STATE OF NEW YORK
________________________________________________________________________
10262
IN SENATE
May 11, 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 111
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.
LBD12040-01-6
S. 10262 2
1 payrolls scheduled to be paid during the
2 period April 1 through May [11] 14, 2026
3 to state officers and employees of the
4 executive branch, including the governor,
5 lieutenant governor, comptroller, and
6 attorney general, and to employees of the
7 legislature. This appropriation also
8 includes payments for services performed
9 by mentally ill or developmentally disa-
10 bled persons who are employed in state-op-
11 erated special employment, work-for-pay or
12 sheltered workshop programs ..............
13 .......................... [1,799,296,469] 2,053,493,041
14 --------------
15 § 3. Section 3 of chapter 98 of the laws of 2026, relating to making
16 appropriations for the support of government, as amended by chapter 111
17 of the laws of 2026, is amended to read as follows:
18 § 3. The amount specified in this section, or so much thereof as shall
19 be sufficient to accomplish the purpose designated, is hereby appropri-
20 ated and authorized to be paid as hereinafter provided, to the public
21 officers and for the purpose specified, which amount shall be available
22 for the state fiscal year beginning April 1, 2026.
23 ALL STATE DEPARTMENTS AND AGENCIES
24 For the payment of state operations non
25 personal service liabilities to the execu-
26 tive branch, including the comptroller,
27 and the attorney general, and legislature,
28 incurred in the ordinary course of busi-
29 ness, during the period April 1 through
30 May [11] 14, 2026, pursuant to existing
31 state law and for purposes for which the
32 legislature authorized the expenditure of
33 moneys during the 2025-2026 state fiscal
34 year; provided, however, that nothing
35 contained herein shall be deemed to limit
36 or restrict the power or authority of
37 state departments or agencies to conduct
38 their activities or operations in accord-
39 ance with existing law, and further
40 provided that nothing contained herein
41 shall be deemed to supersede, nullify or
42 modify the provisions of section 40 of the
43 state finance law prescribing when appro-
44 priations made for the 2025-2026 state
45 fiscal year shall have ceased to have
46 force and effect ............. [56,000,000] 66,000,000
47 --------------
48 § 4. Section 4 of chapter 102 of the laws of 2026, relating to making
49 appropriations for the support of government, as amended by chapter 111
50 of the laws of 2026, is amended to read as follows:
51 § 4. The amounts specified in this section, or so much thereof as
52 shall be sufficient to accomplish the purposes designated, is hereby
S. 10262 3
1 appropriated and authorized to be paid as hereinafter provided, to the
2 respective public officers and for the purposes specified, which amount
3 shall be available for the state fiscal year beginning April 1, 2026.
4 MISCELLANEOUS - - ALL STATE DEPARTMENTS AND AGENCIES
5 The sum of ten million dollars
6 ($10,000,000), or so much thereof as shall
7 be sufficient to accomplish the purpose
8 designated, is hereby appropriated for
9 contracts and grants approved for purposes
10 for which the legislature authorized the
11 expenditures of money during the 2025-2026
12 fiscal year. An amount up to ten million
13 dollars ($10,000,000) shall be available
14 for the payment of capital projects
15 liabilities incurred during the period
16 from April 1 through May [11] 14, 2026 for
17 contracts and grants approved prior to
18 April 1, 2026, provided, however, that
19 nothing contained herein shall be deemed
20 to limit or restrict the power or authori-
21 ty of state departments or agencies to
22 conduct their activities or operations in
23 accordance with existing law, and further
24 provided that nothing contained herein
25 shall be deemed to supersede, nullify, or
26 modify the provisions of section 40 of the
27 state finance law prescribing when appro-
28 priations made for the 2025-2026 fiscal
29 year shall have ceased to have force and
30 effect ...................................... 10,000,000
31 --------------
32 § 5. Section 5 of chapter 102 of the laws of 2026, relating to making
33 appropriations for the support of government, as amended by chapter 111
34 of the laws of 2026, is amended to read as follows:
35 § 5. The amounts specified in this section, or so much thereof as
36 shall be sufficient to accomplish the purposes designated, is hereby
37 appropriated and authorized to be paid as hereinafter provided, to the
38 respective public officers and for the purposes specified, which amount
39 shall be available for the state fiscal year beginning April 1, 2026.
40 MISCELLANEOUS - - ALL STATE DEPARTMENTS AND AGENCIES
41 The sum of twenty million dollars
42 ($20,000,000), or so much thereof as shall
43 be sufficient to accomplish the purpose
44 designated, is hereby appropriated for
45 contracts and grants approved for purposes
46 for which the legislature authorized the
47 expenditures of money during the 2025-2026
48 fiscal year. An amount up to twenty
49 million dollars ($20,000,000) shall be
50 available for the payment of capital
51 projects liabilities incurred during the
S. 10262 4
1 period from April 1 through May [11] 14,
2 2026 for contracts and grants approved
3 after April 1, 2026, provided, however,
4 that nothing contained herein shall be
5 deemed to limit or restrict the power or
6 authority of state departments or agencies
7 to conduct their activities or operations
8 in accordance with existing law, and
9 further provided that nothing contained
10 herein shall be deemed to supersede,
11 nullify, or modify the provisions of
12 section 40 of the state finance law
13 prescribing when appropriations made for
14 the 2025-2026 fiscal year shall have
15 ceased to have force and effect ............ 20,000,000
16 --------------
17 § 6. Section 4 of chapter 98 of the laws of 2026, relating to making
18 appropriations for the support of government, as amended by chapter 111
19 of the laws of 2026, is amended to read as follows:
20 § 4. The amounts specified in this section, or so much thereof as
21 shall be sufficient to accomplish the purposes designated, is hereby
22 appropriated and authorized to be paid as hereinafter provided, to the
23 public officers and for the purposes specified, which amount shall be
24 available for the state fiscal year beginning April 1, 2026.
25 MISCELLANEOUS -- ALL STATE DEPARTMENTS AND AGENCIES
26 GENERAL STATE CHARGES
27 STATE OPERATIONS
28 GENERAL STATE CHARGES ....................... [814,763,000] 836,942,500
29 --------------
30 General Fund
31 State Purposes Account - 10050
32 For employee fringe benefits according to
33 the following project schedule including
34 those benefits which are related to
35 employees paid from funds, accounts, or
36 programs where the division of the budget
37 has issued waivers (85022) .. [799,145,000] 821,324,500
38 Project Schedule
39 PROJECT AMOUNT
40 --------------------------------------------
41 For the state's contribution
42 to the health insurance fund
43 and deposit into the retiree
44 health benefit trust fund
45 pursuant to section 99-aa of
46 the state finance law. The
47 state's share of the health
48 insurance program dividends
S. 10262 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 ..........
6 ............... [171,000,000] 192,500,000
7 For payments to the state
8 insurance fund for workers'
9 compensation benefits and
10 other related workers'
11 compensation costs prior to
12 or after they become
13 incurred including but not
14 limited to the benefits
15 defined in chapters 302 and
16 303 of the laws of 1985 ....... 55,000,000
17 For the state's contribution
18 to employee benefit fund
19 programs ...................... 40,500,000
20 For the state's contribution
21 to the dental insurance plan ... 7,415,000
22 For the payment of the metro-
23 politan commuter transporta-
24 tion mobility tax pursuant
25 to article 23 of the tax
26 law, as added by chapter 25
27 of the laws of 2009, on
28 behalf of the state employ-
29 ees employed in the metro-
30 politan commuter transporta-
31 tion district ... [7,005,000] 7,680,000
32 For the state's share of
33 contributions to the volun-
34 tary defined contribution
35 plan made on behalf of
36 eligible employees pursuant
37 to chapter 18 of the laws
38 of 2012 who elect to partic-
39 ipate in such plan and who
40 are not otherwise eligi-
41 ble to participate in the
42 SUNY optional retirement
43 program ......... [1,059,000] 1,063,500
44 For reimbursement to the unem-
45 ployment insurance fund for
46 payments made to claimants
47 formerly employed by the
48 state of New York .............. 2,000,000
49 For the state's contribution
50 to the vision care plan .......... 744,000
51 --------------
52 Project schedule total ...
53 ........... [799,145,000] 821,324,500
54 --------------
S. 10262 6
1 For payments in accordance with section 19-a
2 of the public lands law (80567) .............. 7,720,000
3 For the payment in-lieu of taxes to the city
4 of Albany for certain state-owned land
5 pursuant to section 19-a of the public
6 lands law. Provided however, notwithstand-
7 ing paragraph (4) of subdivision 2-a of
8 section 19-a of the public lands law, such
9 funds may be paid prior to October 1, 2026
10 (80567) ...................................... 7,720,000
11 For payment of claims for damage to personal
12 or real property or for bodily injuries or
13 wrongful death caused by officers, employ-
14 ees, or other authorized persons providing
15 service to state government while provid-
16 ing such service, and the state university
17 construction fund while acting within the
18 scope of their employment, and while oper-
19 ating motor vehicles, and for any individ-
20 uals operating motor vehicles which are
21 assigned on a permanent basis with unre-
22 stricted use to state officers and employ-
23 ees when the person is permanently
24 assigned the motor vehicle (80559) ............. 178,000
25 --------------
26 § 7. Section 5 of chapter 100 of the laws of 2026, relating to making
27 appropriations for the support of government, as amended by chapter 111
28 of the laws of 2026, is amended to read as follows:
29 § 5. 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 JUDICIARY
35 For the purpose of making payments for
36 personal service, including liabilities
37 incurred prior to April 1, 2026, on the
38 payrolls scheduled to be paid during the
39 period April 1 through May [11] 14, 2026
40 to officers and employees of the judiciary
41 ............................................ 269,000,000
42 For the payment of state operations nonper-
43 sonal service liabilities, the sum of
44 thirty-six million dollars ($36,000,000),
45 or so much thereof as shall be sufficient
46 to accomplish the purpose designated, is
47 hereby appropriated to the judiciary out
48 of any moneys in the general fund or other
49 funds to the credit of the state purposes
50 account not otherwise appropriated. The
51 comptroller is hereby authorized and
52 directed to utilize this appropriation for
S. 10262 7
1 the purpose of making payments for nonper-
2 sonal service liabilities incurred by the
3 judiciary from April 1 through May [11]
4 14, 2026 .................................... 36,000,000
5 For the payment of aid to localities liabil-
6 ities, the sum of twenty-two million
7 dollars ($22,000,000), or so much thereof
8 as shall be sufficient to accomplish the
9 purpose designated, is hereby appropriated
10 to the judiciary out of any moneys in the
11 general fund or other funds to the credit
12 of the state purposes account not other-
13 wise appropriated. The comptroller is
14 hereby authorized and directed to utilize
15 this appropriation for the purpose of
16 making payments for aid to localities
17 liabilities incurred by the judiciary from
18 April 1 through May [11] 14, 2026 ........... 22,000,000
19 For the payment of employee fringe benefit
20 programs including, but not limited to,
21 the judiciary's contributions to the
22 health insurance fund, the employees'
23 retirement system pension accumulation
24 fund, the social security contribution
25 fund, employee benefit fund programs, the
26 dental insurance plan, the vision care
27 plan, the unemployment insurance fund, and
28 for workers' compensation benefits, the
29 sum of one hundred fifteen million seven
30 hundred fifty thousand dollars
31 ($115,750,000), or so much thereof as
32 shall be sufficient to accomplish the
33 purpose designated, is hereby appropriated
34 to the judiciary out of any moneys in the
35 general fund or other funds to the credit
36 of the state purposes account not other-
37 wise appropriated. The comptroller is
38 hereby authorized and directed to utilize
39 this appropriation for the purpose of
40 making payments for employee fringe bene-
41 fit liabilities incurred by the judiciary
42 from April 1 through May [11] 14, 2026 ..... 115,750,000
43 --------------
44 § 8. Section 8 of chapter 102 of the laws of 2026, relating to making
45 appropriations for the support of government, is amended to read as
46 follows:
47 § 8. The amounts specified in this section, or so much thereof as
48 shall be sufficient to accomplish the purposes designated, is hereby
49 appropriated and authorized to be paid as hereinafter provided, to the
50 public officers and for the purposes specified, which amount shall be
51 available for the state fiscal year beginning April 1, 2026.
