... 151,525 46 To the Central New York regional transporta- 47 tion authority for the operating expenses 48 thereof (53195) ................................ 255,775 49 To the Rochester-Genesee regional transpor- 50 tation authority for the operating 51 expenses thereof (53196) ....................... 292,250 52 To the Niagara Frontier transportation 53 authority for the operating expenses ther- 54 eof (53197) .................................... 311,500

S. 10221 36

1 To all other public transportation bus 2 systems serving areas outside of the 3 metropolitan commuter transportation 4 district eligible to receive operating 5 assistance under the provisions of section 6 18-b of the transportation law for the 7 operating expenses thereof in accordance 8 with the service and usage formula to be 9 established by the commissioner of trans- 10 portation with the approval of the direc- 11 tor of the budget (54289) ...................... 212,950 12 --------------

13 METROPOLITAN TRANSPORTATION AUTHORITY SUPPORT PROGRAM ....... 13,138,000 14 --------------

15 Special Revenue Funds - Other 16 Metropolitan Transportation Authority Financial Assist- 17 ance Fund 18 New York Central Business District Trust Fund - 23653

19 To the metropolitan transportation authority 20 pursuant to section 99-ff of the state 21 finance law for deposit in the central 22 business district tolling capital lockbox 23 established pursuant to section 553-j of 24 the public authorities law (54298) .......... 13,138,000 25 --------------

26 § 11. Section 7 of chapter 98 of the laws of 2026, relating to making 27 appropriations for the support of government, as amended by chapter 109 28 of the laws of 2026, is amended to read as follows: 29 § 7. The amounts specified in this section, or so much thereof as 30 shall be sufficient to accomplish the purposes designated, is hereby 31 appropriated and authorized to be paid as hereinafter provided, to the 32 public officers and for the purposes specified, which amount shall be 33 available for the state fiscal year beginning April 1, 2026.

34 DEPARTMENT OF MENTAL HYGIENE

35 OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES

36 AID TO LOCALITIES

37 COMMUNITY SERVICES PROGRAM .................. [ 760,608,000 ] 769,023,000 38 --------------

39 General Fund 40 Local Assistance Account - 10000

41 For services and expenses of the community 42 services program, net of disallowances, 43 for community programs for people with 44 developmental disabilities pursuant to 45 article 41 of the mental hygiene law, 46 and/or chapter 620 of the laws of 1974,

S. 10221 37

1 chapter 660 of the laws of 1977, chapter 2 412 of the laws of 1981, chapter 27 of the 3 laws of 1987, chapter 729 of the laws of 4 1989, chapter 329 of the laws of 1993 and 5 other provisions of the mental hygiene 6 law. Notwithstanding any inconsistent 7 provision of law, the following appropri- 8 ation shall be net of prior and/or current 9 year refunds, rebates, reimbursements, and 10 credits. 11 Notwithstanding any other provision of law, 12 advances and reimbursement made pursuant 13 to subdivision (d) of section 41.15 and 14 section 41.18 of the mental hygiene law 15 shall be allocated pursuant to a plan and 16 in a manner prescribed by the agency head 17 and approved by the director of the budg- 18 et. The moneys hereby appropriated are 19 available to reimburse or advance locali- 20 ties and voluntary non-profit agencies for 21 expenditures made during local fiscal 22 periods commencing January 1, 2026, April 23 1, 2026 or July 1, 2026, and for advances 24 for the 3 month period beginning January 25 1, 2027. 26 Notwithstanding the provisions of article 41 27 of the mental hygiene law or any other 28 inconsistent provision of law, rule or 29 regulation, the commissioner, pursuant to 30 such contract and in the manner provided 31 therein, may pay all or a portion of the 32 expenses incurred by such voluntary agen- 33 cies arising out of loans which are funded 34 from the proceeds of bonds and notes 35 issued by the dormitory authority of the 36 state of New York. 37 Notwithstanding any other provision of law, 38 the money hereby appropriated may be 39 transferred to state operations and/or any 40 appropriation of the office for people 41 with developmental disabilities with the 42 approval of the director of the budget. 43 Notwithstanding any inconsistent provision 44 of law, moneys from this appropriation may 45 be used for state aid of up to 100 percent 46 of the net deficit costs of day training 47 programs and family support services. 48 Notwithstanding the provisions of section 49 16.23 of the mental hygiene law and any 50 other inconsistent provision of law, with 51 relation to the operation of certified 52 family care homes, including family care 53 homes sponsored by voluntary not-for-pro- 54 fit agencies, moneys from this appropri- 55 ation may be used for payments to purchase 56 general services including but not limited

