STATE OF NEW YORK
________________________________________________________________________
10324
IN SENATE
May 14, 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 112
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.
LBD12041-01-6
S. 10324 2
1 payrolls scheduled to be paid during the
2 period April 1 through May [14] 18, 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 .......................... [2,053,493,041] 2,053,518,041
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 112
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 [14] 18, 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 ............................ 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 112
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. 10324 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 [14] 18, 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 112
34 of the laws of 2026, is amended to read as follows:
35 § 5. The amounts specified in this section, or so much thereof as
36 shall be sufficient to accomplish the purposes designated, is hereby
37 appropriated and authorized to be paid as hereinafter provided, to the
38 respective public officers and for the purposes specified, which amount
39 shall be available for the state fiscal year beginning April 1, 2026.
40 MISCELLANEOUS - - ALL STATE DEPARTMENTS AND AGENCIES
41 The sum of twenty million dollars
42 ($20,000,000), or so much thereof as shall
43 be sufficient to accomplish the purpose
44 designated, is hereby appropriated for
45 contracts and grants approved for purposes
46 for which the legislature authorized the
47 expenditures of money during the 2025-2026
48 fiscal year. An amount up to twenty
49 million dollars ($20,000,000) shall be
50 available for the payment of capital
51 projects liabilities incurred during the
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1 period from April 1 through May [14] 18,
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 112
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 ...................... [836,942,500] 1,311,390,500
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) ...............
38 ............................ [821,324,500] 1,295,772,500
39 Project Schedule
40 PROJECT AMOUNT
41 --------------------------------------------
42 For the state's contribution
43 to the health insurance fund
44 and deposit into the retiree
45 health benefit trust fund
46 pursuant to section 99-aa of
47 the state finance law. The
48 state's share of the health
S. 10324 5
1 insurance program dividends
2 shall be available to pay
3 for the premiums in 2026-
4 27 .........................
5 ............... [514,422,000] 982,761,000
6 For the state's contribution
7 to the social security
8 contribution fund ............ 192,500,000
9 For payments to the state
10 insurance fund for workers'
11 compensation benefits and
12 other related workers'
13 compensation costs prior to
14 or after they become
15 incurred including but not
16 limited to the benefits
17 defined in chapters 302 and
18 303 of the laws of 1985 ....... 55,000,000
19 For the state's contribution
20 to employee benefit fund
21 programs ...................... 40,500,000
22 For the state's contribution
23 to the dental insurance plan
24 ................. [7,415,000] 13,524,000
25 For the payment of the metro-
26 politan commuter transporta-
27 tion mobility tax pursuant
28 to article 23 of the tax
29 law, as added by chapter 25
30 of the laws of 2009, on
31 behalf of the state employ-
32 ees employed in the metro-
33 politan commuter transporta-
34 tion district .................. 7,680,000
35 For the state's share of
36 contributions to the volun-
37 tary defined contribution
38 plan made on behalf of
39 eligible employees pursuant
40 to chapter 18 of the laws
41 of 2012 who elect to partic-
42 ipate in such plan and who
43 are not otherwise eligi-
44 ble to participate in the
45 SUNY optional retirement
46 program ........................ 1,063,500
47 For reimbursement to the unem-
48 ployment insurance fund for
49 payments made to claimants
50 formerly employed by the
51 state of New York .............. 2,000,000
52 For the state's contribution
53 to the vision care plan .......... 744,000
54 --------------
55 Project schedule total ...
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1 .......... [821,324,500] 1,295,772,500
2 --------------
3 For payments in accordance with section 19-a
4 of the public lands law (80567) .............. 7,720,000
5 For the payment in-lieu of taxes to the city
6 of Albany for certain state-owned land
7 pursuant to section 19-a of the public
8 lands law. Provided however, notwithstand-
9 ing paragraph (4) of subdivision 2-a of
10 section 19-a of the public lands law, such
11 funds may be paid prior to October 1, 2026
12 (80567) ...................................... 7,720,000
13 For payment of claims for damage to personal
14 or real property or for bodily injuries or
15 wrongful death caused by officers, employ-
16 ees, or other authorized persons providing
17 service to state government while provid-
18 ing such service, and the state university
19 construction fund while acting within the
20 scope of their employment, and while oper-
21 ating motor vehicles, and for any individ-
22 uals operating motor vehicles which are
23 assigned on a permanent basis with unre-
24 stricted use to state officers and employ-
25 ees when the person is permanently
26 assigned the motor vehicle (80559) ............. 178,000
27 --------------
28 § 7. Section 5 of chapter 100 of the laws of 2026, relating to making
29 appropriations for the support of government, as amended by chapter 112
30 of the laws of 2026, is amended to read as follows:
31 § 5. The amounts specified in this section, or so much thereof as
32 shall be sufficient to accomplish the purposes designated, is hereby
33 appropriated and authorized to be paid as hereinafter provided, to the
34 public officers and for the purposes specified, which amount shall be
35 available for the state fiscal year beginning April 1, 2026.
