STATE OF NEW YORK
________________________________________________________________________
11150
IN ASSEMBLY
April 27, 2026
___________
Introduced by M. of A. PRETLOW -- (at request of the Governor) -- read
once and referred to the Committee on Ways and Means
AN ACT making appropriations for the support of government; to amend
chapter 98 of the laws of 2026, relating to making appropriations for
the support of government, in relation thereto; to amend chapter 100
of the laws of 2026, relating to making appropriations for the support
of government, in relation thereto; to amend chapter 102 of the laws
of 2026, relating to making appropriations for the support of govern-
ment, in relation thereto; and providing for the repeal of such
provisions upon expiration thereof
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Legislative intent. The legislature hereby finds and
2 declares that the enactment of these appropriations provides sufficient
3 authority to the comptroller for the purpose of making payments for the
4 purposes described herein until such time as appropriation bills submit-
5 ted by the governor pursuant to article VII of the state constitution
6 for the support of government for the state fiscal year beginning April
7 1, 2026 are enacted.
8 § 2. Section 2 of chapter 98 of the laws of 2026, relating to making
9 appropriations for the support of government, as amended by chapter 105
10 of the laws of 2026, is amended to read as follows:
11 § 2. The amounts specified in this section, or so much thereof as
12 shall be sufficient to accomplish the purposes designated, is hereby
13 appropriated and authorized to be paid as hereinafter provided, to the
14 public officers and for the purpose specified, which amount shall be
15 available for the state fiscal year beginning April 1, 2026.
16 ALL STATE DEPARTMENTS AND AGENCIES
17 For the purpose of making payments for
18 personal service, including liabilities
19 incurred prior to April 1, 2026, on the
20 payrolls scheduled to be paid during the
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD12032-01-6
A. 11150 2
1 period April 1 through April [27] 30, 2026
2 to state officers and employees of the
3 executive branch, including the governor,
4 lieutenant governor, comptroller, and
5 attorney general, and to employees of the
6 legislature. This appropriation also
7 includes payments for services performed
8 by mentally ill or developmentally disa-
9 bled persons who are employed in state-
10 operated special employment, work-for-pay
11 or sheltered workshop programs ...........
12 .......................... [1,228,949,722] 1,491,021,469
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 105
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 April [27] 30, 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 ............................ 44,000,000
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 105
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
A. 11150 3
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 April [27] 30, 2026
16 for 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 105
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 April [27] 30,
A. 11150 4
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 105
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 ....................... [691,626,500] 691,631,000
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) .. [683,728,500] 683,733,000
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
A. 11150 5
1 shall be available to pay
2 for the premiums in 2026-27 .. 514,422,000
3 For the state's contribution
4 to the social security
5 contribution fund ............ 116,000,000
6 For the state's contribution
7 to employee benefit fund
8 programs ...................... 40,500,000
9 For the state's contribution
10 to the dental insurance plan ... 7,415,000
11 For the payment of the metro-
12 politan commuter transporta-
13 tion mobility tax pursuant
14 to article 23 of the tax
15 law, as added by chapter 25
16 of the laws of 2009, on
17 behalf of the state employ-
18 ees employed in the metro-
19 politan commuter transporta-
20 tion district .................. 4,670,000
21 For the state's share of
22 contributions to the volun-
23 tary defined contribution
24 plan made on behalf of
25 eligible employees pursuant
26 to chapter 18 of the laws
27 of 2012 who elect to partic-
28 ipate in such plan and who
29 are not otherwise eligi-
30 ble to participate in the
31 SUNY optional retirement
32 program ........... [704,500] 709,000
33 For the state's contribution
34 to the vision care plan ........... 17,000
35 --------------
36 Project schedule total ...
37 ........... [683,728,500] 683,733,000
38 --------------
39 For payments in accordance with section 19-a
40 of the public lands law (80567) .............. 7,720,000
41 For payment of claims for damage to personal
42 or real property or for bodily injuries or
43 wrongful death caused by officers, employ-
44 ees, or other authorized persons providing
45 service to state government while provid-
46 ing such service, and the state university
47 construction fund while acting within the
48 scope of their employment, and while oper-
49 ating motor vehicles, and for any individ-
50 uals operating motor vehicles which are
51 assigned on a permanent basis with unre-
52 stricted use to state officers and employ-
53 ees when the person is permanently
54 assigned the motor vehicle (80559) ............. 178,000
55 --------------
A. 11150 6
1 § 7. Section 5 of chapter 100 of the laws of 2026, relating to making
2 appropriations for the support of government, as amended by chapter 105
3 of the laws of 2026, is amended to read as follows:
4 § 5. The amounts specified in this section, or so much thereof as
5 shall be sufficient to accomplish the purposes designated, is hereby
6 appropriated and authorized to be paid as hereinafter provided, to the
7 public officers and for the purposes specified, which amount shall be
8 available for the state fiscal year beginning April 1, 2026.
9 JUDICIARY
10 For the purpose of making payments for
11 personal service, including liabilities
12 incurred prior to April 1, 2026, on the
13 payrolls scheduled to be paid during the
14 period April 1 through April [27] 30, 2026
15 to officers and employees of the judi-
16 ciary ..................................... 186,000,000
17 For the payment of state operations nonper-
18 sonal service liabilities, the sum of
19 thirteen million dollars ($13,000,000), or
20 so much thereof as shall be sufficient to
21 accomplish the purpose designated, is
22 hereby appropriated to the judiciary out
23 of any moneys in the general fund or other
24 funds to the credit of the state purposes
25 account not otherwise appropriated. The
26 comptroller is hereby authorized and
27 directed to utilize this appropriation for
28 the purpose of making payments for nonper-
29 sonal service liabilities incurred by the
30 judiciary from April 1 through April [27]
31 30, 2026 .................................... 13,000,000
32 For the payment of aid to localities liabil-
33 ities, the sum of eleven million dollars
34 ($11,000,000), or so much thereof as shall
35 be sufficient to accomplish the purpose
36 designated, is hereby appropriated to the
37 judiciary out of any moneys in the general
38 fund or other funds to the credit of the
39 state purposes account not otherwise
40 appropriated. The comptroller is hereby
41 authorized and directed to utilize this
42 appropriation for the purpose of making
43 payments for aid to localities liabilities
44 incurred by the judiciary from April 1
45 through April [27] 30, 2026 ................. 11,000,000
46 For the payment of employee fringe benefit
47 programs including, but not limited to,
48 the judiciary's contributions to the
49 health insurance fund, the employees'
50 retirement system pension accumulation
51 fund, the social security contribution
52 fund, employee benefit fund programs, the
53 dental insurance plan, the vision care
54 plan, the unemployment insurance fund, and
A. 11150 7
1 for workers' compensation benefits, the
2 sum of sixty-two million two hundred fifty
3 thousand dollars ($62,250,000), or so much
4 thereof as shall be sufficient to accom-
5 plish the purpose designated, is hereby
6 appropriated to the judiciary out of any
7 moneys in the general fund or other funds
8 to the credit of the state purposes
9 account not otherwise appropriated. The
10 comptroller is hereby authorized and
11 directed to utilize this appropriation for
12 the purpose of making payments for employ-
13 ee fringe benefit liabilities incurred by
14 the judiciary from April 1 through April
15 [27] 30, 2026 ............................... 62,250,000
16 --------------
17 § 8. Section 5 of chapter 98 of the laws of 2026, relating to making
18 appropriations for the support of government, as amended by chapter 105
19 of the laws of 2026, is amended to read as follows:
20 § 5. The amounts specified in this section, or so much thereof as
21 shall be sufficient to accomplish the purposes designated, is hereby
22 appropriated and authorized to be paid as hereinafter provided, to the
23 public officers and for the purposes specified, which amount shall be
24 available for the state fiscal year beginning April 1, 2026.