S. 10221 38

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

S. 10221 39

1 developmental disabilities is authorized 2 to administer with federal approval pursu- 3 ant to subdivision (c) of section 1915 of 4 the federal social security act, are 5 authorized to provide such tasks as OPWDD 6 may specify when performed under the 7 supervision, training and periodic 8 inspection of a registered professional 9 nurse and in accordance with an authorized 10 practitioner's ordered care. 11 Notwithstanding any other provision of law 12 to the contrary, and consistent with 13 section 33.07 of the mental hygiene law, 14 the directors of facilities licensed but 15 not operated by the office for people with 16 developmental disabilities who act as 17 federally-appointed representative payees 18 and who assume management responsibility 19 over the funds of a resident may continue 20 to use such funds for the cost of the 21 resident's care and treatment, consistent 22 with federal law and regulations. 23 Funds appropriated herein shall be available 24 in accordance with the following: 25 Notwithstanding any inconsistent provision 26 of law, the director of the budget is 27 authorized to make suballocations from 28 this appropriation to the department of 29 health medical assistance program. 30 Notwithstanding any inconsistent provision 31 of law, and pursuant to criteria estab- 32 lished by the commissioner of the office 33 for people with developmental disabilities 34 and approved by the director of the budg- 35 et, expenditures may be made from this 36 appropriation for residential facilities 37 which are pending recertification as 38 intermediate care facilities for people 39 with developmental disabilities. 40 Notwithstanding the provisions of section 41 41.36 of the mental hygiene law and any 42 other inconsistent provision of law, 43 moneys from this appropriation may be used 44 for payment up to $250 per year per 45 client, at such times and in such manner 46 as determined by the commissioner on the 47 basis of financial need for the personal 48 needs of each client residing in voluntar- 49 y-operated community residences and volun- 50 tary-operated community residential alter- 51 natives, including individualized 52 residential alternatives under the home 53 and community based services waiver. The 54 commissioner shall, subject to the 55 approval of the director of the budget, 56 alter existing advance payment schedules

S. 10221 40

1 for voluntary-operated community resi- 2 dences established pursuant to section 3 41.36 of the mental hygiene law. 4 Notwithstanding any inconsistent provision 5 of law, moneys from this appropriation may 6 be used for the operation of clinics 7 licensed pursuant to article 16 of the 8 mental hygiene law including, but not 9 limited to, supportive and habilitative 10 services consistent with the home and 11 community based services waiver. 12 For the state and/or local share of medical 13 assistance services expenses incurred by 14 the department of health for the provision 15 of medical assistance services to people 16 with developmental disabilities (37835) .... 700,020,000 17 For services and expenses of the community 18 services program, net of disallowances, 19 for community programs for people with 20 developmental disabilities pursuant to 21 article 41 of the mental hygiene law, 22 and/or chapter 620 of the laws of 1974, 23 chapter 660 of the laws of 1977, chapter 24 412 of the laws of 1981, chapter 27 of the 25 laws of 1987, chapter 729 of the laws of 26 1989, chapter 329 of the laws of 1993 and 27 other provisions of the mental hygiene 28 law. Notwithstanding any inconsistent 29 provision of law, the following appropri- 30 ation shall be net of prior and/or current 31 year refunds, rebates, reimbursements, and 32 credits. 33 Notwithstanding any other provision of law, 34 advances and reimbursement made pursuant 35 to subdivision (d) of section 41.15 and 36 section 41.18 of the mental hygiene law 37 shall be allocated pursuant to a plan and 38 in a manner prescribed by the agency head 39 and approved by the director of the budg- 40 et. The moneys hereby appropriated are 41 available to reimburse or advance locali- 42 ties and voluntary non-profit agencies for 43 expenditures made during local fiscal 44 periods commencing January 1, 2026, April 45 1, 2026 or July 1, 2026, and for advances 46 for the 3 month period beginning January 47 1, 2027. 48 Notwithstanding the provisions of article 41 49 of the mental hygiene law or any other 50 inconsistent provision of law, rule or 51 regulation, the commissioner, pursuant to 52 such contract and in the manner provided 53 therein, may pay all or a portion of the 54 expenses incurred by such voluntary agen- 55 cies arising out of loans which are funded 56 from the proceeds of bonds and notes