36 JUDICIARY
37 For the purpose of making payments for
38 personal service, including liabilities
39 incurred prior to April 1, 2026, on the
40 payrolls scheduled to be paid during the
41 period April 1 through May [14] 18, 2026
42 to officers and employees of the judiciary
43 ............................................ 269,000,000
44 For the payment of state operations nonper-
45 sonal service liabilities, the sum of
46 thirty-six million dollars ($36,000,000),
47 or so much thereof as shall be sufficient
48 to accomplish the purpose designated, is
49 hereby appropriated to the judiciary out
50 of any moneys in the general fund or other
51 funds to the credit of the state purposes
52 account not otherwise appropriated. The
S. 10324 7
1 comptroller is hereby authorized and
2 directed to utilize this appropriation for
3 the purpose of making payments for nonper-
4 sonal service liabilities incurred by the
5 judiciary from April 1 through May [14]
6 18, 2026 .................................... 36,000,000
7 For the payment of aid to localities liabil-
8 ities, the sum of twenty-two million
9 dollars ($22,000,000), or so much thereof
10 as shall be sufficient to accomplish the
11 purpose designated, is hereby appropriated
12 to the judiciary out of any moneys in the
13 general fund or other funds to the credit
14 of the state purposes account not other-
15 wise appropriated. The comptroller is
16 hereby authorized and directed to utilize
17 this appropriation for the purpose of
18 making payments for aid to localities
19 liabilities incurred by the judiciary from
20 April 1 through May [14] 18, 2026 ........... 22,000,000
21 For the payment of employee fringe benefit
22 programs including, but not limited to,
23 the judiciary's contributions to the
24 health insurance fund, the employees'
25 retirement system pension accumulation
26 fund, the social security contribution
27 fund, employee benefit fund programs, the
28 dental insurance plan, the vision care
29 plan, the unemployment insurance fund, and
30 for workers' compensation benefits, the
31 sum of one hundred fifteen million seven
32 hundred fifty thousand dollars
33 ($115,750,000), or so much thereof as
34 shall be sufficient to accomplish the
35 purpose designated, is hereby appropriated
36 to the judiciary out of any moneys in the
37 general fund or other funds to the credit
38 of the state purposes account not other-
39 wise appropriated. The comptroller is
40 hereby authorized and directed to utilize
41 this appropriation for the purpose of
42 making payments for employee fringe bene-
43 fit liabilities incurred by the judiciary
44 from April 1 through May [14] 18, 2026 ..... 115,750,000
45 --------------
46 § 8. Section 5 of chapter 98 of the laws of 2026, relating to making
47 appropriations for the support of government, as amended by chapter 112
48 of the laws of 2026, is amended to read as follows:
49 § 5. The amounts specified in this section, or so much thereof as
50 shall be sufficient to accomplish the purposes designated, is hereby
51 appropriated and authorized to be paid as hereinafter provided, to the
52 public officers and for the purposes specified, which amount shall be
53 available for the state fiscal year beginning April 1, 2026.
54 DEPARTMENT OF HEALTH
S. 10324 8
1 AID TO LOCALITIES
2 CENTER FOR COMMUNITY HEALTH PROGRAM .......... [57,142,000] 60,352,000
3 --------------
4 General Fund
5 Local Assistance Account - 10000
6 For services and expenses related to the
7 Indian health program pursuant to a plan
8 prepared by the commissioner of health and
9 approved by the director of the budget.
10 The moneys hereby appropriated shall be
11 for payment of financial assistance here-
12 tofore accrued or hereafter to accrue
13 (26840) ..................................... 10,062,000
14 --------------
15 Special Revenue Funds - Federal
16 Federal USDA-Food and Nutrition Services Fund
17 Federal Food and Nutrition Services Account - 25022
18 For various federal food and nutritional
19 services. The moneys hereby appropriated
20 shall be available for payment of finan-
21 cial assistance heretofore accrued (26986)
22 .............................. [47,080,000] 50,290,000
23 --------------
24 CHILD HEALTH INSURANCE PROGRAM ............................. 212,950,000
25 --------------
26 Special Revenue Funds - Other
27 HCRA Resources Fund
28 Children's Health Insurance Account - 20810
29 The money hereby appropriated is available
30 for payment of aid heretofore accrued or
31 hereafter accrued.
32 Notwithstanding any other provision of law,
33 the money hereby appropriated may be
34 increased or decreased by transfer or
35 suballocation to appropriations of the
36 office of temporary and disability assist-
37 ance, for the reimbursement of local
38 district administrative costs related to
39 children newly enrolled in medicaid whose
40 household income is between 100 percent
41 and 133 percent of the federal poverty
42 level.
43 Notwithstanding any provision of law to the
44 contrary, the amounts appropriated herein
45 shall be net of refunds, rebates,
46 reimbursements, credits, repayments,
47 and/or disallowances.
S. 10324 9
1 For services and expenses related to the
2 children's health insurance program
3 authorized pursuant to title 1-A of arti-
4 cle 25 of the public health law (26931) .... 212,950,000
5 --------------
6 ELDERLY PHARMACEUTICAL INSURANCE COVERAGE PROGRAM ............ 1,800,000
7 --------------
8 Special Revenue Funds - Other
9 HCRA Resources Fund
10 EPIC Premium Account - 20818
11 For services and expenses of the program for
12 elderly pharmaceutical insurance coverage,
13 including reimbursement to pharmacies
14 participating in such program. The moneys
15 hereby appropriated shall be available for
16 payment of financial assistance heretofore
17 accrued (26803) .............................. 1,800,000
18 --------------
19 ESSENTIAL PLAN PROGRAM ................................... 1,150,000,000
20 --------------
21 Special Revenue Funds - Federal
22 Federal Health and Human Services Fund
23 Essential Plan Account - 25186
24 For services and expenses related to the
25 essential plan program, in accordance
26 State Innovation Waiver provisions author-
27 ized by Section 1332 of the federal
28 patient protection and affordable care
29 act.
30 Notwithstanding any inconsistent provision
31 of law, the moneys hereby appropriated may
32 be increased or decreased by interchange
33 or transfer with any appropriation of the
34 department of health or for transfer to
35 Health Research Incorporated (HRI).
36 Notwithstanding any provision of law to the
37 contrary, the amounts appropriated herein
38 shall be net of refunds, rebates,
39 reimbursements, credits, repayments,
40 and/or disallowances.
41 The money hereby appropriated is available
42 for payment of aid heretofore accrued or
43 hereafter accrued (59054) ................ 1,150,000,000
44 --------------
45 MEDICAL ASSISTANCE PROGRAM .............................. 12,369,631,000
46 --------------
47 General Fund
48 Local Assistance Account - 10000
S. 10324 10
1 For the medical assistance program, includ-
2 ing administrative expenses, for local
3 social services districts, and for medical
4 care rates for authorized child care agen-
5 cies.