52 OFFICE OF CHILDREN AND FAMILY SERIVCES
53 AID TO LOCALITIES
S. 10262 8
1 ADOPTION SUBSIDY ASSISTANCE PROGRAM .......... [20,340,000] 40,680,000
2 --------------
3 General Fund
4 Local Assistance Account - 10000
5 For services and expenses for the adoption
6 subsidy program pursuant to title 9 of
7 article 6 of the social services law.
8 Notwithstanding any inconsistent provision
9 of law, the liability of the state to
10 social services districts and the amount
11 to be distributed or otherwise expended by
12 the state to reimburse social services
13 districts pursuant to section 456 of the
14 social services law shall be 62 percent of
15 eligible social services district expendi-
16 tures.
17 The amount hereby appropriated is to be
18 available for payment of aid heretofore
19 accrued or hereafter to accrue to munici-
20 palities. Subject to the approval of the
21 director of the budget, such funds shall
22 be available to the office net of disal-
23 lowances, refunds, reimbursements, and
24 credits.
25 Notwithstanding any inconsistent provision
26 of law, the amount herein appropriated may
27 be transferred to any other appropriation
28 within the office of children and family
29 services and/or the office of temporary
30 and disability assistance and/or suballo-
31 cated to the office of temporary and disa-
32 bility assistance for the purpose of
33 paying local social services districts'
34 costs of the above program and may be
35 increased or decreased by interchange with
36 any other appropriation or with any other
37 item or items within the amounts appropri-
38 ated within the office of children and
39 family services general fund - local
40 assistance account with the approval of
41 the director of the budget who shall file
42 such approval with the department of audit
43 and control and copies thereof with the
44 chairman of the senate finance committee
45 and the chairman of the assembly ways and
46 means committee.
47 Notwithstanding any inconsistent provision
48 of law, in lieu of payments authorized by
49 the social services law, or payments of
50 federal funds otherwise due to the local
51 social services districts for programs
52 provided under the federal social security
53 act or the federal food stamp act, funds
54 herein appropriated, in amounts certified
S. 10262 9
1 by the state commissioner or the state
2 commissioner of health as due from local
3 social services districts each month as
4 their share of payments made pursuant to
5 section 367-b of the social services law
6 may be set aside by the state comptroller
7 in an interest-bearing account with such
8 interest accruing to the credit of the
9 locality in order to ensure the orderly
10 and prompt payment of providers under
11 section 367-b of the social services law
12 pursuant to an estimate provided by the
13 commissioner of health of each local
14 social services district's share of
15 payments made pursuant to section 367-b of
16 the social services law.
17 The amounts appropriated herein shall be
18 available for reimbursement of local
19 district claims only to the extent that
20 such claims are submitted within twenty-
21 four months of the last day of the state
22 fiscal year in which the expenditures were
23 incurred, unless waived for good cause by
24 the commissioner subject to the approval
25 of the director of the budget.
26 Notwithstanding any inconsistent provision
27 of law including, but not limited to, any
28 chapter of the laws of 2026 which enacts a
29 targeted inflationary increase for the
30 state fiscal year beginning on April 1,
31 2026, the commissioner shall continue to
32 apply any targeted inflationary increase
33 in effect on March 31, 2026 for the entire
34 rate year that began when such cost of
35 living adjustment increase was in effect.
36 Notwithstanding any other provision of law
37 to the contrary, amounts due and owing to
38 a social services district under this
39 appropriation, may be reduced up to such
40 amounts due and owing to the state under
41 section 529 of the executive law (13917) .
42 .............................. [20,340,000] 40,680,000
43 --------------
44 § 9. Section 9 of chapter 102 of the laws of 2026, relating to making
45 appropriations for the support of government, is amended to read as
46 follows:
47 § 9. The amounts specified in this section, or so much thereof as
48 shall be sufficient to accomplish the purposes designated, is hereby
49 appropriated and authorized to be paid as hereinafter provided, to the
50 public officers and for the purposes specified, which amount shall be
51 available for the state fiscal year beginning April 1, 2026.
52 OFFICE OF TEMPORARY AND DISABILITY ASSISTANCE
53 AID TO LOCALITIES
S. 10262 10
1 EMPLOYMENT AND INCOME SUPPORT PROGRAM ....... [262,533,000] 525,066,000
2 --------------
3 General Fund
4 Local Assistance Account - 10000
5 For state reimbursement of the safety net
6 assistance program as established pursuant
7 to chapter 436 of the laws of 1997.
8 Notwithstanding section 153 of the social
9 services law or any other inconsistent
10 provision of law, funds appropriated here-
11 in shall reimburse 29 percent of safety
12 net assistance expenditures, including the
13 cost of providing shelter supplements for
14 safety net assistance households at local
15 option, including eligible households
16 containing a household member who has been
17 released from prison, in order to prevent
18 eviction and address homelessness in
19 accordance with social services district
20 plans approved by the office of temporary
21 and disability assistance and the director
22 of the budget, provided, however, that in
23 social services districts with a popu-
24 lation over five million no shelter
25 supplements other than the family home-
26 lessness and eviction prevention supple-
27 ment shall be reimbursed, provided however
28 funds appropriated herein shall only be
29 used to reimburse rental costs up to the
30 maximum rent levels in place as of January
31 1, 2021, then adjusted consistent with the
32 annual year-over-year percentage changes
33 in fair market rent, provided, however, in
34 the event of a decrease in fair market
35 rent the value of the maximum rent levels
36 reimbursed with funds appropriated herein
37 shall not decrease and shall be set at the
38 maximum rent levels established during the
39 prior year, and further provided that such
40 supplements shall not be part of the stan-
41 dard of need pursuant to section 131-a of
42 the social services law. Funds appropri-
43 ated herein shall also reimburse 29
44 percent of safety net assistance expendi-
45 tures, in social services districts with a
46 population over five million, for emergen-
47 cy shelter, transportation, or nutrition
48 payments which the district determines are
49 necessary to establish or maintain inde-
50 pendent living arrangements among persons
51 living with medically diagnosed HIV
52 infection as defined by the AIDS institute
53 of the state department of health and who
54 are homeless or facing homelessness and
S. 10262 11
1 for whom no viable and less costly alter-
2 native to housing is available; provided,
3 however, that funds appropriated herein
4 may only be used for such purposes if the
5 cost of such allowances are not eligible
6 for reimbursement under medical assistance
7 or other programs.
8 Funds appropriated herein shall reimburse 29
9 percent of safety net assistance expendi-
10 tures, in social services districts with a
11 population of five million or fewer, for
12 emergency shelter payments promulgated by
13 the office of temporary and disability
14 assistance which the district determines
15 are necessary to establish or maintain
16 independent living arrangements among
17 persons living with medically diagnosed
18 HIV infection as defined by the AIDS
19 institute of the state department of
20 health and who are homeless or facing
21 homelessness and for whom no viable and
22 less costly alternative to housing is
23 available; provided, however, that funds
24 appropriated herein may only be used for
25 such purposes if the cost of such allow-
26 ances are not eligible for reimbursement
27 under medical assistance or other
28 programs.
29 Funds appropriated herein shall reimburse 29
30 percent of safety net assistance expendi-
31 tures, in social services districts with a
32 population of five million or fewer, for
33 emergency shelter payments in excess of
34 those promulgated by the office of tempo-
35 rary and disability assistance but not
36 exceeding an amount reasonably approximate
37 to 100 percent of fair market rent, at
38 local option which the district determines
39 are necessary to establish or maintain
40 independent living arrangements among
41 persons living with medically diagnosed
42 HIV infection as defined by the AIDS
43 institute of the state department of
44 health and who are homeless or facing
45 homelessness and for whom no viable and
46 less costly alternative to housing is
47 available; provided, however, that funds
48 appropriated herein may only be used for
49 such purposes if the cost of such allow-
50 ances are not eligible for reimbursement
51 under medical assistance or other
52 programs. Such emergency shelter payments
53 shall only be made at local option and in
54 accordance with a plan approved by the
55 office of temporary and disability assist-
56 ance and the director of the budget.
S. 10262 12
1 Provided, however, notwithstanding section
2 153 of the social services law or any
3 other inconsistent provision of law, if
4 necessary funding, as determined by the
5 director of the budget, is secured in a
6 social services district from the medical
7 assistance program by reducing the capita-
8 tion rates paid to medicaid managed care
9 organizations by the amount of savings
10 resulting from stably housing individuals
11 living with medically diagnosed HIV
12 infection as defined by the AIDS institute
13 of the state department of health, the
14 social services district shall make such
15 emergency shelter payments in excess of
16 those promulgated by the office of tempo-
17 rary and disability assistance but not
18 exceeding an amount reasonably approximate
19 to 100 percent of fair market rent, and
20 the savings shall be used to reimburse 100
21 percent of the cost of such excess emer-
22 gency shelter payments for cases reim-
23 bursed under the safety net assistance or
24 family assistance programs in social
25 services districts with a population of
26 five million or fewer, in accordance with
27 a plan approved by the office of temporary
28 and disability assistance and the director
29 of the budget; provided further that
30 reimbursement shall be provided to medi-
31 caid managed care organizations through
32 adjustments to capitation rates should
33 actual gross savings not be realized as
34 determined by the director of the budget.
35 For persons living with medically diagnosed
36 HIV infection as defined by the AIDS
37 institute of the state department of
38 health living in social services districts
39 with a population over five million who
40 are receiving public assistance, funds
41 appropriated herein shall be used to reim-
42 burse 29 percent of the additional rental
43 costs determined based on limiting such
44 person's earned and/or unearned income
45 contribution to 30 percent.
46 For persons living with medically diagnosed
47 HIV infection as defined by the AIDS
48 institute of the state department of
49 health living in social services districts
50 with a population of five million or fewer
51 who are receiving public assistance, funds
52 appropriated herein may be used to reim-
53 burse up to 100 percent of the additional
54 rental costs determined based on limiting
55 such person's earned and/or unearned
56 income contribution to 30 percent. Such
S. 10262 13
1 payments of additional rental costs shall
2 only be made at local option and in
3 accordance with a plan approved by the
4 office of temporary and disability assist-
5 ance and the director of the budget.