25 DEPARTMENT OF HEALTH
26 AID TO LOCALITIES
27 CENTER FOR COMMUNITY HEALTH PROGRAM .......... [35,890,000] 38,030,000
28 --------------
29 General Fund
30 Local Assistance Account - 10000
31 For services and expenses related to the
32 Indian health program pursuant to a plan
33 prepared by the commissioner of health and
34 approved by the director of the budget.
35 The moneys hereby appropriated shall be
36 for payment of financial assistance here-
37 tofore accrued or hereafter to accrue
38 (26840) ...................................... 7,000,000
39 --------------
40 Special Revenue Funds - Federal
41 Federal USDA-Food and Nutrition Services Fund
42 Federal Food and Nutrition Services Account - 25022
43 For various federal food and nutritional
44 services. The moneys hereby appropriated
45 shall be available for payment of finan-
46 cial assistance heretofore accrued (26986)
47 .............................. [28,890,000] 31,030,000
48 --------------
A. 11150 8
1 ELDERLY PHARMACEUTICAL INSURANCE COVERAGE PROGRAM ............ 1,800,000
2 --------------
3 Special Revenue Funds - Other
4 HCRA Resources Fund
5 EPIC Premium Account - 20818
6 For services and expenses of the program for
7 elderly pharmaceutical insurance coverage,
8 including reimbursement to pharmacies
9 participating in such program. The moneys
10 hereby appropriated shall be available for
11 payment of financial assistance heretofore
12 accrued (26803) .............................. 1,800,000
13 --------------
14 MEDICAL ASSISTANCE PROGRAM ............... [6,489,781,000] 8,449,731,000
15 --------------
16 General Fund
17 Local Assistance Account - 10000
18 For the medical assistance program, includ-
19 ing administrative expenses, for local
20 social services districts, and for medical
21 care rates for authorized child care agen-
22 cies.
23 Notwithstanding section 40 of the state
24 finance law or any provision of law to the
25 contrary, subject to federal approval,
26 department of health state funds medicaid
27 spending, excluding payments for medical
28 services provided at state facilities
29 operated by the office of mental health,
30 the office for people with developmental
31 disabilities and the office of addiction
32 services and supports and further exclud-
33 ing any payments which are not appropri-
34 ated within the department of health, in
35 the aggregate, for the period April 1,
36 2026 through March 31, 2027, shall not
37 exceed $36,099,200,000 except as provided
38 below provided, however, such aggregate
39 limits may be adjusted by the director of
40 the budget to account for any changes in
41 the New York state federal medical assist-
42 ance percentage amount established pursu-
43 ant to the federal social security act,
44 increases in provider revenues, reductions
45 in local social services district payments
46 for medical assistance administration,
47 minimum wage increases, and beginning
48 April 1, 2012 the operational costs of the
49 New York state medical indemnity fund,
50 pursuant to chapter 59 of the laws of
51 2011, and state costs or savings from the
A. 11150 9
1 essential plan program. Such projections
2 may be adjusted by the director of the
3 budget to account for increased or expe-
4 dited department of health state funds
5 medicaid expenditures as a result of a
6 natural or other type of disaster, includ-
7 ing a governmental declaration of emergen-
8 cy.
9 The director of the budget, in consultation
10 with the commissioner of health, shall
11 assess on a quarterly basis known and
12 projected medicaid expenditures by catego-
13 ry of service and by geographic region, as
14 defined by the commissioner, incurred both
15 prior to and subsequent to such assessment
16 for each such period, and if the director
17 of the budget determines that such expend-
18 itures are expected to cause medicaid
19 spending for such period to exceed the
20 aggregate limit specified herein for such
21 period, the state medicaid director, in
22 consultation with the director of the
23 budget and the commissioner of health,
24 shall develop a medicaid savings allo-
25 cation adjustment to limit such spending
26 to the aggregate limit specified herein
27 for such period.
28 Such medicaid savings allocation adjustment
29 shall be designed, to reduce the expendi-
30 tures authorized by the appropriations
31 herein in compliance with the following
32 guidelines: (1) reductions shall be made
33 in compliance with applicable federal law,
34 including the provisions of the Patient
35 Protection and Affordable Care Act, Public
36 Law No. 111-148, and the Health Care and
37 Education Reconciliation Act of 2010,
38 Public Law No. 111-152 (collectively
39 "Affordable Care Act") and any subsequent
40 amendments thereto or regulations promul-
41 gated thereunder; (2) reductions shall be
42 made in a manner that complies with the
43 state medicaid plan approved by the feder-
44 al centers for medicare and medicaid
45 services, provided, however, that the
46 commissioner of health is authorized to
47 submit any state plan amendment or seek
48 other federal approval, including waiver
49 authority, to implement the provisions of
50 the medicaid savings allocation adjustment
51 that meets the other criteria set forth
52 herein; (3) reductions shall be made in a
53 manner that maximizes federal financial
54 participation, to the extent practicable,
55 including any federal financial partic-
56 ipation that is available or is reasonably
A. 11150 10
1 expected to become available, in the
2 discretion of the commissioner, under the
3 Affordable Care Act; (4) reductions shall
4 be made uniformly among categories of
5 services and geographic regions of the
6 state, to the extent practicable, and
7 shall be made uniformly within a category
8 of service, to the extent practicable,
9 except where the commissioner determines
10 that there are sufficient grounds for
11 non-uniformity, including but not limited
12 to: the extent to which specific catego-
13 ries of services contributed to department
14 of health medicaid state funds spending in
15 excess of the limits specified herein; the
16 need to maintain safety net services in
17 underserved communities; or the potential
18 benefits of pursuing innovative payment
19 models contemplated by the Affordable Care
20 Act, in which case such grounds shall be
21 set forth in the medicaid savings allo-
22 cation adjustment; and (5) reductions
23 shall be made in a manner that does not
24 unnecessarily create administrative
25 burdens to medicaid applicants and recipi-
26 ents or providers.
27 The commissioner shall seek the input of the
28 legislature, as well as organizations
29 representing health care providers,
30 consumers, businesses, workers, health
31 insurers, and others with relevant exper-
32 tise, in developing such medicaid savings
33 allocation adjustment, to the extent that
34 all or part of such adjustment, in the
35 discretion of the commissioner, is likely
36 to have a material impact on the overall
37 medicaid program, particular categories of
38 service or particular geographic regions
39 of the state.
40 (a) The commissioner shall post the medicaid
41 savings allocation adjustment on the
42 department of health's website and shall
43 provide written copies of such adjustment
44 to the chairs of the senate finance and
45 the assembly ways and means committees at
46 least 30 days before the date on which
47 implementation is expected to begin.
48 (b) The commissioner may revise the medicaid
49 savings allocation adjustment subsequent
50 to the provisions of notice and prior to
51 implementation but needs to provide a new
52 notice pursuant to subparagraph (i) of
53 this paragraph only if the commissioner
54 determines, in his or her discretion, that
55 such revisions materially alter the
56 adjustment.
A. 11150 11
1 Notwithstanding the provisions of paragraphs
2 (a) and (b) of this subdivision, the
3 commissioner need not seek the input
4 described in paragraph (a) of this subdi-
5 vision or provide notice pursuant to para-
6 graph (b) of this subdivision if, in the
7 discretion of the commissioner, expedited
8 development and implementation of a medi-
9 caid savings allocation adjustment is
10 necessary due to a public health emergen-
11 cy.
12 For purposes of this section, a public
13 health emergency is defined as: (i) a
14 disaster, natural or otherwise, that
15 significantly increases the immediate need
16 for health care personnel in an area of
17 the state; (ii) an event or condition that
18 creates a widespread risk of exposure to a
19 serious communicable disease, or the
20 potential for such widespread risk of
21 exposure; or (iii) any other event or
22 condition determined by the commissioner
23 to constitute an imminent threat to public
24 health.
25 Nothing in this paragraph shall be deemed to
26 prevent all or part of such medicaid
27 savings allocation adjustment from taking
28 effect retroactively to the extent permit-
29 ted by the federal centers for medicare
30 and medicaid services.