6 Notwithstanding section 40 of the state
7 finance law or any provision of law to the
8 contrary, subject to federal approval,
9 department of health state funds medicaid
10 spending, excluding payments for medical
11 services provided at state facilities
12 operated by the office of mental health,
13 the office for people with developmental
14 disabilities and the office of addiction
15 services and supports and further exclud-
16 ing any payments which are not appropri-
17 ated within the department of health, in
18 the aggregate, for the period April 1,
19 2026 through March 31, 2027, shall not
20 exceed $36,099,200,000 except as provided
21 below provided, however, such aggregate
22 limits may be adjusted by the director of
23 the budget to account for any changes in
24 the New York state federal medical assist-
25 ance percentage amount established pursu-
26 ant to the federal social security act,
27 increases in provider revenues, reductions
28 in local social services district payments
29 for medical assistance administration,
30 minimum wage increases, and beginning
31 April 1, 2012 the operational costs of the
32 New York state medical indemnity fund,
33 pursuant to chapter 59 of the laws of
34 2011, and state costs or savings from the
35 essential plan program. Such projections
36 may be adjusted by the director of the
37 budget to account for increased or expe-
38 dited department of health state funds
39 medicaid expenditures as a result of a
40 natural or other type of disaster, includ-
41 ing a governmental declaration of emergen-
42 cy.
43 The director of the budget, in consultation
44 with the commissioner of health, shall
45 assess on a quarterly basis known and
46 projected medicaid expenditures by catego-
47 ry of service and by geographic region, as
48 defined by the commissioner, incurred both
49 prior to and subsequent to such assessment
50 for each such period, and if the director
51 of the budget determines that such expend-
52 itures are expected to cause medicaid
53 spending for such period to exceed the
54 aggregate limit specified herein for such
55 period, the state medicaid director, in
56 consultation with the director of the
S. 10324 11
1 budget and the commissioner of health,
2 shall develop a medicaid savings allo-
3 cation adjustment to limit such spending
4 to the aggregate limit specified herein
5 for such period.
6 Such medicaid savings allocation adjustment
7 shall be designed, to reduce the expendi-
8 tures authorized by the appropriations
9 herein in compliance with the following
10 guidelines: (1) reductions shall be made
11 in compliance with applicable federal law,
12 including the provisions of the Patient
13 Protection and Affordable Care Act, Public
14 Law No. 111-148, and the Health Care and
15 Education Reconciliation Act of 2010,
16 Public Law No. 111-152 (collectively
17 "Affordable Care Act") and any subsequent
18 amendments thereto or regulations promul-
19 gated thereunder; (2) reductions shall be
20 made in a manner that complies with the
21 state medicaid plan approved by the feder-
22 al centers for medicare and medicaid
23 services, provided, however, that the
24 commissioner of health is authorized to
25 submit any state plan amendment or seek
26 other federal approval, including waiver
27 authority, to implement the provisions of
28 the medicaid savings allocation adjustment
29 that meets the other criteria set forth
30 herein; (3) reductions shall be made in a
31 manner that maximizes federal financial
32 participation, to the extent practicable,
33 including any federal financial partic-
34 ipation that is available or is reasonably
35 expected to become available, in the
36 discretion of the commissioner, under the
37 Affordable Care Act; (4) reductions shall
38 be made uniformly among categories of
39 services and geographic regions of the
40 state, to the extent practicable, and
41 shall be made uniformly within a category
42 of service, to the extent practicable,
43 except where the commissioner determines
44 that there are sufficient grounds for
45 non-uniformity, including but not limited
46 to: the extent to which specific catego-
47 ries of services contributed to department
48 of health medicaid state funds spending in
49 excess of the limits specified herein; the
50 need to maintain safety net services in
51 underserved communities; or the potential
52 benefits of pursuing innovative payment
53 models contemplated by the Affordable Care
54 Act, in which case such grounds shall be
55 set forth in the medicaid savings allo-
56 cation adjustment; and (5) reductions
S. 10324 12
1 shall be made in a manner that does not
2 unnecessarily create administrative
3 burdens to medicaid applicants and recipi-
4 ents or providers.
5 The commissioner shall seek the input of the
6 legislature, as well as organizations
7 representing health care providers,
8 consumers, businesses, workers, health
9 insurers, and others with relevant exper-
10 tise, in developing such medicaid savings
11 allocation adjustment, to the extent that
12 all or part of such adjustment, in the
13 discretion of the commissioner, is likely
14 to have a material impact on the overall
15 medicaid program, particular categories of
16 service or particular geographic regions
17 of the state.
18 (a) The commissioner shall post the medicaid
19 savings allocation adjustment on the
20 department of health's website and shall
21 provide written copies of such adjustment
22 to the chairs of the senate finance and
23 the assembly ways and means committees at
24 least 30 days before the date on which
25 implementation is expected to begin.
26 (b) The commissioner may revise the medicaid
27 savings allocation adjustment subsequent
28 to the provisions of notice and prior to
29 implementation but needs to provide a new
30 notice pursuant to subparagraph (i) of
31 this paragraph only if the commissioner
32 determines, in his or her discretion, that
33 such revisions materially alter the
34 adjustment.
35 Notwithstanding the provisions of paragraphs
36 (a) and (b) of this subdivision, the
37 commissioner need not seek the input
38 described in paragraph (a) of this subdi-
39 vision or provide notice pursuant to para-
40 graph (b) of this subdivision if, in the
41 discretion of the commissioner, expedited
42 development and implementation of a medi-
43 caid savings allocation adjustment is
44 necessary due to a public health emergen-
45 cy.
46 For purposes of this section, a public
47 health emergency is defined as: (i) a
48 disaster, natural or otherwise, that
49 significantly increases the immediate need
50 for health care personnel in an area of
51 the state; (ii) an event or condition that
52 creates a widespread risk of exposure to a
53 serious communicable disease, or the
54 potential for such widespread risk of
55 exposure; or (iii) any other event or
56 condition determined by the commissioner
S. 10324 13
1 to constitute an imminent threat to public
2 health.