S. 10221 41

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

S. 10221 42

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

S. 10221 43

1 Notwithstanding any other provision of law 2 to the contrary, funds appropriated herein 3 are available to reimburse in- and 4 out-of-state private residential schools, 5 pursuant to subdivision (c) of section 6 13.37-a and subdivision (g) of section 7 13.38 of the mental hygiene law, for costs 8 of supporting the residential and day 9 program services available to individuals 10 who are over the age of 21 years of age, 11 provided that the amount paid for residen- 12 tial services and/or maintenance costs is 13 net of any supplemental security income 14 benefit to which the individual receiving 15 services is eligible, and provided further 16 that funding for nonresidential services 17 will be in an amount not to exceed the 18 maximum reimbursement for appropriate day 19 services delivered by the office for 20 people with developmental disabilities 21 certified or approved providers other than 22 in- and out-of-state private residential 23 schools, unless otherwise authorized by 24 the director of the budget. 25 Notwithstanding section 163 of the state 26 finance law, section 142 of the economic 27 development law, and article 41 of the 28 mental hygiene law, the commissioner of 29 the office for people with developmental 30 disabilities may make the funds appropri- 31 ated herein available as state aid, a loan 32 or a grant, pursuant to terms and condi- 33 tions established by the commissioner of 34 the office for people with developmental 35 disabilities, to cover a portion of the 36 development costs of private, public 37 and/or non-profit organizations, including 38 corporations and partnerships established 39 pursuant to the private housing finance 40 law and/or any other statutory provisions, 41 for supportive housing units that have 42 been set aside for individuals with intel- 43 lectual and developmental disabilities. 44 Further, the office for people with devel- 45 opmental disabilities shall have a lien on 46 the real property developed with such 47 state aid, loans or grants, which shall be 48 in the amount of the loan or grant, for a 49 maximum term of 30 years, or other longer 50 term consistent with the requirements of 51 another regulatory agency. 52 For services and expenses related to the 53 provision of residential services to 54 people with developmental disabilities 55 (37802) ...................... [ 35,172,000 ] 40,057,000

S. 10221 44

1 For services and expenses related to the 2 provision of day program services to 3 people with developmental disabilities 4 (37803) ....................... [ 8,640,000 ] 9,840,000 5 For services and expenses related to the 6 provision of family support services to 7 people with developmental disabilities 8 (37804) ....................... [ 9,720,000 ] 11,070,000 9 For services and expenses related to the 10 provision of workshop, day training and 11 employment services to people with devel- 12 opmental disabilities. Notwithstanding any 13 other provision of law, up to [ $82,800 ] 14 $94,300 of this appropriation may be 15 transferred to the New York State Educa- 16 tion Departments' Adult Career and Contin- 17 uing Education Services - Vocational Reha- 18 bilitation (ACCES-VR) program to support 19 the LongTerm Sheltered Employment program 20 operated by FEDCAP Rehabilitation 21 Services, Inc. (37805) ....... [ 5,616,000 ] 6,396,000 22 For other services and expenses provided to 23 people with developmental disabilities 24 including but not limited to hepatitis B, 25 care at home waiver, epilepsy services, 26 Special Olympics New York, Inc. and volun- 27 tary fingerprinting (37806) ... [ 1,440,000 ] 1,640,000 28 --------------

29 § 12. Section 8 of chapter 98 of the laws of 2026, relating to making 30 appropriations for the support of government, as amended by chapter 109 31 of the laws of 2026, is amended to read as follows: 32 § 8. The amounts specified in this section, or so much thereof as 33 shall be sufficient to accomplish the purposes designated, is hereby 34 appropriated and authorized to be paid as hereinafter provided, to the 35 public officers and for the purposes specified, which amount shall be 36 available for the state fiscal year beginning April 1, 2026.