6 Provided, however, notwithstanding section
7 153 of the social services law or any
8 other inconsistent provision of law, if
9 necessary funding, as determined by the
10 director of the budget, is secured in a
11 social services district from the medical
12 assistance program by reducing the capita-
13 tion rates paid to medicaid managed care
14 organizations by the amount of savings
15 resulting from stably housing individuals
16 living with medically diagnosed HIV
17 infection as defined by the AIDS institute
18 of the state department of health, the
19 social services district shall make such
20 payments of additional rental costs, for
21 cases reimbursed under the safety net
22 assistance and family assistance program,
23 and the savings shall be used to reimburse
24 100 percent of the cost of the additional
25 rental costs determined based on limiting
26 such person's earned and/or unearned
27 income contribution to 30 percent in
28 social services districts with a popu-
29 lation of five million or fewer, in
30 accordance with a plan approved by the
31 office of temporary and disability assist-
32 ance and the director of the budget;
33 provided further that reimbursement shall
34 be provided to medicaid managed care
35 organizations through adjustments to capi-
36 tation rates should actual gross savings
37 not be realized as determined by the
38 director of the budget.
39 Amounts appropriated herein may be used to
40 enter into contracts with persons or enti-
41 ties authorized pursuant to subdivision
42 (j) of section 17 of the social services
43 law consistent with federal law and
44 requirements. Such contracts will be
45 consistent with subdivision (j) of section
46 17 of the social services law. Notwith-
47 standing section 153 of the social
48 services law or any other inconsistent
49 provision of law, the office may reduce
50 reimbursement otherwise payable to social
51 services districts to recover 29 percent
52 of costs incurred by the office for
53 expenditures related to subdivision (j) of
54 section 17 of the social services law.
55 Such funds are to be available for payment
56 of aid heretofore accrued or hereafter to
S. 10262 14
1 accrue to municipalities. Subject to the
2 approval of the director of the budget,
3 such funds shall be available to the
4 office of temporary and disability assist-
5 ance net of disallowances, refunds,
6 reimbursements, and credits, including
7 those related to title IV-E of the social
8 security act; and including, but not
9 limited to, additional federal funds
10 resulting from any changes in federal cost
11 allocation methodologies.
12 Notwithstanding any inconsistent provision
13 of law, the amount herein appropriated may
14 be increased or decreased by interchange
15 with any other appropriation within the
16 office of temporary and disability assist-
17 ance general fund - local assistance
18 account with the approval of the director
19 of the budget, who shall file such
20 approval with the department of audit and
21 control and copies thereof with the chair-
22 man of the senate finance committee and
23 the chairman of the assembly ways and
24 means committee.
25 Social services districts shall be required
26 to report to the office of temporary and
27 disability assistance on an annual basis,
28 information, as determined and requested
29 by the office, related to services and
30 expenditures for which reimbursement is
31 sought for providing temporary housing
32 assistance to homeless individuals and
33 families. Such information shall be
34 submitted electronically to the extent
35 feasible as determined by the office, and
36 shall be used to evaluate expenditures by
37 such social services districts for the
38 provision of temporary housing assistance
39 for homeless individuals and families.
40 Notwithstanding section 153 of the social
41 services law, or any other inconsistent
42 provision of law, the office of temporary
43 and disability assistance may withhold or
44 deny reimbursement, in whole or in part,
45 to any social services district that fails
46 to develop or submit a homeless services
47 plan subject to the approval of the office
48 of temporary and disability assistance,
49 fails to provide homeless services and
50 outreach in accordance with its approved
51 homeless services plan, or fails to devel-
52 op or submit homeless services outcome
53 reports, consistent with those require-
54 ments promulgated by the office of tempo-
55 rary and disability assistance.
S. 10262 15
1 Notwithstanding section 153 of the social
2 services law, or any other inconsistent
3 provision of law, such appropriation shall
4 be available for reimbursement of eligible
5 costs incurred on or after January 1, 2026
6 and before January 1, 2027, that are
7 otherwise reimbursable by the state on or
8 after April 1, 2026, that are claimed by
9 March 1, 2027. Such reimbursement shall
10 constitute total state reimbursement for
11 activities funded herein in state fiscal
12 year 2026-2027 (52203) ....... [79,200,000] 158,400,000
13 For expenditures for additional state
14 payments for eligible aged, blind, and
15 disabled persons related to supplemental
16 security income and for expenditures made
17 pursuant to title 8 of article 5 of the
18 social services law. Such funds are avail-
19 able for payment of aid heretofore accrued
20 or hereafter to accrue. Notwithstanding
21 any inconsistent provision of law, the
22 amount herein appropriated may be
23 increased or decreased by interchange with
24 any other appropriation within the office
25 of temporary and disability assistance
26 general fund - local assistance account
27 with the approval of the director of the
28 budget, who shall file such approval with
29 the department of audit and control and
30 copies thereof with the chairman of the
31 senate finance committee and the chairman
32 of the assembly ways and means committee
33 (52311) ...................... [58,333,000] 116,666,000
34 --------------
35 Special Revenue Funds - Federal
36 Federal Health and Human Services Fund
37 Temporary Assistance for Needy Families Account - 25178
38 For reimbursement of the cost of the family
39 assistance and the emergency assistance to
40 families programs. Notwithstanding section
41 153 of the social services law or any
42 inconsistent provision of law, funds
43 appropriated herein shall be provided
44 without state or local participation
45 except that for social services districts
46 with a population of five million or more,
47 reimbursement will be eighty-five percent.
48 Funds appropriated herein shall also
49 include the cost of providing shelter
50 supplements for family assistance house-
51 holds at local option, including eligible
52 households containing a household member
53 who has been released from prison, in
54 order to prevent eviction and address
S. 10262 16
1 homelessness in accordance with social
2 services district plans approved by the
3 office of temporary and disability assist-
4 ance and the director of the budget,
5 provided, however, that in social services
6 districts with a population over five
7 million no shelter supplements other than
8 the family homelessness and eviction
9 prevention supplement shall be reimbursed,
10 provided however funds appropriated herein
11 shall only be used to reimburse rental
12 costs up to the maximum rent levels in
13 place as of January 1, 2021, then adjusted
14 consistent with the annual year-over-year
15 percentage changes in fair market rent,
16 provided, however, in the event of a
17 decrease in fair market rent the value of
18 the maximum rent levels reimbursed with
19 funds appropriated herein shall not
20 decrease and shall be set at the maximum
21 rent levels established during the prior
22 year, and further provided that such
23 supplements shall not be part of the stan-
24 dard of need pursuant to section 131-a of
25 the social services law.
26 Funds appropriated herein shall also reim-
27 burse for family assistance expenditures
28 for emergency shelter, transportation, or
29 nutrition payments which the district
30 determines are necessary to establish or
31 maintain independent living arrangements
32 among persons living with medically diag-
33 nosed HIV infection as defined by the AIDS
34 institute of the state department of
35 health and who are homeless or facing
36 homelessness and for whom no viable and
37 less costly alternative to housing is
38 available; provided, however, that funds
39 appropriated herein may only be used for
40 such purposes if the cost of such allow-
41 ances are not eligible for reimbursement
42 under medical assistance or other
43 programs.
44 For persons living with medically diagnosed
45 HIV infection as defined by the AIDS
46 institute of the state department of
47 health who are receiving public assistance
48 funds appropriated herein shall not be
49 used to reimburse the additional rental
50 costs determined based on limiting such
51 person's earned and/or unearned income
52 contribution to 30 percent.
53 Amounts appropriated herein may be used to
54 enter into contracts with persons or enti-
55 ties authorized pursuant to subdivision
56 (j) of section 17 of the social services
S. 10262 17
1 law consistent with federal law and
2 requirements. Such contracts will be made
3 consistent with subdivision (j) of section
4 17 of the social services law. Notwith-
5 standing section 153 of the social
6 services law or any other inconsistent
7 provision of law, the office may reduce
8 reimbursement otherwise payable to social
9 services districts to recover the federal
10 share of costs incurred by the office for
11 expenditures related to subdivision (j) of
12 section 17 of the social services law.
13 Such funds are to be available for payment
14 of aid heretofore accrued or hereafter to
15 accrue to municipalities. Subject to the
16 approval of the director of the budget,
17 such funds shall be available to the
18 office of temporary and disability assist-
19 ance net of disallowances, refunds,
20 reimbursements, and credits including, but
21 not limited to, additional federal funds
22 resulting from any changes in federal cost
23 allocation methodologies.
24 Notwithstanding any inconsistent provision
25 of law, the amount herein appropriated may
26 be increased or decreased by interchange
27 with any other appropriation within the
28 office of temporary and disability assist-
29 ance federal fund - local assistance
30 account with the approval of the director
31 of the budget, who shall file such
32 approval with the department of audit and
33 control and copies thereof with the chair-
34 man of the senate finance committee and
35 the chairman of the assembly ways and
36 means committee.
37 Social services districts shall be required
38 to report to the office of temporary and
39 disability assistance on an annual basis,
40 information, as determined and requested
41 by the office, related to services and
42 expenditures for which reimbursement is
43 sought for providing temporary housing
44 assistance to homeless individuals and
45 families. Such information shall be
46 submitted electronically to the extent
47 feasible as determined by the office, and
48 shall be used to evaluate expenditures by
49 such social services districts for the
50 provision of temporary housing assistance
51 for homeless individuals and families.
52 Notwithstanding section 153 of the social
53 services law, or any other inconsistent
54 provision of law, the office of temporary
55 and disability assistance may withhold or
56 deny reimbursement, in whole or in part,
S. 10262 18
1 to any social services district that fails
2 to develop or submit a homeless services
3 plan subject to the approval of the office
4 of temporary and disability assistance,
5 fails to provide homeless services and
6 outreach in accordance with its approved
7 homeless services plan, or fails to devel-
8 op or submit homeless services outcome
9 reports, consistent with those require-
10 ments promulgated by the office of tempo-
11 rary and disability assistance.
12 Notwithstanding section 153 of the social
13 services law, or any other inconsistent
14 provision of law, such appropriation shall
15 be available for reimbursement of eligible
16 costs incurred on or after January 1, 2026
17 and before January 1, 2027, that are
18 otherwise reimbursable by the state on or
19 after April 1, 2026, that are claimed by
20 March 1, 2027. Such reimbursement shall
21 constitute total federal reimbursement for
22 activities funded herein in state fiscal
23 year 2026-27 (52203) ........ [125,000,000] 250,000,000
24 --------------
25 § 10. Section 5 of chapter 98 of the laws of 2026, relating to making
26 appropriations for the support of government, as amended by chapter 111
27 of the laws of 2026, is amended to read as follows:
28 § 5. The amounts specified in this section, or so much thereof as
29 shall be sufficient to accomplish the purposes designated, is hereby
30 appropriated and authorized to be paid as hereinafter provided, to the
31 public officers and for the purposes specified, which amount shall be
32 available for the state fiscal year beginning April 1, 2026.