3 Nothing in this paragraph shall be deemed to
4 prevent all or part of such medicaid
5 savings allocation adjustment from taking
6 effect retroactively to the extent permit-
7 ted by the federal centers for medicare
8 and medicaid services.
9 In accordance with the medicaid savings
10 allocation adjustment, the commissioner of
11 the department of health shall reduce
12 department of health state funds medicaid
13 spending by the amount of the projected
14 overspending through, actions including,
15 but not limited to modifying or suspending
16 reimbursement methods, including but not
17 limited to all fees, premium levels and
18 rates of payment, notwithstanding any
19 provision of law that sets a specific
20 amount or methodology for any such
21 payments or rates of payment; modifying or
22 discontinuing medicaid program benefits;
23 seeking all necessary federal approvals,
24 including, but not limited to waivers,
25 waiver amendments; and suspending time
26 frames for notice, approval or certif-
27 ication of rate requirements, notwith-
28 standing any provision of law, rule or
29 regulation to the contrary, including but
30 not limited to sections 2807 and 3614 of
31 the public health law, section 18 of chap-
32 ter 2 of the laws of 1988, and 18 NYCRR
33 505.14(h).
34 The department of health shall prepare a
35 quarterly report that sets forth: (a)
36 known and projected department of health
37 medicaid expenditures as described in
38 subdivision (1) of this section, and
39 factors that could result in medicaid
40 disbursements for the relevant state
41 fiscal year to exceed the projected
42 department of health state funds disburse-
43 ments in the enacted budget financial plan
44 pursuant to subdivision 3 of section 23 of
45 the state finance law, including spending
46 increases or decreases due to: enrollment
47 fluctuations, rate changes, utilization
48 changes, MRT investments, and shift of
49 beneficiaries to managed care; and vari-
50 ations in offline medicaid payments; and
51 (b) the actions taken to implement any
52 medicaid savings allocation adjustment
53 implemented pursuant to subdivision (4) of
54 this section, including information
55 concerning the impact of such actions on
56 each category of service and each
S. 10324 14
1 geographic region of the state. Each such
2 quarterly report shall be provided to the
3 chairs of the senate finance and the
4 assembly ways and means committees and
5 shall be posted on the department of
6 health's website in a timely manner.
7 The money hereby appropriated is 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 to the contrary, funds may be used
19 by the department for outside legal
20 assistance on issues involving the federal
21 government, the conduct of preadmission
22 screening and annual resident reviews
23 required by the state's medicaid program,
24 computer matching with insurance carriers
25 to insure that medicaid is the payer of
26 last resort and activities related to the
27 management of the pharmacy benefit avail-
28 able under the medicaid program.
29 Notwithstanding any inconsistent provision
30 of law, in lieu of payments authorized by
31 the social services law, or payments of
32 federal funds otherwise due to the local
33 social services districts for programs
34 provided under the federal social security
35 act or the federal food stamp act, funds
36 herein appropriated, in amounts certified
37 by the state commissioner of temporary and
38 disability assistance or the state commis-
39 sioner of health as due from local social
40 services districts each month as their
41 share of payments made pursuant to section
42 367-b of the social services law may be
43 set aside by the state comptroller in an
44 interest-bearing account in order to
45 ensure the orderly and prompt payment of
46 providers under section 367-b of the
47 social services law pursuant to an esti-
48 mate provided by the commissioner of
49 health of each local social services
50 district's share of payments made pursuant
51 to section 367-b of the social services
52 law.
53 Notwithstanding any inconsistent provision
54 of law, funding made available by these
55 appropriations shall support direct salary
56 costs and related fringe benefits within
S. 10324 15
1 the medical assistance program associated
2 with any minimum wage increase that takes
3 effect during the timeframe of these
4 appropriations, pursuant to section 652 of
5 the labor law. Each eligible organization
6 in receipt of funding made available by
7 these appropriations may be required to
8 submit written certification, in such form
9 and at such time the commissioner may
10 prescribe, attesting to the total amount
11 of funds used by the eligible organiza-
12 tion, how such funding will be or was used
13 for purposes eligible under these appro-
14 priations and any other reporting deemed
15 necessary by the commissioner. The amounts
16 appropriated herein may include advances
17 to organizations authorized to receive
18 such funds to accomplish this purpose.
19 Notwithstanding any other provision of law,
20 the money hereby appropriated may be
21 increased or decreased by interchange or
22 transfer, with any appropriation of the
23 department of health and the office of
24 medicaid inspector general and may be
25 increased or decreased by transfer or
26 suballocation between these appropriated
27 amounts and appropriations of the depart-
28 ment of health state purpose account, the
29 office of mental health, office for people
30 with developmental disabilities, the
31 office of addiction services and supports,
32 the department of family assistance office
33 of temporary and disability assistance,
34 the department of corrections and communi-
35 ty supervision, the office of information
36 technology services, the state university
37 of New York, and office of children and
38 family services, the office of medicaid
39 inspector general, the state education
40 department, and the state office for the
41 aging with the approval of the director of
42 the budget, who shall file such approval
43 with the department of audit and control
44 and copies thereof with the chairman of
45 the senate finance committee and the
46 chairman of the assembly ways and means
47 committee.
48 Notwithstanding any inconsistent provision
49 of law to the contrary, the moneys hereby
50 appropriated may be used for payments to
51 the centers for medicaid and medicare
52 services for obligations incurred related
53 to the pharmaceutical costs of dually
54 eligible medicare/medicaid beneficiaries
55 participating in the medicare drug benefit
56 authorized by P.L. 108-173.
S. 10324 16
1 Notwithstanding any inconsistent provision
2 of law, the moneys hereby appropriated
3 shall not be used for any existing rates,
4 fees, fee schedule, or procedures which
5 may affect the cost of care and services
6 provided by personal care providers, case
7 managers, health maintenance organiza-
8 tions, out of state medical facilities
9 which provide care and services to resi-
10 dents of the state, providers of transpor-
11 tation services, that are altered,
12 amended, adjusted or otherwise changed by
13 a local social services district unless
14 previously approved by the department of
15 health and the director of the budget.