31 In accordance with the medicaid savings
32 allocation adjustment, the commissioner of
33 the department of health shall reduce
34 department of health state funds medicaid
35 spending by the amount of the projected
36 overspending through, actions including,
37 but not limited to modifying or suspending
38 reimbursement methods, including but not
39 limited to all fees, premium levels and
40 rates of payment, notwithstanding any
41 provision of law that sets a specific
42 amount or methodology for any such
43 payments or rates of payment; modifying or
44 discontinuing medicaid program benefits;
45 seeking all necessary federal approvals,
46 including, but not limited to waivers,
47 waiver amendments; and suspending time
48 frames for notice, approval or certif-
49 ication of rate requirements, notwith-
50 standing any provision of law, rule or
51 regulation to the contrary, including but
52 not limited to sections 2807 and 3614 of
53 the public health law, section 18 of chap-
54 ter 2 of the laws of 1988, and 18 NYCRR
55 505.14(h).
A. 11150 12
1 The department of health shall prepare a
2 quarterly report that sets forth: (a)
3 known and projected department of health
4 medicaid expenditures as described in
5 subdivision (1) of this section, and
6 factors that could result in medicaid
7 disbursements for the relevant state
8 fiscal year to exceed the projected
9 department of health state funds disburse-
10 ments in the enacted budget financial plan
11 pursuant to subdivision 3 of section 23 of
12 the state finance law, including spending
13 increases or decreases due to: enrollment
14 fluctuations, rate changes, utilization
15 changes, MRT investments, and shift of
16 beneficiaries to managed care; and vari-
17 ations in offline medicaid payments; and
18 (b) the actions taken to implement any
19 medicaid savings allocation adjustment
20 implemented pursuant to subdivision (4) of
21 this section, including information
22 concerning the impact of such actions on
23 each category of service and each
24 geographic region of the state. Each such
25 quarterly report shall be provided to the
26 chairs of the senate finance and the
27 assembly ways and means committees and
28 shall be posted on the department of
29 health's website in a timely manner.
30 The money hereby appropriated is to be
31 available for payment of aid heretofore
32 accrued or hereafter accrued to munici-
33 palities, and to providers of medical
34 services pursuant to section 367-b of the
35 social services law, and for payment of
36 state aid to municipalities and to provid-
37 ers of family care where payment systems
38 through the fiscal intermediaries are not
39 operational.
40 Notwithstanding any inconsistent provision
41 of law to the contrary, funds may be used
42 by the department for outside legal
43 assistance on issues involving the federal
44 government, the conduct of preadmission
45 screening and annual resident reviews
46 required by the state's medicaid program,
47 computer matching with insurance carriers
48 to insure that medicaid is the payer of
49 last resort and activities related to the
50 management of the pharmacy benefit avail-
51 able under the medicaid program.
52 Notwithstanding any inconsistent provision
53 of law, in lieu of payments authorized by
54 the social services law, or payments of
55 federal funds otherwise due to the local
56 social services districts for programs
A. 11150 13
1 provided under the federal social security
2 act or the federal food stamp act, funds
3 herein appropriated, in amounts certified
4 by the state commissioner of temporary and
5 disability assistance or the state commis-
6 sioner of health as due from local social
7 services districts each month as their
8 share of payments made pursuant to section
9 367-b of the social services law may be
10 set aside by the state comptroller in an
11 interest-bearing account in order to
12 ensure the orderly and prompt payment of
13 providers under section 367-b of the
14 social services law pursuant to an esti-
15 mate provided by the commissioner of
16 health of each local social services
17 district's share of payments made pursuant
18 to section 367-b of the social services
19 law.
20 Notwithstanding any inconsistent provision
21 of law, funding made available by these
22 appropriations shall support direct salary
23 costs and related fringe benefits within
24 the medical assistance program associated
25 with any minimum wage increase that takes
26 effect during the timeframe of these
27 appropriations, pursuant to section 652 of
28 the labor law. Each eligible organization
29 in receipt of funding made available by
30 these appropriations may be required to
31 submit written certification, in such form
32 and at such time the commissioner may
33 prescribe, attesting to the total amount
34 of funds used by the eligible organiza-
35 tion, how such funding will be or was used
36 for purposes eligible under these appro-
37 priations and any other reporting deemed
38 necessary by the commissioner. The amounts
39 appropriated herein may include advances
40 to organizations authorized to receive
41 such funds to accomplish this purpose.
42 Notwithstanding any other provision of law,
43 the money hereby appropriated may be
44 increased or decreased by interchange or
45 transfer, with any appropriation of the
46 department of health and the office of
47 medicaid inspector general and may be
48 increased or decreased by transfer or
49 suballocation between these appropriated
50 amounts and appropriations of the depart-
51 ment of health state purpose account, the
52 office of mental health, office for people
53 with developmental disabilities, the
54 office of addiction services and supports,
55 the department of family assistance office
56 of temporary and disability assistance,
A. 11150 14
1 the department of corrections and communi-
2 ty supervision, the office of information
3 technology services, the state university
4 of New York, and office of children and
5 family services, the office of medicaid
6 inspector general, the state education
7 department, and the state office for the
8 aging with the approval of the director of
9 the budget, who shall file such approval
10 with the department of audit and control
11 and copies thereof with the chairman of
12 the senate finance committee and the
13 chairman of the assembly ways and means
14 committee.
15 Notwithstanding any inconsistent provision
16 of law to the contrary, the moneys hereby
17 appropriated may be used for payments to
18 the centers for medicaid and medicare
19 services for obligations incurred related
20 to the pharmaceutical costs of dually
21 eligible medicare/medicaid beneficiaries
22 participating in the medicare drug benefit
23 authorized by P.L. 108-173.
24 Notwithstanding any inconsistent provision
25 of law, the moneys hereby appropriated
26 shall not be used for any existing rates,
27 fees, fee schedule, or procedures which
28 may affect the cost of care and services
29 provided by personal care providers, case
30 managers, health maintenance organiza-
31 tions, out of state medical facilities
32 which provide care and services to resi-
33 dents of the state, providers of transpor-
34 tation services, that are altered,
35 amended, adjusted or otherwise changed by
36 a local social services district unless
37 previously approved by the department of
38 health and the director of the budget.
39 Notwithstanding any inconsistent provision
40 of law to the contrary, funds shall be
41 made available to the commissioner of the
42 office of mental health or the commission-
43 er of the office of addiction services and
44 supports, in consultation with the commis-
45 sioner of health and approved by the
46 director of the budget, and consistent
47 with appropriations made therefor, to
48 implement allocation adjustment developed
49 by each such commissioner which shall
50 describe mental health or substance use
51 disorder services that should be developed
52 to meet service needs resulting from the
53 reduction of inpatient behavioral health
54 services provided under the medicaid
55 program, by programs licensed pursuant to
56 article 31 or 32 of the mental hygiene
A. 11150 15
1 law. Such programs may include programs
2 that are licensed pursuant to both article
3 31 of the mental hygiene law and article
4 28 of the public health law, or certified
5 under both article 32 of the mental
6 hygiene law and article 28 of the public
7 health law.
8 Notwithstanding any inconsistent provision
9 of law, the moneys hereby appropriated may
10 be available for payments associated with
11 the resolution by settlement agreement or
12 judgment of rate appeals and/or litigation
13 where the department of health is a party.
14 For services and expenses of the medical
15 assistance program including hospital
16 inpatient services and general hospitals
17 that are safety-net providers that evince
18 severe financial distress, pursuant to
19 criteria determined by the commissioner,
20 shall be eligible for awards for amounts
21 appropriated herein, to enable such
22 providers to maintain operations and vital
23 services while establishing long term
24 solutions to achieve sustainable health
25 services.
26 Notwithstanding any inconsistent provisions
27 of law, no expenditures shall be used for
28 the medical assistance program for any
29 expenses not explicitly authorized in law
30 without the approval of the director of
31 the budget.