33 DEPARTMENT OF HEALTH
34 AID TO LOCALITIES
35 CENTER FOR COMMUNITY HEALTH PROGRAM .......... [53,932,000] 57,142,000
36 --------------
37 General Fund
38 Local Assistance Account - 10000
39 For services and expenses related to the
40 Indian health program pursuant to a plan
41 prepared by the commissioner of health and
42 approved by the director of the budget.
43 The moneys hereby appropriated shall be
44 for payment of financial assistance here-
45 tofore accrued or hereafter to accrue
46 (26840) ..................................... 10,062,000
47 --------------
48 Special Revenue Funds - Federal
49 Federal USDA-Food and Nutrition Services Fund
S. 10262 19
1 Federal Food and Nutrition Services Account - 25022
2 For various federal food and nutritional
3 services. The moneys hereby appropriated
4 shall be available for payment of finan-
5 cial assistance heretofore accrued (26986)
6 .............................. [43,870,000] 47,080,000
7 --------------
8 CHILD HEALTH INSURANCE PROGRAM ............................. 212,950,000
9 --------------
10 Special Revenue Funds - Other
11 HCRA Resources Fund
12 Children's Health Insurance Account - 20810
13 The money hereby appropriated is available
14 for payment of aid heretofore accrued or
15 hereafter accrued.
16 Notwithstanding any other provision of law,
17 the money hereby appropriated may be
18 increased or decreased by transfer or
19 suballocation to appropriations of the
20 office of temporary and disability assist-
21 ance, for the reimbursement of local
22 district administrative costs related to
23 children newly enrolled in medicaid whose
24 household income is between 100 percent
25 and 133 percent of the federal poverty
26 level.
27 Notwithstanding any provision of law to the
28 contrary, the amounts appropriated herein
29 shall be net of refunds, rebates,
30 reimbursements, credits, repayments,
31 and/or disallowances.
32 For services and expenses related to the
33 children's health insurance program
34 authorized pursuant to title 1-A of arti-
35 cle 25 of the public health law (26931) .... 212,950,000
36 --------------
37 ELDERLY PHARMACEUTICAL INSURANCE COVERAGE PROGRAM ............ 1,800,000
38 --------------
39 Special Revenue Funds - Other
40 HCRA Resources Fund
41 EPIC Premium Account - 20818
42 For services and expenses of the program for
43 elderly pharmaceutical insurance coverage,
44 including reimbursement to pharmacies
45 participating in such program. The moneys
46 hereby appropriated shall be available for
47 payment of financial assistance heretofore
48 accrued (26803) .............................. 1,800,000
49 --------------
S. 10262 20
1 ESSENTIAL PLAN PROGRAM ................................... 1,150,000,000
2 --------------
3 Special Revenue Funds - Federal
4 Federal Health and Human Services Fund
5 Essential Plan Account - 25186
6 For services and expenses related to the
7 essential plan program, in accordance
8 State Innovation Waiver provisions author-
9 ized by Section 1332 of the federal
10 patient protection and affordable care
11 act.
12 Notwithstanding any inconsistent provision
13 of law, the moneys hereby appropriated may
14 be increased or decreased by interchange
15 or transfer with any appropriation of the
16 department of health or for transfer to
17 Health Research Incorporated (HRI).
18 Notwithstanding any provision of law to the
19 contrary, the amounts appropriated herein
20 shall be net of refunds, rebates,
21 reimbursements, credits, repayments,
22 and/or disallowances.
23 The money hereby appropriated is available
24 for payment of aid heretofore accrued or
25 hereafter accrued (59054) ................ 1,150,000,000
26 --------------
27 MEDICAL ASSISTANCE PROGRAM ............. [10,409,681,000] 12,369,631,000
28 --------------
29 General Fund
30 Local Assistance Account - 10000
31 For the medical assistance program, includ-
32 ing administrative expenses, for local
33 social services districts, and for medical
34 care rates for authorized child care agen-
35 cies.
36 Notwithstanding section 40 of the state
37 finance law or any provision of law to the
38 contrary, subject to federal approval,
39 department of health state funds medicaid
40 spending, excluding payments for medical
41 services provided at state facilities
42 operated by the office of mental health,
43 the office for people with developmental
44 disabilities and the office of addiction
45 services and supports and further exclud-
46 ing any payments which are not appropri-
47 ated within the department of health, in
48 the aggregate, for the period April 1,
49 2026 through March 31, 2027, shall not
50 exceed $36,099,200,000 except as provided
51 below provided, however, such aggregate
S. 10262 21
1 limits may be adjusted by the director of
2 the budget to account for any changes in
3 the New York state federal medical assist-
4 ance percentage amount established pursu-
5 ant to the federal social security act,
6 increases in provider revenues, reductions
7 in local social services district payments
8 for medical assistance administration,
9 minimum wage increases, and beginning
10 April 1, 2012 the operational costs of the
11 New York state medical indemnity fund,
12 pursuant to chapter 59 of the laws of
13 2011, and state costs or savings from the
14 essential plan program. Such projections
15 may be adjusted by the director of the
16 budget to account for increased or expe-
17 dited department of health state funds
18 medicaid expenditures as a result of a
19 natural or other type of disaster, includ-
20 ing a governmental declaration of emergen-
21 cy.
22 The director of the budget, in consultation
23 with the commissioner of health, shall
24 assess on a quarterly basis known and
25 projected medicaid expenditures by catego-
26 ry of service and by geographic region, as
27 defined by the commissioner, incurred both
28 prior to and subsequent to such assessment
29 for each such period, and if the director
30 of the budget determines that such expend-
31 itures are expected to cause medicaid
32 spending for such period to exceed the
33 aggregate limit specified herein for such
34 period, the state medicaid director, in
35 consultation with the director of the
36 budget and the commissioner of health,
37 shall develop a medicaid savings allo-
38 cation adjustment to limit such spending
39 to the aggregate limit specified herein
40 for such period.
41 Such medicaid savings allocation adjustment
42 shall be designed, to reduce the expendi-
43 tures authorized by the appropriations
44 herein in compliance with the following
45 guidelines: (1) reductions shall be made
46 in compliance with applicable federal law,
47 including the provisions of the Patient
48 Protection and Affordable Care Act, Public
49 Law No. 111-148, and the Health Care and
50 Education Reconciliation Act of 2010,
51 Public Law No. 111-152 (collectively
52 "Affordable Care Act") and any subsequent
53 amendments thereto or regulations promul-
54 gated thereunder; (2) reductions shall be
55 made in a manner that complies with the
56 state medicaid plan approved by the feder-
S. 10262 22
1 al centers for medicare and medicaid
2 services, provided, however, that the
3 commissioner of health is authorized to
4 submit any state plan amendment or seek
5 other federal approval, including waiver
6 authority, to implement the provisions of
7 the medicaid savings allocation adjustment
8 that meets the other criteria set forth
9 herein; (3) reductions shall be made in a
10 manner that maximizes federal financial
11 participation, to the extent practicable,
12 including any federal financial partic-
13 ipation that is available or is reasonably
14 expected to become available, in the
15 discretion of the commissioner, under the
16 Affordable Care Act; (4) reductions shall
17 be made uniformly among categories of
18 services and geographic regions of the
19 state, to the extent practicable, and
20 shall be made uniformly within a category
21 of service, to the extent practicable,
22 except where the commissioner determines
23 that there are sufficient grounds for
24 non-uniformity, including but not limited
25 to: the extent to which specific catego-
26 ries of services contributed to department
27 of health medicaid state funds spending in
28 excess of the limits specified herein; the
29 need to maintain safety net services in
30 underserved communities; or the potential
31 benefits of pursuing innovative payment
32 models contemplated by the Affordable Care
33 Act, in which case such grounds shall be
34 set forth in the medicaid savings allo-
35 cation adjustment; and (5) reductions
36 shall be made in a manner that does not
37 unnecessarily create administrative
38 burdens to medicaid applicants and recipi-
39 ents or providers.
40 The commissioner shall seek the input of the
41 legislature, as well as organizations
42 representing health care providers,
43 consumers, businesses, workers, health
44 insurers, and others with relevant exper-
45 tise, in developing such medicaid savings
46 allocation adjustment, to the extent that
47 all or part of such adjustment, in the
48 discretion of the commissioner, is likely
49 to have a material impact on the overall
50 medicaid program, particular categories of
51 service or particular geographic regions
52 of the state.
53 (a) The commissioner shall post the medicaid
54 savings allocation adjustment on the
55 department of health's website and shall
56 provide written copies of such adjustment
S. 10262 23
1 to the chairs of the senate finance and
2 the assembly ways and means committees at
3 least 30 days before the date on which
4 implementation is expected to begin.
5 (b) The commissioner may revise the medicaid
6 savings allocation adjustment subsequent
7 to the provisions of notice and prior to
8 implementation but needs to provide a new
9 notice pursuant to subparagraph (i) of
10 this paragraph only if the commissioner
11 determines, in his or her discretion, that
12 such revisions materially alter the
13 adjustment.
14 Notwithstanding the provisions of paragraphs
15 (a) and (b) of this subdivision, the
16 commissioner need not seek the input
17 described in paragraph (a) of this subdi-
18 vision or provide notice pursuant to para-
19 graph (b) of this subdivision if, in the
20 discretion of the commissioner, expedited
21 development and implementation of a medi-
22 caid savings allocation adjustment is
23 necessary due to a public health emergen-
24 cy.
25 For purposes of this section, a public
26 health emergency is defined as: (i) a
27 disaster, natural or otherwise, that
28 significantly increases the immediate need
29 for health care personnel in an area of
30 the state; (ii) an event or condition that
31 creates a widespread risk of exposure to a
32 serious communicable disease, or the
33 potential for such widespread risk of
34 exposure; or (iii) any other event or
35 condition determined by the commissioner
36 to constitute an imminent threat to public
37 health.
38 Nothing in this paragraph shall be deemed to
39 prevent all or part of such medicaid
40 savings allocation adjustment from taking
41 effect retroactively to the extent permit-
42 ted by the federal centers for medicare
43 and medicaid services.
44 In accordance with the medicaid savings
45 allocation adjustment, the commissioner of
46 the department of health shall reduce
47 department of health state funds medicaid
48 spending by the amount of the projected
49 overspending through, actions including,
50 but not limited to modifying or suspending
51 reimbursement methods, including but not
52 limited to all fees, premium levels and
53 rates of payment, notwithstanding any
54 provision of law that sets a specific
55 amount or methodology for any such
56 payments or rates of payment; modifying or
S. 10262 24
1 discontinuing medicaid program benefits;
2 seeking all necessary federal approvals,
3 including, but not limited to waivers,
4 waiver amendments; and suspending time
5 frames for notice, approval or certif-
6 ication of rate requirements, notwith-
7 standing any provision of law, rule or
8 regulation to the contrary, including but
9 not limited to sections 2807 and 3614 of
10 the public health law, section 18 of chap-
11 ter 2 of the laws of 1988, and 18 NYCRR
12 505.14(h).
