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
S. 10221 2
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
S. 10221 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 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,
S. 10221 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 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
S. 10221 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 ............ 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
S. 10221 6
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
S. 10221 7
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 --------------
S. 10221 8
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 --------------
S. 10221 9
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.
S. 10221 11
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.
S. 10221 12
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
S. 10221 13
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
S. 10221 14
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
S. 10221 15
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
S. 10221 16
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.