32 Notwithstanding any provision of law to the
33 contrary, the portion of this appropri-
34 ation covering fiscal year 2026-27 shall
35 supersede and replace any duplicative (i)
36 reappropriation for this item covering
37 fiscal year 2026-27, and (ii) appropri-
38 ation for this item covering fiscal year
39 2026-27 set forth in chapter 53 of the
40 laws of 2025 (26947) ......... [96,952,000] 121,190,000
41 For services and expenses of the medical
42 assistance program including hospital
43 outpatient and emergency room services.
44 Notwithstanding any provision of law to the
45 contrary, the portion of this appropri-
46 ation covering fiscal year 2026-27 shall
47 supersede and replace any duplicative (i)
48 reappropriation for this item covering
49 fiscal year 2026-27, and (ii) appropri-
50 ation for this item covering fiscal year
51 2026-27 set forth in chapter 53 of the
52 laws of 2025 (26948) ......... [28,996,000] 36,245,000
53 For services and expenses of the medical
54 assistance program including clinic
55 services.
A. 11150 16
1 Notwithstanding any provision of law to the
2 contrary, the portion of this appropri-
3 ation covering fiscal year 2026-27 shall
4 supersede and replace any duplicative (i)
5 reappropriation for this item covering
6 fiscal year 2026-27, and (ii) appropri-
7 ation for this item covering fiscal year
8 2026-27 set forth in chapter 53 of the
9 laws of 2025 (26949) ......... [56,792,000] 70,990,000
10 For services and expenses of the medical
11 assistance program including nursing home
12 services.
13 Notwithstanding any provision of law to the
14 contrary, the portion of this appropri-
15 ation covering fiscal year 2026-27 shall
16 supersede and replace any duplicative (i)
17 reappropriation for this item covering
18 fiscal year 2026-27, and (ii) appropri-
19 ation for this item covering fiscal year
20 2026-27 set forth in chapter 53 of the
21 laws of 2025 (26950) ........ [142,740,000] 178,425,000
22 For services and expenses of the medical
23 assistance program including other long
24 term care services.
25 Notwithstanding any provision of law to the
26 contrary, the portion of this appropri-
27 ation covering fiscal year 2026-27 shall
28 supersede and replace any duplicative (i)
29 reappropriation for this item covering
30 fiscal year 2026-27, and (ii) appropri-
31 ation for this item covering fiscal year
32 2026-27 set forth in chapter 53 of the
33 laws of 2025 (26951) ........ [679,944,000] 849,930,000
34 For services and expenses of the medical
35 assistance program including managed care
36 services including regional planning
37 activities of the finger lakes health
38 systems agency, including statewide coor-
39 dination and demonstration of best prac-
40 tices. The department shall make grants
41 within amounts appropriated therefor, to
42 assure high-quality and accessible primary
43 care, to provide technical assistance to
44 support financial and business planning
45 for integrated systems of care, and to
46 assist primary care providers in the
47 adoption, implementation, and meaningful
48 use of electronic health record technolo-
49 gy.
50 Notwithstanding any provision of law to the
51 contrary, the portion of this appropri-
52 ation covering fiscal year 2026-27 shall
53 supersede and replace any duplicative (i)
54 reappropriation for this item covering
55 fiscal year 2026-27, and (ii) appropri-
56 ation for this item covering fiscal year
A. 11150 17
1 2026-27 set forth in chapter 53 of the
2 laws of 2025 (26952) ........ [622,840,000] 778,550,000
3 For services and expenses for health homes
4 including grants to health homes.
5 Notwithstanding any provision of law to the
6 contrary, the portion of this appropri-
7 ation covering fiscal year 2026-27 shall
8 supersede and replace any duplicative (i)
9 reappropriation for this item covering
10 fiscal year 2026-27, and (ii) appropri-
11 ation for this item covering fiscal year
12 2026-27 set forth in chapter 53 of the
13 laws of 2025 (29548) ......... [15,080,000] 18,850,000
14 For services and expenses of the medical
15 assistance program including pharmacy
16 services provided, however, that no funds
17 shall be made available pursuant to this
18 appropriation for any drug not explicitly
19 authorized in any enacted law, rule, or
20 regulation without approval from the
21 director of the budget.
22 Notwithstanding any provision of law to the
23 contrary, the portion of this appropri-
24 ation covering fiscal year 2026-27 shall
25 supersede and replace any duplicative (i)
26 reappropriation for this item covering
27 fiscal year 2026-27, and (ii) appropri-
28 ation for this item covering fiscal year
29 2026-27 set forth in chapter 53 of the
30 laws of 2025 (26953) ........ [287,704,000] 359,630,000
31 For services and expenses of the medical
32 assistance program including transporta-
33 tion services.
34 Notwithstanding any provision of law to the
35 contrary, the portion of this appropri-
36 ation covering fiscal year 2026-27 shall
37 supersede and replace any duplicative (i)
38 reappropriation for this item covering
39 fiscal year 2026-27, and (ii) appropri-
40 ation for this item covering fiscal year
41 2026-27 set forth in chapter 53 of the
42 laws of 2025 (26954) ......... [41,328,000] 51,660,000
43 For services and expenses of the medical
44 assistance program including dental
45 services.
46 Notwithstanding any provision of law to the
47 contrary, the portion of this appropri-
48 ation covering fiscal year 2026-27 shall
49 supersede and replace any duplicative (i)
50 reappropriation for this item covering
51 fiscal year 2026-27, and (ii) appropri-
52 ation for this item covering fiscal year
53 2026-27 set forth in chapter 53 of the
54 laws of 2025 (26955) ............ [316,000] 395,000
A. 11150 18
1 For services and expenses of the medical
2 assistance program including non-institu-
3 tional and other spending.
4 The money hereby appropriated is available
5 for payment of liabilities heretofore
6 accrued or hereafter accrued.
7 Notwithstanding any inconsistent provision
8 of law, the money hereby appropriated may
9 be available for payments to any county or
10 public school districts associated with
11 additional claims for school supportive
12 health services.
13 Notwithstanding any provision of law to the
14 contrary, the portion of this appropri-
15 ation covering fiscal year 2026-27 shall
16 supersede and replace any duplicative (i)
17 reappropriation for this item covering
18 fiscal year 2026-27, and (ii) appropri-
19 ation for this item covering fiscal year
20 2026-27 set forth in chapter 53 of the
21 laws of 2025 (26956) ......... [82,416,000] 103,020,000
22 For services and expenses of the medical
23 assistance program including medical
24 services provided at state facilities
25 operated by the office of mental health,
26 the office for people with developmental
27 disabilities and the office of addiction
28 services and supports.
29 Notwithstanding any provision of law to the
30 contrary, the portion of this appropri-
31 ation covering fiscal year 2026-27 shall
32 supersede and replace any duplicative (i)
33 reappropriation for this item covering
34 fiscal year 2026-27, and (ii) appropri-
35 ation for this item covering fiscal year
36 2026-27 set forth in chapter 53 of the
37 laws of 2025 (26961) ........ [384,616,000] 480,770,000
38 --------------
39 Special Revenue Funds - Federal
40 Federal Health and Human Services Fund
41 Medicaid Direct Account - 25106
42 For services and expenses for the medical
43 assistance program, including administra-
44 tive expenses for local social services
45 districts, pursuant to title XIX of the
46 federal social security act or its succes-
47 sor program.
48 The moneys hereby appropriated are to be
49 available for payment of aid heretofore
50 accrued or hereafter accrued to munici-
51 palities, and to providers of medical
52 services pursuant to section 367-b of the
53 social services law, and for payment of
54 state aid to municipalities and to provid-
A. 11150 19
1 ers of family care where payment systems
2 through the fiscal intermediaries are not
3 operational.