13 The department of health shall prepare a
14 quarterly report that sets forth: (a)
15 known and projected department of health
16 medicaid expenditures as described in
17 subdivision (1) of this section, and
18 factors that could result in medicaid
19 disbursements for the relevant state
20 fiscal year to exceed the projected
21 department of health state funds disburse-
22 ments in the enacted budget financial plan
23 pursuant to subdivision 3 of section 23 of
24 the state finance law, including spending
25 increases or decreases due to: enrollment
26 fluctuations, rate changes, utilization
27 changes, MRT investments, and shift of
28 beneficiaries to managed care; and vari-
29 ations in offline medicaid payments; and
30 (b) the actions taken to implement any
31 medicaid savings allocation adjustment
32 implemented pursuant to subdivision (4) of
33 this section, including information
34 concerning the impact of such actions on
35 each category of service and each
36 geographic region of the state. Each such
37 quarterly report shall be provided to the
38 chairs of the senate finance and the
39 assembly ways and means committees and
40 shall be posted on the department of
41 health's website in a timely manner.
42 The money hereby appropriated is to be
43 available for payment of aid heretofore
44 accrued or hereafter accrued to munici-
45 palities, and to providers of medical
46 services pursuant to section 367-b of the
47 social services law, and for payment of
48 state aid to municipalities and to provid-
49 ers of family care where payment systems
50 through the fiscal intermediaries are not
51 operational.
52 Notwithstanding any inconsistent provision
53 of law to the contrary, funds may be used
54 by the department for outside legal
55 assistance on issues involving the federal
56 government, the conduct of preadmission
S. 10262 25
1 screening and annual resident reviews
2 required by the state's medicaid program,
3 computer matching with insurance carriers
4 to insure that medicaid is the payer of
5 last resort and activities related to the
6 management of the pharmacy benefit avail-
7 able under the medicaid program.
8 Notwithstanding any inconsistent provision
9 of law, in lieu of payments authorized by
10 the social services law, or payments of
11 federal funds otherwise due to the local
12 social services districts for programs
13 provided under the federal social security
14 act or the federal food stamp act, funds
15 herein appropriated, in amounts certified
16 by the state commissioner of temporary and
17 disability assistance or the state commis-
18 sioner of health as due from local social
19 services districts each month as their
20 share of payments made pursuant to section
21 367-b of the social services law may be
22 set aside by the state comptroller in an
23 interest-bearing account in order to
24 ensure the orderly and prompt payment of
25 providers under section 367-b of the
26 social services law pursuant to an esti-
27 mate provided by the commissioner of
28 health of each local social services
29 district's share of payments made pursuant
30 to section 367-b of the social services
31 law.
32 Notwithstanding any inconsistent provision
33 of law, funding made available by these
34 appropriations shall support direct salary
35 costs and related fringe benefits within
36 the medical assistance program associated
37 with any minimum wage increase that takes
38 effect during the timeframe of these
39 appropriations, pursuant to section 652 of
40 the labor law. Each eligible organization
41 in receipt of funding made available by
42 these appropriations may be required to
43 submit written certification, in such form
44 and at such time the commissioner may
45 prescribe, attesting to the total amount
46 of funds used by the eligible organiza-
47 tion, how such funding will be or was used
48 for purposes eligible under these appro-
49 priations and any other reporting deemed
50 necessary by the commissioner. The amounts
51 appropriated herein may include advances
52 to organizations authorized to receive
53 such funds to accomplish this purpose.
54 Notwithstanding any other provision of law,
55 the money hereby appropriated may be
56 increased or decreased by interchange or
S. 10262 26
1 transfer, with any appropriation of the
2 department of health and the office of
3 medicaid inspector general and may be
4 increased or decreased by transfer or
5 suballocation between these appropriated
6 amounts and appropriations of the depart-
7 ment of health state purpose account, the
8 office of mental health, office for people
9 with developmental disabilities, the
10 office of addiction services and supports,
11 the department of family assistance office
12 of temporary and disability assistance,
13 the department of corrections and communi-
14 ty supervision, the office of information
15 technology services, the state university
16 of New York, and office of children and
17 family services, the office of medicaid
18 inspector general, the state education
19 department, and the state office for the
20 aging with the approval of the director of
21 the budget, who shall file such approval
22 with the department of audit and control
23 and copies thereof with the chairman of
24 the senate finance committee and the
25 chairman of the assembly ways and means
26 committee.
27 Notwithstanding any inconsistent provision
28 of law to the contrary, the moneys hereby
29 appropriated may be used for payments to
30 the centers for medicaid and medicare
31 services for obligations incurred related
32 to the pharmaceutical costs of dually
33 eligible medicare/medicaid beneficiaries
34 participating in the medicare drug benefit
35 authorized by P.L. 108-173.
36 Notwithstanding any inconsistent provision
37 of law, the moneys hereby appropriated
38 shall not be used for any existing rates,
39 fees, fee schedule, or procedures which
40 may affect the cost of care and services
41 provided by personal care providers, case
42 managers, health maintenance organiza-
43 tions, out of state medical facilities
44 which provide care and services to resi-
45 dents of the state, providers of transpor-
46 tation services, that are altered,
47 amended, adjusted or otherwise changed by
48 a local social services district unless
49 previously approved by the department of
50 health and the director of the budget.
51 Notwithstanding any inconsistent provision
52 of law to the contrary, funds shall be
53 made available to the commissioner of the
54 office of mental health or the commission-
55 er of the office of addiction services and
56 supports, in consultation with the commis-
S. 10262 27
1 sioner of health and approved by the
2 director of the budget, and consistent
3 with appropriations made therefor, to
4 implement allocation adjustment developed
5 by each such commissioner which shall
6 describe mental health or substance use
7 disorder services that should be developed
8 to meet service needs resulting from the
9 reduction of inpatient behavioral health
10 services provided under the medicaid
11 program, by programs licensed pursuant to
12 article 31 or 32 of the mental hygiene
13 law. Such programs may include programs
14 that are licensed pursuant to both article
15 31 of the mental hygiene law and article
16 28 of the public health law, or certified
17 under both article 32 of the mental
18 hygiene law and article 28 of the public
19 health law.
20 Notwithstanding any inconsistent provision
21 of law, the moneys hereby appropriated may
22 be available for payments associated with
23 the resolution by settlement agreement or
24 judgment of rate appeals and/or litigation
25 where the department of health is a party.
26 For services and expenses of the medical
27 assistance program including hospital
28 inpatient services and general hospitals
29 that are safety-net providers that evince
30 severe financial distress, pursuant to
31 criteria determined by the commissioner,
32 shall be eligible for awards for amounts
33 appropriated herein, to enable such
34 providers to maintain operations and vital
35 services while establishing long term
36 solutions to achieve sustainable health
37 services.
38 Notwithstanding any inconsistent provisions
39 of law, no expenditures shall be used for
40 the medical assistance program for any
41 expenses not explicitly authorized in law
42 without the approval of the director of
43 the budget.
44 Notwithstanding any provision of law to the
45 contrary, the portion of this appropri-
46 ation covering fiscal year 2026-27 shall
47 supersede and replace any duplicative (i)
48 reappropriation for this item covering
49 fiscal year 2026-27, and (ii) appropri-
50 ation for this item covering fiscal year
51 2026-27 set forth in chapter 53 of the
52 laws of 2025 (26947) ........ [145,428,000] 169,666,000
53 For services and expenses of the medical
54 assistance program including hospital
55 outpatient and emergency room services.
S. 10262 28
1 Notwithstanding any provision of law to the
2 contrary, the portion of this appropri-
3 ation covering fiscal year 2026-27 shall
4 supersede and replace any duplicative (i)
5 reappropriation for this item covering
6 fiscal year 2026-27, and (ii) appropri-
7 ation for this item covering fiscal year
8 2026-27 set forth in chapter 53 of the
9 laws of 2025 (26948) ......... [43,494,000] 50,743,000
10 For services and expenses of the medical
11 assistance program including clinic
12 services.
13 Notwithstanding any provision of law to the
14 contrary, the portion of this appropri-
15 ation covering fiscal year 2026-27 shall
16 supersede and replace any duplicative (i)
17 reappropriation for this item covering
18 fiscal year 2026-27, and (ii) appropri-
19 ation for this item covering fiscal year
20 2026-27 set forth in chapter 53 of the
21 laws of 2025 (26949) ......... [85,188,000] 99,386,000
22 For services and expenses of the medical
23 assistance program including nursing home
24 services.
25 Notwithstanding any provision of law to the
26 contrary, the portion of this appropri-
27 ation covering fiscal year 2026-27 shall
28 supersede and replace any duplicative (i)
29 reappropriation for this item covering
30 fiscal year 2026-27, and (ii) appropri-
31 ation for this item covering fiscal year
32 2026-27 set forth in chapter 53 of the
33 laws of 2025 (26950) ........ [214,110,000] 249,795,000
34 For services and expenses of the medical
35 assistance program including other long
36 term care 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 (26951) .....................
46 .......................... [1,019,916,000] 1,189,902,000
47 For services and expenses of the medical
48 assistance program including managed care
49 services including regional planning
50 activities of the finger lakes health
51 systems agency, including statewide coor-
52 dination and demonstration of best prac-
53 tices. The department shall make grants
54 within amounts appropriated therefor, to
55 assure high-quality and accessible primary
56 care, to provide technical assistance to
S. 10262 29
1 support financial and business planning
2 for integrated systems of care, and to
3 assist primary care providers in the
4 adoption, implementation, and meaningful
5 use of electronic health record technolo-
6 gy.
7 Notwithstanding any provision of law to the
8 contrary, the portion of this appropri-
9 ation covering fiscal year 2026-27 shall
10 supersede and replace any duplicative (i)
11 reappropriation for this item covering
12 fiscal year 2026-27, and (ii) appropri-
13 ation for this item covering fiscal year
14 2026-27 set forth in chapter 53 of the
15 laws of 2025 (26952) ....... [934,260,000] 1,089,970,000
16 For services and expenses for health homes
17 including grants to health homes.
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 (29548) ......... [22,620,000] 26,390,000
27 For services and expenses of the medical
28 assistance program including pharmacy
29 services provided, however, that no funds
30 shall be made available pursuant to this
31 appropriation for any drug not explicitly
32 authorized in any enacted law, rule, or
33 regulation without approval from the
34 director of the budget.
35 Notwithstanding any provision of law to the
36 contrary, the portion of this appropri-
37 ation covering fiscal year 2026-27 shall
38 supersede and replace any duplicative (i)
39 reappropriation for this item covering
40 fiscal year 2026-27, and (ii) appropri-
41 ation for this item covering fiscal year
42 2026-27 set forth in chapter 53 of the
43 laws of 2025 (26953) ........ [431,556,000] 503,482,000
44 For services and expenses of the medical
45 assistance program including transporta-
46 tion services.