37 DEPARTMENT OF VETERANS' SERVICES

38 AID TO LOCALITIES

39 BLIND VETERAN ANNUITY ASSISTANCE PROGRAM ....................... 385,000 40 --------------

41 General Fund 42 Local Assistance Account - 10000

43 For payment of annuities to blind veterans 44 and eligible surviving spouses. Up to 45 $15,000 of this appropriation may be 46 transferred to state operations for admin- 47 istrative costs associated with this 48 program (54606) ................................ 385,000 49 --------------

S. 10221 45

1 VETERANS' BENEFITS ADVISING PROGRAM ............. [ 216,000 ] 246,000 2 --------------

3 Special Revenue Funds - Other 4 Homeless Veterans Assistance Fund 5 Homeless Veterans Assistance Account - 20204

6 For services and expenses related to home- 7 less veterans' housing (54815) .. [ 216,000 ] 246,000 8 --------------

9 § 13. The amounts specified in this section, or so much thereof as 10 shall be sufficient to accomplish the purposes designated, is hereby 11 appropriated and authorized to be paid as hereinafter provided, to the 12 public officers and for the purposes specified, which amount shall be 13 available for the state fiscal year beginning April 1, 2026.

14 LOCAL GOVERNMENT ASSISTANCE 15 AID TO LOCALITIES

16 AID AND INCENTIVES FOR MUNICIPALITIES ....................... 11,138,869 17 --------------

18 General Fund 19 Local Assistance Account - 10000

20 For payment to local governments as of April 21 1, 2026 under the aid and incentives for 22 municipalities program pursuant to section 23 54 of the state finance law in accordance 24 with the following: 25 For base level grants to municipalities; 26 notwithstanding any other provision of law 27 to the contrary, in the state fiscal year 28 commencing April 1, 2026, each munici- 29 pality shall receive a base level grant in 30 an amount equal to the base level grant 31 that such municipality received in the 32 state fiscal year commencing April 1, 2025 33 pursuant to paragraph b of subdivision 10 34 of section 54 of the state finance law 35 (80511) ..................................... 11,138,869 36 --------------

37 § 14. No expenditure may be made from any appropriation in this act, 38 until a certificate of approval has been issued by the director of the 39 budget and a copy of such certificate shall have been filed with the 40 state comptroller, the chairman of the senate finance committee and the 41 chairman of the assembly ways and means committee provided, however, 42 that any expenditures from any appropriation in this act made by the 43 legislature or judiciary shall not require such certificate.

44 § 15. All expenditures and disbursements made against the appropri- 45 ations in this act shall, upon final action by the legislature on appro- 46 priation bills submitted by the governor pursuant to article VII of the 47 state constitution for the support of government for the state fiscal

S. 10221 46

1 year beginning April 1, 2026, be transferred by the comptroller as 2 expenditures and disbursements to such appropriations for all state 3 departments and agencies, as applicable, in amounts equal to the amounts 4 charged against the appropriations in this act for each such department, 5 agency, and the legislature and the judiciary.

6 § 16. Severability clause. If any clause, sentence, paragraph, subdi- 7 vision, section or part of this act shall be adjudged by any court of 8 competent jurisdiction to be invalid, such judgment shall not affect, 9 impair, or invalidate the remainder thereof, but shall be confined in 10 its operation to the clause, sentence, paragraph, subdivision, section 11 or part thereof directly involved in the controversy in which such judg- 12 ment shall have been rendered. It is hereby declared to be the intent of 13 the legislature that this act would have been enacted even if such 14 invalid provisions had not been included herein.

15 § 17. This act shall take effect immediately and shall be deemed to 16 have been in full force and effect on and after April 1, 2026; provided, 17 however, that upon the transfer of expenditures and disbursements by the 18 comptroller as provided in section fifteen of this act, the appropri- 19 ations made by this act and subject to such section shall be deemed 20 repealed.

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