16 Notwithstanding any inconsistent provision
17 of law to the contrary, funds shall be
18 made available to the commissioner of the
19 office of mental health or the commission-
20 er of the office of addiction services and
21 supports, in consultation with the commis-
22 sioner of health and approved by the
23 director of the budget, and consistent
24 with appropriations made therefor, to
25 implement allocation adjustment developed
26 by each such commissioner which shall
27 describe mental health or substance use
28 disorder services that should be developed
29 to meet service needs resulting from the
30 reduction of inpatient behavioral health
31 services provided under the medicaid
32 program, by programs licensed pursuant to
33 article 31 or 32 of the mental hygiene
34 law. Such programs may include programs
35 that are licensed pursuant to both article
36 31 of the mental hygiene law and article
37 28 of the public health law, or certified
38 under both article 32 of the mental
39 hygiene law and article 28 of the public
40 health law.
41 Notwithstanding any inconsistent provision
42 of law, the moneys hereby appropriated may
43 be available for payments associated with
44 the resolution by settlement agreement or
45 judgment of rate appeals and/or litigation
46 where the department of health is a party.
47 For services and expenses of the medical
48 assistance program including hospital
49 inpatient services and general hospitals
50 that are safety-net providers that evince
51 severe financial distress, pursuant to
52 criteria determined by the commissioner,
53 shall be eligible for awards for amounts
54 appropriated herein, to enable such
55 providers to maintain operations and vital
56 services while establishing long term
S. 10324 17
1 solutions to achieve sustainable health
2 services.
3 Notwithstanding any inconsistent provisions
4 of law, no expenditures shall be used for
5 the medical assistance program for any
6 expenses not explicitly authorized in law
7 without the approval of the director of
8 the budget.
9 Notwithstanding any provision of law to the
10 contrary, the portion of this appropri-
11 ation covering fiscal year 2026-27 shall
12 supersede and replace any duplicative (i)
13 reappropriation for this item covering
14 fiscal year 2026-27, and (ii) appropri-
15 ation for this item covering fiscal year
16 2026-27 set forth in chapter 53 of the
17 laws of 2025 (26947) ....................... 169,666,000
18 For services and expenses of the medical
19 assistance program including hospital
20 outpatient and emergency room services.
21 Notwithstanding any provision of law to the
22 contrary, the portion of this appropri-
23 ation covering fiscal year 2026-27 shall
24 supersede and replace any duplicative (i)
25 reappropriation for this item covering
26 fiscal year 2026-27, and (ii) appropri-
27 ation for this item covering fiscal year
28 2026-27 set forth in chapter 53 of the
29 laws of 2025 (26948) ........................ 50,743,000
30 For services and expenses of the medical
31 assistance program including clinic
32 services.
33 Notwithstanding any provision of law to the
34 contrary, the portion of this appropri-
35 ation covering fiscal year 2026-27 shall
36 supersede and replace any duplicative (i)
37 reappropriation for this item covering
38 fiscal year 2026-27, and (ii) appropri-
39 ation for this item covering fiscal year
40 2026-27 set forth in chapter 53 of the
41 laws of 2025 (26949) ........................ 99,386,000
42 For services and expenses of the medical
43 assistance program including nursing home
44 services.
45 Notwithstanding any provision of law to the
46 contrary, the portion of this appropri-
47 ation covering fiscal year 2026-27 shall
48 supersede and replace any duplicative (i)
49 reappropriation for this item covering
50 fiscal year 2026-27, and (ii) appropri-
51 ation for this item covering fiscal year
52 2026-27 set forth in chapter 53 of the
53 laws of 2025 (26950) ....................... 249,795,000
54 For services and expenses of the medical
55 assistance program including other long
56 term care services.
S. 10324 18
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 (26951) ..................... 1,189,902,000
10 For services and expenses of the medical
11 assistance program including managed care
12 services including regional planning
13 activities of the finger lakes health
14 systems agency, including statewide coor-
15 dination and demonstration of best prac-
16 tices. The department shall make grants
17 within amounts appropriated therefor, to
18 assure high-quality and accessible primary
19 care, to provide technical assistance to
20 support financial and business planning
21 for integrated systems of care, and to
22 assist primary care providers in the
23 adoption, implementation, and meaningful
24 use of electronic health record technolo-
25 gy.
26 Notwithstanding any provision of law to the
27 contrary, the portion of this appropri-
28 ation covering fiscal year 2026-27 shall
29 supersede and replace any duplicative (i)
30 reappropriation for this item covering
31 fiscal year 2026-27, and (ii) appropri-
32 ation for this item covering fiscal year
33 2026-27 set forth in chapter 53 of the
34 laws of 2025 (26952) ..................... 1,089,970,000
35 For services and expenses for health homes
36 including grants to health homes.
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 (29548) ........................ 26,390,000
46 For services and expenses of the medical
47 assistance program including pharmacy
48 services provided, however, that no funds
49 shall be made available pursuant to this
50 appropriation for any drug not explicitly
51 authorized in any enacted law, rule, or
52 regulation without approval from the
53 director of the budget.
54 Notwithstanding any provision of law to the
55 contrary, the portion of this appropri-
56 ation covering fiscal year 2026-27 shall
S. 10324 19
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 (26953) ....................... 503,482,000
7 For services and expenses of the medical
8 assistance program including transporta-
9 tion 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 (26954) ........................ 72,324,000
19 For services and expenses of the medical
20 assistance program including dental
21 services.
22 Notwithstanding any provision of law to the
23 contrary, the portion of this appropri-
24 ation covering fiscal year 2026-27 shall
25 supersede and replace any duplicative (i)
26 reappropriation for this item covering
27 fiscal year 2026-27, and (ii) appropri-
28 ation for this item covering fiscal year
29 2026-27 set forth in chapter 53 of the
30 laws of 2025 (26955) ........................... 553,000
31 For services and expenses of the medical
32 assistance program including non-institu-
33 tional and other spending.