47 Notwithstanding any provision of law to the
48 contrary, the portion of this appropri-
49 ation covering fiscal year 2026-27 shall
50 supersede and replace any duplicative (i)
51 reappropriation for this item covering
52 fiscal year 2026-27, and (ii) appropri-
53 ation for this item covering fiscal year
54 2026-27 set forth in chapter 53 of the
55 laws of 2025 (26954) ......... [61,992,000] 72,324,000
S. 10262 30
1 For services and expenses of the medical
2 assistance program including dental
3 services.
4 Notwithstanding any provision of law to the
5 contrary, the portion of this appropri-
6 ation covering fiscal year 2026-27 shall
7 supersede and replace any duplicative (i)
8 reappropriation for this item covering
9 fiscal year 2026-27, and (ii) appropri-
10 ation for this item covering fiscal year
11 2026-27 set forth in chapter 53 of the
12 laws of 2025 (26955) ............ [474,000] 553,000
13 For services and expenses of the medical
14 assistance program including non-institu-
15 tional and other spending.
16 The money hereby appropriated is available
17 for payment of liabilities heretofore
18 accrued or hereafter accrued.
19 Notwithstanding any inconsistent provision
20 of law, the money hereby appropriated may
21 be available for payments to any county or
22 public school districts associated with
23 additional claims for school supportive
24 health services.
25 Notwithstanding any provision of law to the
26 contrary, the portion of this appropri-
27 ation covering fiscal year 2026-27 shall
28 supersede and replace any duplicative (i)
29 reappropriation for this item covering
30 fiscal year 2026-27, and (ii) appropri-
31 ation for this item covering fiscal year
32 2026-27 set forth in chapter 53 of the
33 laws of 2025 (26956) ........ [123,624,000] 144,228,000
34 For services and expenses of the medical
35 assistance program including medical
36 services provided at state facilities
37 operated by the office of mental health,
38 the office for people with developmental
39 disabilities and the office of addiction
40 services and supports.
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 (26961) ........ [576,924,000] 673,078,000
50 --------------
51 Special Revenue Funds - Federal
52 Federal Health and Human Services Fund
53 Medicaid Direct Account - 25106
S. 10262 31
1 For services and expenses for the medical
2 assistance program, including administra-
3 tive expenses for local social services
4 districts, pursuant to title XIX of the
5 federal social security act or its succes-
6 sor program.
7 The moneys hereby appropriated are to be
8 available for payment of aid heretofore
9 accrued or hereafter accrued to munici-
10 palities, and to providers of medical
11 services pursuant to section 367-b of the
12 social services law, and for payment of
13 state aid to municipalities and to provid-
14 ers of family care where payment systems
15 through the fiscal intermediaries are not
16 operational.
17 Notwithstanding any inconsistent provision
18 of law, funding made available by these
19 appropriations shall support direct salary
20 costs and related fringe benefits within
21 the medical assistance program associated
22 with any minimum wage increase that takes
23 effect during the timeframe of these
24 appropriations, pursuant to section 652 of
25 the labor law. Each eligible organization
26 in receipt of funding made available by
27 these appropriations may be required to
28 submit written certification, in such form
29 and at such time the commissioner may
30 prescribe, attesting to the total amount
31 of funds used by the eligible organiza-
32 tion, how such funding will be or was used
33 for purposes eligible under these appro-
34 priations and any other reporting deemed
35 necessary by the commissioner. The amounts
36 appropriated herein may include advances
37 to organizations authorized to receive
38 such funds to accomplish this purpose.
39 Notwithstanding any other provision of law,
40 the money hereby appropriated may be
41 increased or decreased by interchange or
42 transfer, with any appropriation of the
43 department of health and the office of
44 medicaid inspector general and may be
45 increased or decreased by transfer or
46 suballocation between these appropriated
47 amounts and appropriations of the office
48 of mental health, office for people with
49 developmental disabilities, the office of
50 addiction services and supports, the
51 department of family assistance office of
52 temporary and disability assistance,
53 office of children and family services,
54 the department of financial services,
55 department of corrections and community
56 supervision, the office of information
S. 10262 32
1 technology services, the state university
2 of New York, the state education depart-
3 ment, and the state office for the aging
4 with the approval of the director of the
5 budget, who shall file such approval with
6 the department of audit and control and
7 copies thereof with the chairman of the
8 senate finance committee and the chairman
9 of the assembly ways and means committee.
10 Notwithstanding any inconsistent provision
11 of law, in lieu of payments authorized by
12 the social services law, or payments of
13 federal funds otherwise due to the local
14 social services districts for programs
15 provided under the federal social security
16 act or the federal food stamp act, funds
17 herein appropriated, in amounts certified
18 by the state commissioner of temporary and
19 disability assistance or the state commis-
20 sioner of health as due from local social
21 services districts each month as their
22 share of payments made pursuant to section
23 367-b of the social services law may be
24 set aside by the state comptroller in an
25 interest-bearing account in order to
26 ensure the orderly and prompt payment of
27 providers under section 367-b of the
28 social services law pursuant to an esti-
29 mate provided by the commissioner of
30 health of each local social services
31 district's share of payments made pursuant
32 to section 367-b of the social services
33 law.
34 Notwithstanding any inconsistent provision
35 of law to the contrary, funds shall be
36 made available to the commissioner of the
37 office of mental health or the commission-
38 er of the office of addiction services and
39 supports, in consultation with the commis-
40 sioner of health and approved by the
41 director of the budget, and consistent
42 with appropriations made therefor, to
43 implement allocation adjustment developed
44 by each such commissioner which shall
45 describe mental health or substance use
46 disorder services that should be developed
47 to meet service needs resulting from the
48 reduction of inpatient behavioral health
49 services provided under the medicaid
50 program, by programs licensed pursuant to
51 article 31 or 32 of the mental hygiene
52 law. Such programs may include programs
53 that are licensed pursuant to both article
54 31 of the mental hygiene law and article
55 28 of the public health law, or certified
56 under both article 32 of the mental
S. 10262 33
1 hygiene law and article 28 of the public
2 health law.
3 Notwithstanding any inconsistent provision
4 of law, the moneys hereby appropriated may
5 be available for payments associated with
6 the resolution by settlement agreement or
7 judgment of rate appeals and/or litigation
8 where the department of health is a party.
9 Notwithstanding any inconsistent provisions
10 of law, no expenditures shall be used for
11 the medical assistance program for any
12 expenses not explicitly authorized in law
13 without the approval of the director of
14 the budget.
15 For services and expenses of the medical
16 assistance program including hospital
17 inpatient 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 (26947) ........ [379,425,000] 455,310,000
27 For services and expenses of the medical
28 assistance program including hospital
29 outpatient and emergency room services.
30 Notwithstanding any provision of law to the
31 contrary, the portion of this appropri-
32 ation covering fiscal year 2026-27 shall
33 supersede and replace any duplicative (i)
34 reappropriation for this item covering
35 fiscal year 2026-27, and (ii) appropri-
36 ation for this item covering fiscal year
37 2026-27 set forth in chapter 53 of the
38 laws of 2025 (26948) ......... [67,620,000] 81,144,000
39 For services and expenses of the medical
40 assistance program including clinic
41 services.
42 Notwithstanding any provision of law to the
43 contrary, the portion of this appropri-
44 ation covering fiscal year 2026-27 shall
45 supersede and replace any duplicative (i)
46 reappropriation for this item covering
47 fiscal year 2026-27, and (ii) appropri-
48 ation for this item covering fiscal year
49 2026-27 set forth in chapter 53 of the
50 laws of 2025 (26949) ........ [109,485,000] 131,382,000
51 For services and expenses of the medical
52 assistance program including nursing home
53 services.
54 Notwithstanding any provision of law to the
55 contrary, the portion of this appropri-
56 ation covering fiscal year 2026-27 shall
S. 10262 34
1 supersede and replace any duplicative (i)
2 reappropriation for this item covering
3 fiscal year 2026-27, and (ii) appropri-
4 ation for this item covering fiscal year
5 2026-27 set forth in chapter 53 of the
6 laws of 2025 (26950) ........ [563,700,000] 676,440,000
7 For services and expenses of the medical
8 assistance program including other long
9 term care services.
10 Notwithstanding any provision of law to the
11 contrary, the portion of this appropri-
12 ation covering fiscal year 2026-27 shall
13 supersede and replace any duplicative (i)
14 reappropriation for this item covering
15 fiscal year 2026-27, and (ii) appropri-
16 ation for this item covering fiscal year
17 2026-27 set forth in chapter 53 of the
18 laws of 2025 (26951) ..... [1,608,045,000] 1,929,654,000
19 For services and expenses of the medical
20 assistance program including managed care
21 services including regional planning
22 activities of the finger lakes health
23 systems agency, including statewide coor-
24 dination and demonstration of best prac-
25 tices. The department shall make grants
26 within amounts appropriated therefor, to
27 assure high-quality and accessible primary
28 care, to provide technical assistance to
29 support financial and business planning
30 for integrated systems of care, and to
31 assist primary care providers in the
32 adoption, implementation, and meaningful
33 use of electronic health record technolo-
34 gy.
35 Notwithstanding any inconsistent provision
36 of law, rule, or regulation to the contra-
37 ry, funds appropriated herein shall not be
38 subject to article 6 of the financial
39 services law.
40 Notwithstanding any inconsistent provision
41 of law, rule, or regulation to the contra-
42 ry, funds appropriated herein shall only
43 be made available for applied behavior
44 analysis services if such services are
45 recommended by a health care or mental
46 health care practitioner authorized under
47 title eight of the education law who has
48 been designated as an applied behavior
49 analysis center of excellence provider by
50 the commissioner of health.
51 Notwithstanding any provision of law to the
52 contrary, the portion of this appropri-
53 ation covering fiscal year 2026-27 shall
54 supersede and replace any duplicative (i)
55 reappropriation for this item covering
S. 10262 35
1 fiscal year 2026-27, and (ii) appropri-
2 ation for this item covering fiscal year
3 2026-27 set forth in chapter 53 of the
4 laws of 2025 (26952) ..... [1,962,340,000] 2,354,808,000
5 For services and expenses of the medical
6 assistance program including pharmacy
7 services, provided, however, that no funds
8 shall be made available pursuant to this
9 appropriation for any drug not explicitly
10 authorized in any heretofore enacted law,
11 rule, or regulation without approval from
12 the director of the budget.
13 Notwithstanding any provision of law to the
14 contrary, the portion of this appropri-
15 ation covering fiscal year 2026-27 shall
16 supersede and replace any duplicative (i)
17 reappropriation for this item covering
18 fiscal year 2026-27, and (ii) appropri-
19 ation for this item covering fiscal year
20 2026-27 set forth in chapter 53 of the
21 laws of 2025 (26953) ........ [591,095,000] 709,314,000
22 For services and expenses of the medical
23 assistance program including transporta-
24 tion services.
25 Notwithstanding any provision of law to the
26 contrary, the portion of this appropri-
27 ation covering fiscal year 2026-27 shall
28 supersede and replace any duplicative (i)
29 reappropriation for this item covering
30 fiscal year 2026-27, and (ii) appropri-
31 ation for this item covering fiscal year
32 2026-27 set forth in chapter 53 of the
33 laws of 2025 (26954) ......... [79,410,000] 95,292,000
34 For services and expenses of the medical
35 assistance program including dental
36 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 (26955) .......... [9,180,000] 11,016,000
46 For services and expenses of the medical
47 assistance program including noninstitu-
48 tional and other spending.