4 Notwithstanding any inconsistent provision
5 of law, funding made available by these
6 appropriations shall support direct salary
7 costs and related fringe benefits within
8 the medical assistance program associated
9 with any minimum wage increase that takes
10 effect during the timeframe of these
11 appropriations, pursuant to section 652 of
12 the labor law. Each eligible organization
13 in receipt of funding made available by
14 these appropriations may be required to
15 submit written certification, in such form
16 and at such time the commissioner may
17 prescribe, attesting to the total amount
18 of funds used by the eligible organiza-
19 tion, how such funding will be or was used
20 for purposes eligible under these appro-
21 priations and any other reporting deemed
22 necessary by the commissioner. The amounts
23 appropriated herein may include advances
24 to organizations authorized to receive
25 such funds to accomplish this purpose.
26 Notwithstanding any other provision of law,
27 the money hereby appropriated may be
28 increased or decreased by interchange or
29 transfer, with any appropriation of the
30 department of health and the office of
31 medicaid inspector general and may be
32 increased or decreased by transfer or
33 suballocation between these appropriated
34 amounts and appropriations of the office
35 of mental health, office for people with
36 developmental disabilities, the office of
37 addiction services and supports, the
38 department of family assistance office of
39 temporary and disability assistance,
40 office of children and family services,
41 the department of financial services,
42 department of corrections and community
43 supervision, the office of information
44 technology services, the state university
45 of New York, the state education depart-
46 ment, and the state office for the aging
47 with the approval of the director of the
48 budget, who shall file such approval with
49 the department of audit and control and
50 copies thereof with the chairman of the
51 senate finance committee and the chairman
52 of the assembly ways and means committee.
53 Notwithstanding any inconsistent provision
54 of law, in lieu of payments authorized by
55 the social services law, or payments of
56 federal funds otherwise due to the local
A. 11150 20
1 social services districts for programs
2 provided under the federal social security
3 act or the federal food stamp act, funds
4 herein appropriated, in amounts certified
5 by the state commissioner of temporary and
6 disability assistance or the state commis-
7 sioner of health as due from local social
8 services districts each month as their
9 share of payments made pursuant to section
10 367-b of the social services law may be
11 set aside by the state comptroller in an
12 interest-bearing account in order to
13 ensure the orderly and prompt payment of
14 providers under section 367-b of the
15 social services law pursuant to an esti-
16 mate provided by the commissioner of
17 health of each local social services
18 district's share of payments made pursuant
19 to section 367-b of the social services
20 law.
21 Notwithstanding any inconsistent provision
22 of law to the contrary, funds shall be
23 made available to the commissioner of the
24 office of mental health or the commission-
25 er of the office of addiction services and
26 supports, in consultation with the commis-
27 sioner of health and approved by the
28 director of the budget, and consistent
29 with appropriations made therefor, to
30 implement allocation adjustment developed
31 by each such commissioner which shall
32 describe mental health or substance use
33 disorder services that should be developed
34 to meet service needs resulting from the
35 reduction of inpatient behavioral health
36 services provided under the medicaid
37 program, by programs licensed pursuant to
38 article 31 or 32 of the mental hygiene
39 law. Such programs may include programs
40 that are licensed pursuant to both article
41 31 of the mental hygiene law and article
42 28 of the public health law, or certified
43 under both article 32 of the mental
44 hygiene law and article 28 of the public
45 health law.
46 Notwithstanding any inconsistent provision
47 of law, the moneys hereby appropriated may
48 be available for payments associated with
49 the resolution by settlement agreement or
50 judgment of rate appeals and/or litigation
51 where the department of health is a party.
52 Notwithstanding any inconsistent provisions
53 of law, no expenditures shall be used for
54 the medical assistance program for any
55 expenses not explicitly authorized in law
A. 11150 21
1 without the approval of the director of
2 the budget.
3 For services and expenses of the medical
4 assistance program including hospital
5 inpatient services.
6 Notwithstanding any provision of law to the
7 contrary, the portion of this appropri-
8 ation covering fiscal year 2026-27 shall
9 supersede and replace any duplicative (i)
10 reappropriation for this item covering
11 fiscal year 2026-27, and (ii) appropri-
12 ation for this item covering fiscal year
13 2026-27 set forth in chapter 53 of the
14 laws of 2025 (26947) ........ [227,655,000] 303,540,000
15 For services and expenses of the medical
16 assistance program including hospital
17 outpatient and emergency room services.
18 Notwithstanding any provision of law to the
19 contrary, the portion of this appropri-
20 ation covering fiscal year 2026-27 shall
21 supersede and replace any duplicative (i)
22 reappropriation for this item covering
23 fiscal year 2026-27, and (ii) appropri-
24 ation for this item covering fiscal year
25 2026-27 set forth in chapter 53 of the
26 laws of 2025 (26948) ......... [40,572,000] 54,096,000
27 For services and expenses of the medical
28 assistance program including clinic
29 services.
30 Notwithstanding any provision of law to the
31 contrary, the portion of this appropri-
32 ation covering fiscal year 2026-27 shall
33 supersede and replace any duplicative (i)
34 reappropriation for this item covering
35 fiscal year 2026-27, and (ii) appropri-
36 ation for this item covering fiscal year
37 2026-27 set forth in chapter 53 of the
38 laws of 2025 (26949) ......... [65,691,000] 87,588,000
39 For services and expenses of the medical
40 assistance program including nursing home
41 services.
42 Notwithstanding any provision of law to the
43 contrary, the portion of this appropri-
44 ation covering fiscal year 2026-27 shall
45 supersede and replace any duplicative (i)
46 reappropriation for this item covering
47 fiscal year 2026-27, and (ii) appropri-
48 ation for this item covering fiscal year
49 2026-27 set forth in chapter 53 of the
50 laws of 2025 (26950) ........ [338,220,000] 450,960,000
51 For services and expenses of the medical
52 assistance program including other long
53 term care services.
54 Notwithstanding any provision of law to the
55 contrary, the portion of this appropri-
56 ation covering fiscal year 2026-27 shall
A. 11150 22
1 supersede and replace any duplicative (i)
2 reappropriation for this item covering
3 fiscal year 2026-27, and (ii) appropri-
4 ation for this item covering fiscal year
5 2026-27 set forth in chapter 53 of the
6 laws of 2025 (26951) ....... [964,827,000] 1,286,436,000
7 For services and expenses of the medical
8 assistance program including managed care
9 services including regional planning
10 activities of the finger lakes health
11 systems agency, including statewide coor-
12 dination and demonstration of best prac-
13 tices. The department shall make grants
14 within amounts appropriated therefor, to
15 assure high-quality and accessible primary
16 care, to provide technical assistance to
17 support financial and business planning
18 for integrated systems of care, and to
19 assist primary care providers in the
20 adoption, implementation, and meaningful
21 use of electronic health record technolo-
22 gy.
23 Notwithstanding any inconsistent provision
24 of law, rule, or regulation to the contra-
25 ry, funds appropriated herein shall not be
26 subject to article 6 of the financial
27 services law.
28 Notwithstanding any inconsistent provision
29 of law, rule, or regulation to the contra-
30 ry, funds appropriated herein shall only
31 be made available for applied behavior
32 analysis services if such services are
33 recommended by a health care or mental
34 health care practitioner authorized under
35 title eight of the education law who has
36 been designated as an applied behavior
37 analysis center of excellence provider by
38 the commissioner of health.
39 Notwithstanding any provision of law to the
40 contrary, the portion of this appropri-
41 ation covering fiscal year 2026-27 shall
42 supersede and replace any duplicative (i)
43 reappropriation for this item covering
44 fiscal year 2026-27, and (ii) appropri-
45 ation for this item covering fiscal year
46 2026-27 set forth in chapter 53 of the
47 laws of 2025 (26952) ..... [1,177,404,000] 1,569,872,000
48 For services and expenses of the medical
49 assistance program including pharmacy
50 services, provided, however, that no funds
51 shall be made available pursuant to this
52 appropriation for any drug not explicitly
53 authorized in any heretofore enacted law,
54 rule, or regulation without approval from
55 the director of the budget.