34 The money hereby appropriated is available
35 for payment of liabilities heretofore
36 accrued or hereafter accrued.
37 Notwithstanding any inconsistent provision
38 of law, the money hereby appropriated may
39 be available for payments to any county or
40 public school districts associated with
41 additional claims for school supportive
42 health services.
43 Notwithstanding any provision of law to the
44 contrary, the portion of this appropri-
45 ation covering fiscal year 2026-27 shall
46 supersede and replace any duplicative (i)
47 reappropriation for this item covering
48 fiscal year 2026-27, and (ii) appropri-
49 ation for this item covering fiscal year
50 2026-27 set forth in chapter 53 of the
51 laws of 2025 (26956) ....................... 144,228,000
52 For services and expenses of the medical
53 assistance program including medical
54 services provided at state facilities
55 operated by the office of mental health,
56 the office for people with developmental
S. 10324 20
1 disabilities and the office of addiction
2 services and supports.
3 Notwithstanding any provision of law to the
4 contrary, the portion of this appropri-
5 ation covering fiscal year 2026-27 shall
6 supersede and replace any duplicative (i)
7 reappropriation for this item covering
8 fiscal year 2026-27, and (ii) appropri-
9 ation for this item covering fiscal year
10 2026-27 set forth in chapter 53 of the
11 laws of 2025 (26961) ....................... 673,078,000
12 --------------
13 Special Revenue Funds - Federal
14 Federal Health and Human Services Fund
15 Medicaid Direct Account - 25106
16 For services and expenses for the medical
17 assistance program, including administra-
18 tive expenses for local social services
19 districts, pursuant to title XIX of the
20 federal social security act or its succes-
21 sor program.
22 The moneys hereby appropriated are to be
23 available for payment of aid heretofore
24 accrued or hereafter accrued to munici-
25 palities, and to providers of medical
26 services pursuant to section 367-b of the
27 social services law, and for payment of
28 state aid to municipalities and to provid-
29 ers of family care where payment systems
30 through the fiscal intermediaries are not
31 operational.
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.
S. 10324 21
1 Notwithstanding any other provision of law,
2 the money hereby appropriated may be
3 increased or decreased by interchange or
4 transfer, with any appropriation of the
5 department of health and the office of
6 medicaid inspector general and may be
7 increased or decreased by transfer or
8 suballocation between these appropriated
9 amounts and appropriations of the office
10 of mental health, office for people with
11 developmental disabilities, the office of
12 addiction services and supports, the
13 department of family assistance office of
14 temporary and disability assistance,
15 office of children and family services,
16 the department of financial services,
17 department of corrections and community
18 supervision, the office of information
19 technology services, the state university
20 of New York, the state education depart-
21 ment, and the state office for the aging
22 with the approval of the director of the
23 budget, who shall file such approval with
24 the department of audit and control and
25 copies thereof with the chairman of the
26 senate finance committee and the chairman
27 of the assembly ways and means committee.
28 Notwithstanding any inconsistent provision
29 of law, in lieu of payments authorized by
30 the social services law, or payments of
31 federal funds otherwise due to the local
32 social services districts for programs
33 provided under the federal social security
34 act or the federal food stamp act, funds
35 herein appropriated, in amounts certified
36 by the state commissioner of temporary and
37 disability assistance or the state commis-
38 sioner of health as due from local social
39 services districts each month as their
40 share of payments made pursuant to section
41 367-b of the social services law may be
42 set aside by the state comptroller in an
43 interest-bearing account in order to
44 ensure the orderly and prompt payment of
45 providers under section 367-b of the
46 social services law pursuant to an esti-
47 mate provided by the commissioner of
48 health of each local social services
49 district's share of payments made pursuant
50 to section 367-b of the social services
51 law.
52 Notwithstanding any inconsistent provision
53 of law to the contrary, funds shall be
54 made available to the commissioner of the
55 office of mental health or the commission-
56 er of the office of addiction services and
S. 10324 22
1 supports, in consultation with the commis-
2 sioner of health and approved by the
3 director of the budget, and consistent
4 with appropriations made therefor, to
5 implement allocation adjustment developed
6 by each such commissioner which shall
7 describe mental health or substance use
8 disorder services that should be developed
9 to meet service needs resulting from the
10 reduction of inpatient behavioral health
11 services provided under the medicaid
12 program, by programs licensed pursuant to
13 article 31 or 32 of the mental hygiene
14 law. Such programs may include programs
15 that are licensed pursuant to both article
16 31 of the mental hygiene law and article
17 28 of the public health law, or certified
18 under both article 32 of the mental
19 hygiene law and article 28 of the public
20 health law.
21 Notwithstanding any inconsistent provision
22 of law, the moneys hereby appropriated may
23 be available for payments associated with
24 the resolution by settlement agreement or
25 judgment of rate appeals and/or litigation
26 where the department of health is a party.
27 Notwithstanding any inconsistent provisions
28 of law, no expenditures shall be used for
29 the medical assistance program for any
30 expenses not explicitly authorized in law
31 without the approval of the director of
32 the budget.
33 For services and expenses of the medical
34 assistance program including hospital
35 inpatient services.
36 Notwithstanding any provision of law to the
37 contrary, the portion of this appropri-
38 ation covering fiscal year 2026-27 shall
39 supersede and replace any duplicative (i)
40 reappropriation for this item covering
41 fiscal year 2026-27, and (ii) appropri-
42 ation for this item covering fiscal year
43 2026-27 set forth in chapter 53 of the
44 laws of 2025 (26947) ....................... 455,310,000
45 For services and expenses of the medical
46 assistance program including hospital
47 outpatient and emergency room services.