49 The money hereby appropriated is available
50 for payment of liabilities heretofore
51 accrued or hereafter accrued.
52 Notwithstanding any provision of law to the
53 contrary, the portion of this appropri-
54 ation covering fiscal year 2026-27 shall
55 supersede and replace any duplicative (i)
56 reappropriation for this item covering
S. 10262 36
1 fiscal year 2026-27, and (ii) appropri-
2 ation for this item covering fiscal year
3 2026-27 set forth in chapter 53 of the
4 laws of 2025 (26956) ....... [899,025,000] 1,078,830,000
5 Notwithstanding any inconsistent provision
6 of law, subject to the approval of the
7 director of the budget, upon submission of
8 an allocation adjustment from the commis-
9 sioner of health, the amount appropriated
10 herein, together with any available feder-
11 al matching funds, may be transferred or
12 suballocated to the office of mental
13 health, office of addiction services and
14 supports, office for people with develop-
15 mental disabilities, division of housing
16 and community renewal, New York state
17 housing trust fund corporation, and office
18 of temporary and disability assistance for
19 services and expenses related to providing
20 affordable housing. Any such spending
21 shall consider the geographical location
22 of the grants.
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 (29521) ........ [480,770,000] 576,924,000
32 --------------
33 § 11. Section 6 of chapter 98 of the laws of 2026, relating to making
34 appropriations for the support of government, as amended by chapter 111
35 of the laws of 2026, is amended to read as follows:
36 § 6. The amounts specified in this section, or so much thereof as
37 shall be sufficient to accomplish the purposes designated, is hereby
38 appropriated and authorized to be paid as hereinafter provided, to the
39 public officers and for the purposes specified, which amount shall be
40 available for the state fiscal year beginning April 1, 2026.
41 DEPARTMENT OF LABOR
42 AID TO LOCALITIES
43 UNEMPLOYMENT INSURANCE BENEFIT PROGRAM ... [1,260,000,000] 1,455,000,000
44 --------------
45 Enterprise Funds
46 Unemployment Insurance Benefit Fund
47 Unemployment Insurance Benefit Account - 50650
48 For payment of unemployment insurance bene-
49 fits pursuant to article 18 of the labor
50 law or as authorized by the federal
S. 10262 37
1 government through the disaster unemploy-
2 ment assistance program, the emergency
3 unemployment compensation program, the
4 extended benefit program, the federal
5 additional compensation program or any
6 other federally funded unemployment bene-
7 fit program (34787) ...... [1,260,000,000] 1,455,000,000
8 --------------
9 § 12. Section 7 of chapter 98 of the laws of 2026, relating to making
10 appropriations for the support of government, as amended by chapter 111
11 of the laws of 2026, is amended to read as follows:
12 § 7. The amounts specified in this section, or so much thereof as
13 shall be sufficient to accomplish the purposes designated, is hereby
14 appropriated and authorized to be paid as hereinafter provided, to the
15 public officers and for the purposes specified, which amount shall be
16 available for the state fiscal year beginning April 1, 2026.
17 DEPARTMENT OF MENTAL HYGIENE
18 OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES
19 AID TO LOCALITIES
20 COMMUNITY SERVICES PROGRAM .................. [769,023,000] 914,076,000
21 --------------
22 General Fund
23 Local Assistance Account - 10000
24 For services and expenses of the community
25 services program, net of disallowances,
26 for community programs for people with
27 developmental disabilities pursuant to
28 article 41 of the mental hygiene law,
29 and/or chapter 620 of the laws of 1974,
30 chapter 660 of the laws of 1977, chapter
31 412 of the laws of 1981, chapter 27 of the
32 laws of 1987, chapter 729 of the laws of
33 1989, chapter 329 of the laws of 1993 and
34 other provisions of the mental hygiene
35 law. Notwithstanding any inconsistent
36 provision of law, the following appropri-
37 ation shall be net of prior and/or current
38 year refunds, rebates, reimbursements, and
39 credits.
40 Notwithstanding any other provision of law,
41 advances and reimbursement made pursuant
42 to subdivision (d) of section 41.15 and
43 section 41.18 of the mental hygiene law
44 shall be allocated pursuant to a plan and
45 in a manner prescribed by the agency head
46 and approved by the director of the budg-
47 et. The moneys hereby appropriated are
48 available to reimburse or advance locali-
49 ties and voluntary non-profit agencies for
S. 10262 38
1 expenditures made during local fiscal
2 periods commencing January 1, 2026, April
3 1, 2026 or July 1, 2026, and for advances
4 for the 3 month period beginning January
5 1, 2027.
6 Notwithstanding the provisions of article 41
7 of the mental hygiene law or any other
8 inconsistent provision of law, rule or
9 regulation, the commissioner, pursuant to
10 such contract and in the manner provided
11 therein, may pay all or a portion of the
12 expenses incurred by such voluntary agen-
13 cies arising out of loans which are funded
14 from the proceeds of bonds and notes
15 issued by the dormitory authority of the
16 state of New York.
17 Notwithstanding any other provision of law,
18 the money hereby appropriated may be
19 transferred to state operations and/or any
20 appropriation of the office for people
21 with developmental disabilities with the
22 approval of the director of the budget.
23 Notwithstanding any inconsistent provision
24 of law, moneys from this appropriation may
25 be used for state aid of up to 100 percent
26 of the net deficit costs of day training
27 programs and family support services.
28 Notwithstanding the provisions of section
29 16.23 of the mental hygiene law and any
30 other inconsistent provision of law, with
31 relation to the operation of certified
32 family care homes, including family care
33 homes sponsored by voluntary not-for-pro-
34 fit agencies, moneys from this appropri-
35 ation may be used for payments to purchase
36 general services including but not limited
37 to respite providers, up to a maximum of
38 14 days, at rates to be established by the
39 commissioner and approved by the director
40 of the budget in consideration of factors
41 including, but not limited to, geographic
42 area and number of clients cared for in
43 the home and for payment in an amount
44 determined by the commissioner for the
45 personal needs of each client residing in
46 the family care home.
47 Notwithstanding the provisions of subdivi-
48 sion 12 of section 8 of the state finance
49 law and any other inconsistent provision
50 of law, moneys from this appropriation may
51 be used for expenses of family care homes
52 including payments to operators of certi-
53 fied family care homes for damages caused
54 by clients to personal and real property
55 in accordance with standards established
S. 10262 39
1 by the commissioner and approved by the
2 director of the budget.
3 Notwithstanding any inconsistent provision
4 of law, moneys from this appropriation may
5 be used for appropriate day program
6 services and residential services includ-
7 ing, but not limited to, direct housing
8 subsidies to individuals, start-up
9 expenses for family care providers, envi-
10 ronmental modifications, adaptive technol-
11 ogies, appraisals, property options,
12 feasibility studies and preoperational
13 expenses.
14 Notwithstanding any inconsistent provision
15 of law except pursuant to a chapter of the
16 laws of 2025 authorizing a 2.6 percent
17 targeted inflationary increase, for the
18 period commencing on April 1, 2025 and
19 ending March 31, 2026 the commissioner
20 shall not apply any other inflationary
21 increases, cost of living type increases,
22 inflation factors, or trend factors for
23 the purpose of establishing rates of
24 payments, contracts or any other form of
25 reimbursement; provided that this shall
26 not prevent the commissioner from applying
27 prior adjustments for the purpose of
28 establishing rates resulting from a rebas-
29 ing of base year costs.
30 Notwithstanding section 6908 of the educa-
31 tion law and any other provision of law,
32 rule or regulation to the contrary, direct
33 support staff in programs certified or
34 approved by the office for people with
35 developmental disabilities, including the
36 home and community based services waiver
37 programs that the office for people with
38 developmental disabilities is authorized
39 to administer with federal approval pursu-
40 ant to subdivision (c) of section 1915 of
41 the federal social security act, are
42 authorized to provide such tasks as OPWDD
43 may specify when performed under the
44 supervision, training and periodic
45 inspection of a registered professional
46 nurse and in accordance with an authorized
47 practitioner's ordered care.
48 Notwithstanding any other provision of law
49 to the contrary, and consistent with
50 section 33.07 of the mental hygiene law,
51 the directors of facilities licensed but
52 not operated by the office for people with
53 developmental disabilities who act as
54 federally-appointed representative payees
55 and who assume management responsibility
56 over the funds of a resident may continue
S. 10262 40
1 to use such funds for the cost of the
2 resident's care and treatment, consistent
3 with federal law and regulations.
4 Funds appropriated herein shall be available
5 in accordance with the following:
6 Notwithstanding any inconsistent provision
7 of law, the director of the budget is
8 authorized to make suballocations from
9 this appropriation to the department of
10 health medical assistance program.
11 Notwithstanding any inconsistent provision
12 of law, and pursuant to criteria estab-
13 lished by the commissioner of the office
14 for people with developmental disabilities
15 and approved by the director of the budg-
16 et, expenditures may be made from this
17 appropriation for residential facilities
18 which are pending recertification as
19 intermediate care facilities for people
20 with developmental disabilities.
21 Notwithstanding the provisions of section
22 41.36 of the mental hygiene law and any
23 other inconsistent provision of law,
24 moneys from this appropriation may be used
25 for payment up to $250 per year per
26 client, at such times and in such manner
27 as determined by the commissioner on the
28 basis of financial need for the personal
29 needs of each client residing in voluntar-
30 y-operated community residences and volun-
31 tary-operated community residential alter-
32 natives, including individualized
33 residential alternatives under the home
34 and community based services waiver. The
35 commissioner shall, subject to the
36 approval of the director of the budget,
37 alter existing advance payment schedules
38 for voluntary-operated community resi-
39 dences established pursuant to section
40 41.36 of the mental hygiene law.
41 Notwithstanding any inconsistent provision
42 of law, moneys from this appropriation may
43 be used for the operation of clinics
44 licensed pursuant to article 16 of the
45 mental hygiene law including, but not
46 limited to, supportive and habilitative
47 services consistent with the home and
48 community based services waiver.
49 For the state and/or local share of medical
50 assistance services expenses incurred by
51 the department of health for the provision
52 of medical assistance services to people
53 with developmental disabilities (37835) ..
54 ............................. [700,020,000] 840,024,000
55 For services and expenses of the community
56 services program, net of disallowances,
S. 10262 41
1 for community programs for people with
2 developmental disabilities pursuant to
3 article 41 of the mental hygiene law,
4 and/or chapter 620 of the laws of 1974,
5 chapter 660 of the laws of 1977, chapter
6 412 of the laws of 1981, chapter 27 of the
7 laws of 1987, chapter 729 of the laws of
8 1989, chapter 329 of the laws of 1993 and
9 other provisions of the mental hygiene
10 law. Notwithstanding any inconsistent
11 provision of law, the following appropri-
12 ation shall be net of prior and/or current
13 year refunds, rebates, reimbursements, and
14 credits.