A. 11150 23
1 Notwithstanding any provision of law to the
2 contrary, the portion of this appropri-
3 ation covering fiscal year 2026-27 shall
4 supersede and replace any duplicative (i)
5 reappropriation for this item covering
6 fiscal year 2026-27, and (ii) appropri-
7 ation for this item covering fiscal year
8 2026-27 set forth in chapter 53 of the
9 laws of 2025 (26953) ........ [354,657,000] 472,876,000
10 For services and expenses of the medical
11 assistance program including transporta-
12 tion services.
13 Notwithstanding any provision of law to the
14 contrary, the portion of this appropri-
15 ation covering fiscal year 2026-27 shall
16 supersede and replace any duplicative (i)
17 reappropriation for this item covering
18 fiscal year 2026-27, and (ii) appropri-
19 ation for this item covering fiscal year
20 2026-27 set forth in chapter 53 of the
21 laws of 2025 (26954) ......... [47,646,000] 63,528,000
22 For services and expenses of the medical
23 assistance program including dental
24 services.
25 Notwithstanding any provision of law to the
26 contrary, the portion of this appropri-
27 ation covering fiscal year 2026-27 shall
28 supersede and replace any duplicative (i)
29 reappropriation for this item covering
30 fiscal year 2026-27, and (ii) appropri-
31 ation for this item covering fiscal year
32 2026-27 set forth in chapter 53 of the
33 laws of 2025 (26955) .......... [5,508,000] 7,344,000
34 For services and expenses of the medical
35 assistance program including noninstitu-
36 tional and other spending.
37 The money hereby appropriated is available
38 for payment of liabilities heretofore
39 accrued or hereafter accrued.
40 Notwithstanding any provision of law to the
41 contrary, the portion of this appropri-
42 ation covering fiscal year 2026-27 shall
43 supersede and replace any duplicative (i)
44 reappropriation for this item covering
45 fiscal year 2026-27, and (ii) appropri-
46 ation for this item covering fiscal year
47 2026-27 set forth in chapter 53 of the
48 laws of 2025 (26956) ........ [539,415,000] 719,220,000
49 Notwithstanding any inconsistent provision
50 of law, subject to the approval of the
51 director of the budget, upon submission of
52 an allocation adjustment from the commis-
53 sioner of health, the amount appropriated
54 herein, together with any available feder-
55 al matching funds, may be transferred or
56 suballocated to the office of mental
A. 11150 24
1 health, office of addiction services and
2 supports, office for people with develop-
3 mental disabilities, division of housing
4 and community renewal, New York state
5 housing trust fund corporation, and office
6 of temporary and disability assistance for
7 services and expenses related to providing
8 affordable housing. Any such spending
9 shall consider the geographical location
10 of the grants.
11 Notwithstanding any provision of law to the
12 contrary, the portion of this appropri-
13 ation covering fiscal year 2026-27 shall
14 supersede and replace any duplicative (i)
15 reappropriation for this item covering
16 fiscal year 2026-27, and (ii) appropri-
17 ation for this item covering fiscal year
18 2026-27 set forth in chapter 53 of the
19 laws of 2025 (29521) ........ [288,462,000] 384,616,000
20 --------------
21 § 9. Section 6 of chapter 98 of the laws of 2026, relating to making
22 appropriations for the support of government, as amended by chapter 105
23 of the laws of 2026, is amended to read as follows:
24 § 6. The amounts specified in this section, or so much thereof as
25 shall be sufficient to accomplish the purposes designated, is hereby
26 appropriated and authorized to be paid as hereinafter provided, to the
27 public officers and for the purposes specified, which amount shall be
28 available for the state fiscal year beginning April 1, 2026.
29 DEPARTMENT OF LABOR
30 AID TO LOCALITIES
31 UNEMPLOYMENT INSURANCE BENEFIT PROGRAM ...... [810,000,000] 990,000,000
32 --------------
33 Enterprise Funds
34 Unemployment Insurance Benefit Fund
35 Unemployment Insurance Benefit Account - 50650
36 For payment of unemployment insurance bene-
37 fits pursuant to article 18 of the labor
38 law or as authorized by the federal
39 government through the disaster unemploy-
40 ment assistance program, the emergency
41 unemployment compensation program, the
42 extended benefit program, the federal
43 additional compensation program or any
44 other federally funded unemployment bene-
45 fit program (34787) ......... [810,000,000] 990,000,000
46 --------------
47 § 10. Section 7 of chapter 98 of the laws of 2026, relating to making
48 appropriations for the support of government, as amended by chapter 105
49 of the laws of 2026, is amended to read as follows:
A. 11150 25
1 § 7. The amounts specified in this section, or so much thereof as
2 shall be sufficient to accomplish the purposes designated, is hereby
3 appropriated and authorized to be paid as hereinafter provided, to the
4 public officers and for the purposes specified, which amount shall be
5 available for the state fiscal year beginning April 1, 2026.
6 DEPARTMENT OF MENTAL HYGIENE
7 OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES
8 AID TO LOCALITIES
9 COMMUNITY SERVICES PROGRAM .................. [465,453,000] 608,823,000
10 --------------
11 General Fund
12 Local Assistance Account - 10000
13 For services and expenses of the community
14 services program, net of disallowances,
15 for community programs for people with
16 developmental disabilities pursuant to
17 article 41 of the mental hygiene law,
18 and/or chapter 620 of the laws of 1974,
19 chapter 660 of the laws of 1977, chapter
20 412 of the laws of 1981, chapter 27 of the
21 laws of 1987, chapter 729 of the laws of
22 1989, chapter 329 of the laws of 1993 and
23 other provisions of the mental hygiene
24 law. Notwithstanding any inconsistent
25 provision of law, the following appropri-
26 ation shall be net of prior and/or current
27 year refunds, rebates, reimbursements, and
28 credits.
29 Notwithstanding any other provision of law,
30 advances and reimbursement made pursuant
31 to subdivision (d) of section 41.15 and
32 section 41.18 of the mental hygiene law
33 shall be allocated pursuant to a plan and
34 in a manner prescribed by the agency head
35 and approved by the director of the budg-
36 et. The moneys hereby appropriated are
37 available to reimburse or advance locali-
38 ties and voluntary non-profit agencies for
39 expenditures made during local fiscal
40 periods commencing January 1, 2026, April
41 1, 2026 or July 1, 2026, and for advances
42 for the 3 month period beginning January
43 1, 2027.
44 Notwithstanding the provisions of article 41
45 of the mental hygiene law or any other
46 inconsistent provision of law, rule or
47 regulation, the commissioner, pursuant to
48 such contract and in the manner provided
49 therein, may pay all or a portion of the
50 expenses incurred by such voluntary agen-
A. 11150 26
1 cies arising out of loans which are funded
2 from the proceeds of bonds and notes
3 issued by the dormitory authority of the
4 state of New York.
5 Notwithstanding any other provision of law,
6 the money hereby appropriated may be
7 transferred to state operations and/or any
8 appropriation of the office for people
9 with developmental disabilities with the
10 approval of the director of the budget.
11 Notwithstanding any inconsistent provision
12 of law, moneys from this appropriation may
13 be used for state aid of up to 100 percent
14 of the net deficit costs of day training
15 programs and family support services.
16 Notwithstanding the provisions of section
17 16.23 of the mental hygiene law and any
18 other inconsistent provision of law, with
19 relation to the operation of certified
20 family care homes, including family care
21 homes sponsored by voluntary not-for-pro-
22 fit agencies, moneys from this appropri-
23 ation may be used for payments to purchase
24 general services including but not limited
25 to respite providers, up to a maximum of
26 14 days, at rates to be established by the
27 commissioner and approved by the director
28 of the budget in consideration of factors
29 including, but not limited to, geographic
30 area and number of clients cared for in
31 the home and for payment in an amount
32 determined by the commissioner for the
33 personal needs of each client residing in
34 the family care home.
35 Notwithstanding the provisions of subdivi-
36 sion 12 of section 8 of the state finance
37 law and any other inconsistent provision
38 of law, moneys from this appropriation may
39 be used for expenses of family care homes
40 including payments to operators of certi-
41 fied family care homes for damages caused
42 by clients to personal and real property
43 in accordance with standards established
44 by the commissioner and approved by the
45 director of the budget.