48 Notwithstanding any provision of law to the
49 contrary, the portion of this appropri-
50 ation covering fiscal year 2026-27 shall
51 supersede and replace any duplicative (i)
52 reappropriation for this item covering
53 fiscal year 2026-27, and (ii) appropri-
54 ation for this item covering fiscal year
55 2026-27 set forth in chapter 53 of the
56 laws of 2025 (26948) ........................ 81,144,000
S. 10324 23
1 For services and expenses of the medical
2 assistance program including clinic
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 (26949) ....................... 131,382,000
13 For services and expenses of the medical
14 assistance program including nursing home
15 services.
16 Notwithstanding any provision of law to the
17 contrary, the portion of this appropri-
18 ation covering fiscal year 2026-27 shall
19 supersede and replace any duplicative (i)
20 reappropriation for this item covering
21 fiscal year 2026-27, and (ii) appropri-
22 ation for this item covering fiscal year
23 2026-27 set forth in chapter 53 of the
24 laws of 2025 (26950) ....................... 676,440,000
25 For services and expenses of the medical
26 assistance program including other long
27 term care services.
28 Notwithstanding any provision of law to the
29 contrary, the portion of this appropri-
30 ation covering fiscal year 2026-27 shall
31 supersede and replace any duplicative (i)
32 reappropriation for this item covering
33 fiscal year 2026-27, and (ii) appropri-
34 ation for this item covering fiscal year
35 2026-27 set forth in chapter 53 of the
36 laws of 2025 (26951) ..................... 1,929,654,000
37 For services and expenses of the medical
38 assistance program including managed care
39 services including regional planning
40 activities of the finger lakes health
41 systems agency, including statewide coor-
42 dination and demonstration of best prac-
43 tices. The department shall make grants
44 within amounts appropriated therefor, to
45 assure high-quality and accessible primary
46 care, to provide technical assistance to
47 support financial and business planning
48 for integrated systems of care, and to
49 assist primary care providers in the
50 adoption, implementation, and meaningful
51 use of electronic health record technolo-
52 gy.
53 Notwithstanding any inconsistent provision
54 of law, rule, or regulation to the contra-
55 ry, funds appropriated herein shall not be
S. 10324 24
1 subject to article 6 of the financial
2 services law.
3 Notwithstanding any inconsistent provision
4 of law, rule, or regulation to the contra-
5 ry, funds appropriated herein shall only
6 be made available for applied behavior
7 analysis services if such services are
8 recommended by a health care or mental
9 health care practitioner authorized under
10 title eight of the education law who has
11 been designated as an applied behavior
12 analysis center of excellence provider by
13 the commissioner of health.
14 Notwithstanding any provision of law to the
15 contrary, the portion of this appropri-
16 ation covering fiscal year 2026-27 shall
17 supersede and replace any duplicative (i)
18 reappropriation for this item covering
19 fiscal year 2026-27, and (ii) appropri-
20 ation for this item covering fiscal year
21 2026-27 set forth in chapter 53 of the
22 laws of 2025 (26952) ..................... 2,354,808,000
23 For services and expenses of the medical
24 assistance program including pharmacy
25 services, provided, however, that no funds
26 shall be made available pursuant to this
27 appropriation for any drug not explicitly
28 authorized in any heretofore enacted law,
29 rule, or regulation without approval from
30 the director of the budget.
31 Notwithstanding any provision of law to the
32 contrary, the portion of this appropri-
33 ation covering fiscal year 2026-27 shall
34 supersede and replace any duplicative (i)
35 reappropriation for this item covering
36 fiscal year 2026-27, and (ii) appropri-
37 ation for this item covering fiscal year
38 2026-27 set forth in chapter 53 of the
39 laws of 2025 (26953) ....................... 709,314,000
40 For services and expenses of the medical
41 assistance program including transporta-
42 tion services.
43 Notwithstanding any provision of law to the
44 contrary, the portion of this appropri-
45 ation covering fiscal year 2026-27 shall
46 supersede and replace any duplicative (i)
47 reappropriation for this item covering
48 fiscal year 2026-27, and (ii) appropri-
49 ation for this item covering fiscal year
50 2026-27 set forth in chapter 53 of the
51 laws of 2025 (26954) ........................ 95,292,000
52 For services and expenses of the medical
53 assistance program including dental
54 services.
55 Notwithstanding any provision of law to the
56 contrary, the portion of this appropri-
S. 10324 25
1 ation covering fiscal year 2026-27 shall
2 supersede and replace any duplicative (i)
3 reappropriation for this item covering
4 fiscal year 2026-27, and (ii) appropri-
5 ation for this item covering fiscal year
6 2026-27 set forth in chapter 53 of the
7 laws of 2025 (26955) ........................ 11,016,000
8 For services and expenses of the medical
9 assistance program including noninstitu-
10 tional and other spending.
11 The money hereby appropriated is available
12 for payment of liabilities heretofore
13 accrued or hereafter accrued.
14 Notwithstanding any provision of law to the
15 contrary, the portion of this appropri-
16 ation covering fiscal year 2026-27 shall
17 supersede and replace any duplicative (i)
18 reappropriation for this item covering
19 fiscal year 2026-27, and (ii) appropri-
20 ation for this item covering fiscal year
21 2026-27 set forth in chapter 53 of the
22 laws of 2025 (26956) ..................... 1,078,830,000
23 Notwithstanding any inconsistent provision
24 of law, subject to the approval of the
25 director of the budget, upon submission of
26 an allocation adjustment from the commis-
27 sioner of health, the amount appropriated
28 herein, together with any available feder-
29 al matching funds, may be transferred or
30 suballocated to the office of mental
31 health, office of addiction services and
32 supports, office for people with develop-
33 mental disabilities, division of housing
34 and community renewal, New York state
35 housing trust fund corporation, and office
36 of temporary and disability assistance for
37 services and expenses related to providing
38 affordable housing. Any such spending
39 shall consider the geographical location
40 of the grants.