15 Notwithstanding any other provision of law,
16 advances and reimbursement made pursuant
17 to subdivision (d) of section 41.15 and
18 section 41.18 of the mental hygiene law
19 shall be allocated pursuant to a plan and
20 in a manner prescribed by the agency head
21 and approved by the director of the budg-
22 et. The moneys hereby appropriated are
23 available to reimburse or advance locali-
24 ties and voluntary non-profit agencies for
25 expenditures made during local fiscal
26 periods commencing January 1, 2026, April
27 1, 2026 or July 1, 2026, and for advances
28 for the 3 month period beginning January
29 1, 2027.
30 Notwithstanding the provisions of article 41
31 of the mental hygiene law or any other
32 inconsistent provision of law, rule or
33 regulation, the commissioner, pursuant to
34 such contract and in the manner provided
35 therein, may pay all or a portion of the
36 expenses incurred by such voluntary agen-
37 cies arising out of loans which are funded
38 from the proceeds of bonds and notes
39 issued by the dormitory authority of the
40 state of New York.
41 Notwithstanding any other provision of law,
42 the money hereby appropriated may be
43 transferred to state operations and/or any
44 appropriation of the office for people
45 with developmental disabilities with the
46 approval of the director of the budget.
47 Notwithstanding any inconsistent provision
48 of law, moneys from this appropriation may
49 be used for state aid of up to 100 percent
50 of the net deficit costs of day training
51 programs and family support services.
52 Notwithstanding the provisions of section
53 16.23 of the mental hygiene law and any
54 other inconsistent provision of law, with
55 relation to the operation of certified
56 family care homes, including family care
S. 10262 42
1 homes sponsored by voluntary not-for-pro-
2 fit agencies, moneys from this appropri-
3 ation may be used for payments to purchase
4 general services including but not limited
5 to respite providers, up to a maximum of
6 14 days, at rates to be established by the
7 commissioner and approved by the director
8 of the budget in consideration of factors
9 including, but not limited to, geographic
10 area and number of clients cared for in
11 the home and for payment in an amount
12 determined by the commissioner for the
13 personal needs of each client residing in
14 the family care home.
15 Notwithstanding the provisions of subdivi-
16 sion 12 of section 8 of the state finance
17 law and any other inconsistent provision
18 of law, moneys from this appropriation may
19 be used for expenses of family care homes
20 including payments to operators of certi-
21 fied family care homes for damages caused
22 by clients to personal and real property
23 in accordance with standards established
24 by the commissioner and approved by the
25 director of the budget.
26 Notwithstanding any inconsistent provision
27 of law, moneys from this appropriation may
28 be used for appropriate day program
29 services and residential services includ-
30 ing, but not limited to, direct housing
31 subsidies to individuals, start-up
32 expenses for family care providers, envi-
33 ronmental modifications, adaptive technol-
34 ogies, appraisals, property options,
35 feasibility studies and preoperational
36 expenses.
37 Notwithstanding any inconsistent provision
38 of law, moneys from this appropriation may
39 be used to fund continuity of care
40 services, family reimbursed respite, other
41 than personal services and direct housing
42 subsidies for people who are enrolled in
43 OPWDD's self-direction program, provided
44 any or all such costs are identified in a
45 self-direction budget approved by OPWDD.
46 Notwithstanding any inconsistent provision
47 of law except pursuant to a chapter of the
48 laws of 2025 authorizing a 2.6 percent
49 targeted inflationary increase, for the
50 period commencing on April 1, 2025 and
51 ending March 31, 2026 the commissioner
52 shall not apply any other inflationary
53 increases, cost of living type increases,
54 inflation factors, or trend factors for
55 the purpose of establishing rates of
56 payments, contracts or any other form of
S. 10262 43
1 reimbursement; provided that this shall
2 not prevent the commissioner from applying
3 prior adjustments for the purpose of
4 establishing rates resulting from a rebas-
5 ing of base year costs.
6 Notwithstanding section 6908 of the educa-
7 tion law and any other provision of law,
8 rule or regulation to the contrary, direct
9 support staff in programs certified or
10 approved by the office for people with
11 developmental disabilities, including the
12 home and community based services waiver
13 programs that the office for people with
14 developmental disabilities is authorized
15 to administer with federal approval pursu-
16 ant to subdivision (c) of section 1915 of
17 the federal social security act, are
18 authorized to provide such tasks as OPWDD
19 may specify when performed under the
20 supervision, training and periodic
21 inspection of a registered professional
22 nurse and in accordance with an authorized
23 practitioner's ordered care.
24 Notwithstanding any other provision of law
25 to the contrary, and consistent with
26 section 33.07 of the mental hygiene law,
27 the directors of facilities licensed but
28 not operated by the office for people with
29 developmental disabilities who act as
30 federally-appointed representative payees
31 and who assume management responsibility
32 over the funds of a resident may continue
33 to use such funds for the cost of the
34 resident's care and treatment, consistent
35 with federal law and regulations.
36 Funds appropriated herein shall be available
37 in accordance with the following:
38 Notwithstanding any other provision of law
39 to the contrary, funds appropriated herein
40 are available to reimburse in- and
41 out-of-state private residential schools,
42 pursuant to subdivision (c) of section
43 13.37-a and subdivision (g) of section
44 13.38 of the mental hygiene law, for costs
45 of supporting the residential and day
46 program services available to individuals
47 who are over the age of 21 years of age,
48 provided that the amount paid for residen-
49 tial services and/or maintenance costs is
50 net of any supplemental security income
51 benefit to which the individual receiving
52 services is eligible, and provided further
53 that funding for nonresidential services
54 will be in an amount not to exceed the
55 maximum reimbursement for appropriate day
56 services delivered by the office for
S. 10262 44
1 people with developmental disabilities
2 certified or approved providers other than
3 in- and out-of-state private residential
4 schools, unless otherwise authorized by
5 the director of the budget.
6 Notwithstanding section 163 of the state
7 finance law, section 142 of the economic
8 development law, and article 41 of the
9 mental hygiene law, the commissioner of
10 the office for people with developmental
11 disabilities may make the funds appropri-
12 ated herein available as state aid, a loan
13 or a grant, pursuant to terms and condi-
14 tions established by the commissioner of
15 the office for people with developmental
16 disabilities, to cover a portion of the
17 development costs of private, public
18 and/or non-profit organizations, including
19 corporations and partnerships established
20 pursuant to the private housing finance
21 law and/or any other statutory provisions,
22 for supportive housing units that have
23 been set aside for individuals with intel-
24 lectual and developmental disabilities.
25 Further, the office for people with devel-
26 opmental disabilities shall have a lien on
27 the real property developed with such
28 state aid, loans or grants, which shall be
29 in the amount of the loan or grant, for a
30 maximum term of 30 years, or other longer
31 term consistent with the requirements of
32 another regulatory agency.
33 For services and expenses related to the
34 provision of residential services to
35 people with developmental disabilities
36 (37802) ...................... [40,057,000] 42,988,000
37 For services and expenses related to the
38 provision of day program services to
39 people with developmental disabilities
40 (37803) ....................... [9,840,000] 10,560,000
41 For services and expenses related to the
42 provision of family support services to
43 people with developmental disabilities
44 (37804) ...................... [11,070,000] 11,880,000
45 For services and expenses related to the
46 provision of workshop, day training and
47 employment services to people with devel-
48 opmental disabilities. Notwithstanding any
49 other provision of law, up to [$94,300]
50 $101,200 of this appropriation may be
51 transferred to the New York State Educa-
52 tion Departments' Adult Career and Contin-
53 uing Education Services - Vocational Reha-
54 bilitation (ACCES-VR) program to support
55 the LongTerm Sheltered Employment program
S. 10262 45
1 operated by FEDCAP Rehabilitation
2 Services, Inc. (37805) ....... [6,396,000] 6,864,000
3 For other services and expenses provided to
4 people with developmental disabilities
5 including but not limited to hepatitis B,
6 care at home waiver, epilepsy services,
7 Special Olympics New York, Inc. and volun-
8 tary fingerprinting (37806) ... [1,640,000] 1,760,000
9 --------------
10 § 13. Section 8 of chapter 98 of the laws of 2026, relating to making
11 appropriations for the support of government, as amended by chapter 111
12 of the laws of 2026, is amended to read as follows:
13 § 8. The amounts specified in this section, or so much thereof as
14 shall be sufficient to accomplish the purposes designated, is hereby
15 appropriated and authorized to be paid as hereinafter provided, to the
16 public officers and for the purposes specified, which amount shall be
17 available for the state fiscal year beginning April 1, 2026.
18 DEPARTMENT OF VETERANS' SERVICES
19 AID TO LOCALITIES
20 BLIND VETERAN ANNUITY ASSISTANCE PROGRAM ....................... 385,000
21 --------------
22 General Fund
23 Local Assistance Account - 10000
24 For payment of annuities to blind veterans
25 and eligible surviving spouses. Up to
26 $15,000 of this appropriation may be
27 transferred to state operations for admin-
28 istrative costs associated with this
29 program (54606) ................................ 385,000
30 --------------
31 VETERANS' BENEFITS ADVISING PROGRAM ............. [246,000] 264,000
32 --------------
33 Special Revenue Funds - Other
34 Homeless Veterans Assistance Fund
35 Homeless Veterans Assistance Account - 20204
36 For services and expenses related to home-
37 less veterans' housing (54815) .. [246,000] 264,000
38 --------------
39 § 14. No expenditure may be made from any appropriation in this act,
40 until a certificate of approval has been issued by the director of the
41 budget and a copy of such certificate shall have been filed with the
42 state comptroller, the chairman of the senate finance committee and the
43 chairman of the assembly ways and means committee provided, however,
44 that any expenditures from any appropriation in this act made by the
45 legislature or judiciary shall not require such certificate.
S. 10262 46
1 § 15. All expenditures and disbursements made against the appropri-
2 ations in this act shall, upon final action by the legislature on appro-
3 priation bills submitted by the governor pursuant to article VII of the
4 state constitution for the support of government for the state fiscal
5 year beginning April 1, 2026, be transferred by the comptroller as
6 expenditures and disbursements to such appropriations for all state
7 departments and agencies, as applicable, in amounts equal to the amounts
8 charged against the appropriations in this act for each such department,
9 agency, and the legislature and the judiciary.
10 § 16. Severability clause. If any clause, sentence, paragraph, subdi-
11 vision, section or part of this act shall be adjudged by any court of
12 competent jurisdiction to be invalid, such judgment shall not affect,
13 impair, or invalidate the remainder thereof, but shall be confined in
14 its operation to the clause, sentence, paragraph, subdivision, section
15 or part thereof directly involved in the controversy in which such judg-
16 ment shall have been rendered. It is hereby declared to be the intent of
17 the legislature that this act would have been enacted even if such
18 invalid provisions had not been included herein.
19 § 17. This act shall take effect immediately and shall be deemed to
20 have been in full force and effect on and after April 1, 2026; provided,
21 however, that upon the transfer of expenditures and disbursements by the
22 comptroller as provided in section fifteen of this act, the appropri-
23 ations made by this act and subject to such section shall be deemed
24 repealed.