46 Notwithstanding any inconsistent provision
47 of law, moneys from this appropriation may
48 be used for appropriate day program
49 services and residential services includ-
50 ing, but not limited to, direct housing
51 subsidies to individuals, start-up
52 expenses for family care providers, envi-
53 ronmental modifications, adaptive technol-
54 ogies, appraisals, property options,
55 feasibility studies and preoperational
56 expenses.
A. 11150 27
1 Notwithstanding any inconsistent provision
2 of law except pursuant to a chapter of the
3 laws of 2025 authorizing a 2.6 percent
4 targeted inflationary increase, for the
5 period commencing on April 1, 2025 and
6 ending March 31, 2026 the commissioner
7 shall not apply any other inflationary
8 increases, cost of living type increases,
9 inflation factors, or trend factors for
10 the purpose of establishing rates of
11 payments, contracts or any other form of
12 reimbursement; provided that this shall
13 not prevent the commissioner from applying
14 prior adjustments for the purpose of
15 establishing rates resulting from a rebas-
16 ing of base year costs.
17 Notwithstanding section 6908 of the educa-
18 tion law and any other provision of law,
19 rule or regulation to the contrary, direct
20 support staff in programs certified or
21 approved by the office for people with
22 developmental disabilities, including the
23 home and community based services waiver
24 programs that the office for people with
25 developmental disabilities is authorized
26 to administer with federal approval pursu-
27 ant to subdivision (c) of section 1915 of
28 the federal social security act, are
29 authorized to provide such tasks as OPWDD
30 may specify when performed under the
31 supervision, training and periodic
32 inspection of a registered professional
33 nurse and in accordance with an authorized
34 practitioner's ordered care.
35 Notwithstanding any other provision of law
36 to the contrary, and consistent with
37 section 33.07 of the mental hygiene law,
38 the directors of facilities licensed but
39 not operated by the office for people with
40 developmental disabilities who act as
41 federally-appointed representative payees
42 and who assume management responsibility
43 over the funds of a resident may continue
44 to use such funds for the cost of the
45 resident's care and treatment, consistent
46 with federal law and regulations.
47 Funds appropriated herein shall be available
48 in accordance with the following:
49 Notwithstanding any inconsistent provision
50 of law, the director of the budget is
51 authorized to make suballocations from
52 this appropriation to the department of
53 health medical assistance program.
54 Notwithstanding any inconsistent provision
55 of law, and pursuant to criteria estab-
56 lished by the commissioner of the office
A. 11150 28
1 for people with developmental disabilities
2 and approved by the director of the budg-
3 et, expenditures may be made from this
4 appropriation for residential facilities
5 which are pending recertification as
6 intermediate care facilities for people
7 with developmental disabilities.
8 Notwithstanding the provisions of section
9 41.36 of the mental hygiene law and any
10 other inconsistent provision of law,
11 moneys from this appropriation may be used
12 for payment up to $250 per year per
13 client, at such times and in such manner
14 as determined by the commissioner on the
15 basis of financial need for the personal
16 needs of each client residing in voluntar-
17 y-operated community residences and volun-
18 tary-operated community residential alter-
19 natives, including individualized
20 residential alternatives under the home
21 and community based services waiver. The
22 commissioner shall, subject to the
23 approval of the director of the budget,
24 alter existing advance payment schedules
25 for voluntary-operated community resi-
26 dences established pursuant to section
27 41.36 of the mental hygiene law.
28 Notwithstanding any inconsistent provision
29 of law, moneys from this appropriation may
30 be used for the operation of clinics
31 licensed pursuant to article 16 of the
32 mental hygiene law including, but not
33 limited to, supportive and habilitative
34 services consistent with the home and
35 community based services waiver.
36 For the state and/or local share of medical
37 assistance services expenses incurred by
38 the department of health for the provision
39 of medical assistance services to people
40 with developmental disabilities (37835) ..
41 ............................. [420,012,000] 560,016,000
42 For services and expenses of the community
43 services program, net of disallowances,
44 for community programs for people with
45 developmental disabilities pursuant to
46 article 41 of the mental hygiene law,
47 and/or chapter 620 of the laws of 1974,
48 chapter 660 of the laws of 1977, chapter
49 412 of the laws of 1981, chapter 27 of the
50 laws of 1987, chapter 729 of the laws of
51 1989, chapter 329 of the laws of 1993 and
52 other provisions of the mental hygiene
53 law. Notwithstanding any inconsistent
54 provision of law, the following appropri-
55 ation shall be net of prior and/or current
A. 11150 29
1 year refunds, rebates, reimbursements, and
2 credits.
3 Notwithstanding any other provision of law,
4 advances and reimbursement made pursuant
5 to subdivision (d) of section 41.15 and
6 section 41.18 of the mental hygiene law
7 shall be allocated pursuant to a plan and
8 in a manner prescribed by the agency head
9 and approved by the director of the budg-
10 et. The moneys hereby appropriated are
11 available to reimburse or advance locali-
12 ties and voluntary non-profit agencies for
13 expenditures made during local fiscal
14 periods commencing January 1, 2026, April
15 1, 2026 or July 1, 2026, and for advances
16 for the 3 month period beginning January
17 1, 2027.
18 Notwithstanding the provisions of article 41
19 of the mental hygiene law or any other
20 inconsistent provision of law, rule or
21 regulation, the commissioner, pursuant to
22 such contract and in the manner provided
23 therein, may pay all or a portion of the
24 expenses incurred by such voluntary agen-
25 cies arising out of loans which are funded
26 from the proceeds of bonds and notes
27 issued by the dormitory authority of the
28 state of New York.
29 Notwithstanding any other provision of law,
30 the money hereby appropriated may be
31 transferred to state operations and/or any
32 appropriation of the office for people
33 with developmental disabilities with the
34 approval of the director of the budget.
35 Notwithstanding any inconsistent provision
36 of law, moneys from this appropriation may
37 be used for state aid of up to 100 percent
38 of the net deficit costs of day training
39 programs and family support services.
40 Notwithstanding the provisions of section
41 16.23 of the mental hygiene law and any
42 other inconsistent provision of law, with
43 relation to the operation of certified
44 family care homes, including family care
45 homes sponsored by voluntary not-for-pro-
46 fit agencies, moneys from this appropri-
47 ation may be used for payments to purchase
48 general services including but not limited
49 to respite providers, up to a maximum of
50 14 days, at rates to be established by the
51 commissioner and approved by the director
52 of the budget in consideration of factors
53 including, but not limited to, geographic
54 area and number of clients cared for in
55 the home and for payment in an amount
56 determined by the commissioner for the
A. 11150 30
1 personal needs of each client residing in
2 the family care home.
3 Notwithstanding the provisions of subdivi-
4 sion 12 of section 8 of the state finance
5 law and any other inconsistent provision
6 of law, moneys from this appropriation may
7 be used for expenses of family care homes
8 including payments to operators of certi-
9 fied family care homes for damages caused
10 by clients to personal and real property
11 in accordance with standards established
12 by the commissioner and approved by the
13 director of the budget.
14 Notwithstanding any inconsistent provision
15 of law, moneys from this appropriation may
16 be used for appropriate day program
17 services and residential services includ-
18 ing, but not limited to, direct housing
19 subsidies to individuals, start-up
20 expenses for family care providers, envi-
21 ronmental modifications, adaptive technol-
22 ogies, appraisals, property options,
23 feasibility studies and preoperational
24 expenses.
25 Notwithstanding any inconsistent provision
26 of law, moneys from this appropriation may
27 be used to fund continuity of care
28 services, family reimbursed respite, other
29 than personal services and direct housing
30 subsidies for people who are enrolled in
31 OPWDD's self-direction program, provided
32 any or all such costs are identified in a
33 self-direction budget approved by OPWDD.
34 Notwithstanding any inconsistent provision
35 of law except pursuant to a chapter of the
36 laws of 2025 authorizing a 2.6 percent
37 targeted inflationary increase, for the
38 period commencing on April 1, 2025 and
39 ending March 31, 2026 the commissioner
40 shall not apply any other inflationary
41 increases, cost of living type increases,
42 inflation factors, or trend factors for
43 the purpose of establishing rates of
44 payments, contracts or any other form of
45 reimbursement; provided that this shall
46 not prevent the commissioner from applying
47 prior adjustments for the purpose of
48 establishing rates resulting from a rebas-
49 ing of base year costs.
50 Notwithstanding section 6908 of the educa-
51 tion law and any other provision of law,
52 rule or regulation to the contrary, direct
53 support staff in programs certified or
54 approved by the office for people with
55 developmental disabilities, including the
56 home and community based services waiver
A. 11150 31
1 programs that the office for people with
2 developmental disabilities is authorized
3 to administer with federal approval pursu-
4 ant to subdivision (c) of section 1915 of
5 the federal social security act, are
6 authorized to provide such tasks as OPWDD
7 may specify when performed under the
8 supervision, training and periodic
9 inspection of a registered professional
10 nurse and in accordance with an authorized
11 practitioner's ordered care.
12 Notwithstanding any other provision of law
13 to the contrary, and consistent with
14 section 33.07 of the mental hygiene law,
15 the directors of facilities licensed but
16 not operated by the office for people with
17 developmental disabilities who act as
18 federally-appointed representative payees
19 and who assume management responsibility
20 over the funds of a resident may continue
21 to use such funds for the cost of the
22 resident's care and treatment, consistent
23 with federal law and regulations.
24 Funds appropriated herein shall be available
25 in accordance with the following:
26 Notwithstanding any other provision of law
27 to the contrary, funds appropriated herein
28 are available to reimburse in- and
29 out-of-state private residential schools,
30 pursuant to subdivision (c) of section
31 13.37-a and subdivision (g) of section
32 13.38 of the mental hygiene law, for costs
33 of supporting the residential and day
34 program services available to individuals
35 who are over the age of 21 years of age,
36 provided that the amount paid for residen-
37 tial services and/or maintenance costs is
38 net of any supplemental security income
39 benefit to which the individual receiving
40 services is eligible, and provided further
41 that funding for nonresidential services
42 will be in an amount not to exceed the
43 maximum reimbursement for appropriate day
44 services delivered by the office for
45 people with developmental disabilities
46 certified or approved providers other than
47 in- and out-of-state private residential
48 schools, unless otherwise authorized by
49 the director of the budget.
50 Notwithstanding section 163 of the state
51 finance law, section 142 of the economic
52 development law, and article 41 of the
53 mental hygiene law, the commissioner of
54 the office for people with developmental
55 disabilities may make the funds appropri-
56 ated herein available as state aid, a loan
A. 11150 32
1 or a grant, pursuant to terms and condi-
2 tions established by the commissioner of
3 the office for people with developmental
4 disabilities, to cover a portion of the
5 development costs of private, public
6 and/or non-profit organizations, including
7 corporations and partnerships established
8 pursuant to the private housing finance
9 law and/or any other statutory provisions,
10 for supportive housing units that have
11 been set aside for individuals with intel-
12 lectual and developmental disabilities.
13 Further, the office for people with devel-
14 opmental disabilities shall have a lien on
15 the real property developed with such
16 state aid, loans or grants, which shall be
17 in the amount of the loan or grant, for a
18 maximum term of 30 years, or other longer
19 term consistent with the requirements of
20 another regulatory agency.
21 For services and expenses related to the
22 provision of residential services to
23 people with developmental disabilities
24 (37802) ...................... [26,379,000] 28,333,000
25 For services and expenses related to the
26 provision of day program services to
27 people with developmental disabilities
28 (37803) ....................... [6,480,000] 6,960,000
29 For services and expenses related to the
30 provision of family support services to
31 people with developmental disabilities
32 (37804) ....................... [7,290,000] 7,830,000
33 For services and expenses related to the
34 provision of workshop, day training and
35 employment services to people with devel-
36 opmental disabilities. Notwithstanding any
37 other provision of law, up to [$62,100]
38 $66,700 of this appropriation may be
39 transferred to the New York State Educa-
40 tion Departments' Adult Career and Contin-
41 uing Education Services - Vocational Reha-
42 bilitation (ACCES-VR) program to support
43 the LongTerm Sheltered Employment program
44 operated by FEDCAP Rehabilitation
45 Services, Inc. (37805) ....... [4,212,000] 4,524,000
46 For other services and expenses provided to
47 people with developmental disabilities
48 including but not limited to hepatitis B,
49 care at home waiver, epilepsy services,
50 Special Olympics New York, Inc. and volun-
51 tary fingerprinting (37806) ... [1,080,000] 1,160,000
52 --------------
53 § 11. Section 8 of chapter 98 of the laws of 2026, relating to making
54 appropriations for the support of government, as amended by chapter 105
55 of the laws of 2026, is amended to read as follows:
A. 11150 33
1 § 8. The amounts specified in this section, or so much thereof as
2 shall be sufficient to accomplish the purposes designated, is hereby
3 appropriated and authorized to be paid as hereinafter provided, to the
4 public officers and for the purposes specified, which amount shall be
5 available for the state fiscal year beginning April 1, 2026.
6 DEPARTMENT OF VETERANS' SERVICES
7 AID TO LOCALITIES
8 BLIND VETERAN ANNUITY ASSISTANCE PROGRAM ....................... 385,000
9 --------------
10 General Fund
11 Local Assistance Account - 10000
12 For payment of annuities to blind veterans
13 and eligible surviving spouses. Up to
14 $15,000 of this appropriation may be
15 transferred to state operations for admin-
16 istrative costs associated with this
17 program (54606) ................................ 385,000
18 --------------
19 VETERANS' BENEFITS ADVISING PROGRAM ............. [162,000] 174,000
20 --------------
21 Special Revenue Funds - Other
22 Homeless Veterans Assistance Fund
23 Homeless Veterans Assistance Account - 20204
24 For services and expenses related to home-
25 less veterans' housing (54815) .. [162,000] 174,000
26 --------------
27 § 12. No expenditure may be made from any appropriation in this act,
28 until a certificate of approval has been issued by the director of the
29 budget and a copy of such certificate shall have been filed with the
30 state comptroller, the chairman of the senate finance committee and the
31 chairman of the assembly ways and means committee provided, however,
32 that any expenditures from any appropriation in this act made by the
33 legislature or judiciary shall not require such certificate.
34 § 13. All expenditures and disbursements made against the appropri-
35 ations in this act shall, upon final action by the legislature on appro-
36 priation bills submitted by the governor pursuant to article VII of the
37 state constitution for the support of government for the state fiscal
38 year beginning April 1, 2026, be transferred by the comptroller as
39 expenditures and disbursements to such appropriations for all state
40 departments and agencies, as applicable, in amounts equal to the amounts
41 charged against the appropriations in this act for each such department,
42 agency, and the legislature and the judiciary.
43 § 14. Severability clause. If any clause, sentence, paragraph, subdi-
44 vision, section or part of this act shall be adjudged by any court of
45 competent jurisdiction to be invalid, such judgment shall not affect,
A. 11150 34
1 impair, or invalidate the remainder thereof, but shall be confined in
2 its operation to the clause, sentence, paragraph, subdivision, section
3 or part thereof directly involved in the controversy in which such judg-
4 ment shall have been rendered. It is hereby declared to be the intent of
5 the legislature that this act would have been enacted even if such
6 invalid provisions had not been included herein.
7 § 15. This act shall take effect immediately and shall be deemed to
8 have been in full force and effect on and after April 1, 2026; provided,
9 however, that upon the transfer of expenditures and disbursements by the
10 comptroller as provided in section thirteen of this act, the appropri-
11 ations made by this act and subject to such section shall be deemed
12 repealed.