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 (29521) ....................... 576,924,000
50 --------------
51 § 9. Section 6 of chapter 98 of the laws of 2026, relating to making
52 appropriations for the support of government, as amended by chapter 112
53 of the laws of 2026, is amended to read as follows:
54 § 6. The amounts specified in this section, or so much thereof as
55 shall be sufficient to accomplish the purposes designated, is hereby
S. 10324 26
1 appropriated and authorized to be paid as hereinafter provided, to the
2 public officers and for the purposes specified, which amount shall be
3 available for the state fiscal year beginning April 1, 2026.
4 DEPARTMENT OF LABOR
5 AID TO LOCALITIES
6 UNEMPLOYMENT INSURANCE BENEFIT PROGRAM ... [1,455,000,000] 1,470,000,000
7 --------------
8 Enterprise Funds
9 Unemployment Insurance Benefit Fund
10 Unemployment Insurance Benefit Account - 50650
11 For payment of unemployment insurance bene-
12 fits pursuant to article 18 of the labor
13 law or as authorized by the federal
14 government through the disaster unemploy-
15 ment assistance program, the emergency
16 unemployment compensation program, the
17 extended benefit program, the federal
18 additional compensation program or any
19 other federally funded unemployment bene-
20 fit program (34787) ...... [1,455,000,000] 1,470,000,000
21 --------------
22 § 10. Section 8 of chapter 100 of the laws of 2026, relating to making
23 appropriations for the support of government, as amended by chapter 111
24 of the laws of 2026, is amended to read as follows:
25 § 8. The amounts specified in this section, or so much thereof as
26 shall be sufficient to accomplish the purposes designated, is hereby
27 appropriated and authorized to be paid as hereinafter provided, to the
28 public officers and for the purposes specified, which amount shall be
29 available for the state fiscal year beginning April 1, 2026.
30 DEPARTMENT OF TRANSPORTATION
31 AID TO LOCALITIES
32 ADDITIONAL MASS TRANSPORTATION ASSISTANCE PROGRAM ........... 42,536,150
33 --------------
34 General Fund
35 Local Assistance Account - 10000
36 Notwithstanding any inconsistent provision
37 of law, the following appropriations are
38 for the payment of mass transportation
39 operating assistance provided that
40 payments from this appropriation shall be
41 made pursuant to a financial plan approved
42 by the director of the budget.
43 To the Capital District transportation
44 authority for the operating expenses ther-
45 eof (53206) .................................. 9,590,650
S. 10324 27
1 To the Central New York regional transporta-
2 tion authority for the operating expenses
3 thereof (53207) .............................. 6,906,575
4 To the Rochester-Genesee regional transpor-
5 tation authority for the operating
6 expenses thereof (53208) ..................... 8,229,375
7 To the Niagara Frontier transportation
8 authority for the operating expenses ther-
9 eof (53209) .................................. 9,876,025
10 To all other public transportation systems
11 serving primarily outside of the metropol-
12 itan commuter transportation district
13 eligible to receive operating assistance
14 under the provisions of section 18-b of
15 the transportation law for the operating
16 expenses thereof in accordance with a
17 service and usage formula to be estab-
18 lished by the commissioner of transporta-
19 tion with the approval of the director of
20 the budget (53210) ........................... 7,178,100
21 To Rockland county for the expenses thereof,
22 incurred for public transportation
23 services within the county provided
24 directly or under contract (53211) ............... 8,375
25 To the city of New York for the operating
26 expenses of the Staten Island ferry
27 notwithstanding any other provision of law
28 (53212) ......................................... 81,725
29 To the county of Westchester for the operat-
30 ing expenses thereof incurred for the
31 public transportation services, provided
32 within the county directly or under
33 contract (53213) ............................... 137,175
34 To the county of Nassau or its sub-grantees
35 for the operating expenses thereof
36 incurred for public transportation
37 services (53214) ............................... 165,925
38 To the county of Suffolk for operating
39 expenses thereof incurred for public
40 transportation services, provided within
41 the county directly or under contract
42 (53215) ......................................... 64,550
43 To the city of New York for the operating
44 expenses thereof incurred for public
45 transportation services, provided within
46 the city directly or under contract
47 (53216) ........................................ 218,425
48 To all other public transportation systems
49 serving primarily within the metropolitan
50 commuter transportation district eligible
51 to receive operating assistance under the
52 provisions of section 18-b of the trans-
53 portation law for the operating expenses
54 thereof in accordance with a service and
55 usage formula to be established by the
56 commissioner of transportation with the
S. 10324 28
1 approval of the director of the budget
2 (53217) ......................................... 79,250
3 --------------
4 DEDICATED MASS TRANSPORTATION TRUST FUND PROGRAM ........... 199,534,250
5 --------------
6 Special Revenue Funds - Other
7 Dedicated Mass Transportation Trust Fund
8 Non-MTA Capital Account - 20853
9 Notwithstanding any inconsistent provision
10 of law, the following appropriations are
11 for payment of mass transportation operat-
12 ing assistance for public transportation
13 systems eligible to receive operating
14 assistance under the provisions of section
15 18-b of the transportation law, provided
16 that payments from this appropriation
17 shall be made pursuant to a financial plan
18 approved by the director of the budget.
19 To the Capital District transportation
20 authority for the operating expenses ther-
21 eof (54253) .................................. 2,585,875
22 To the Central New York regional transporta-
23 tion authority for the operating expenses
24 thereof (54251) .............................. 2,304,275
25 To the Rochester-Genesee regional transpor-
26 tation authority for the operating
27 expenses thereof (54252) ..................... 2,582,850
28 To the Niagara Frontier regional transporta-
29 tion authority for the operating expenses
30 thereof (54254) .............................. 3,364,300
31 To all other public transportation bus
32 systems serving primarily areas outside of
33 the metropolitan transportation commuter
34 district eligible to receive operating
35 assistance under the provisions of section
36 18-b of the transportation law for the
37 operating expenses thereof in accordance
38 with the service and usage formula to be
39 established by the commissioner of trans-
40 portation with the approval of the direc-
41 tor of the budget (54250) .................... 2,197,950
42 --------------
43 Special Revenue Funds - Other
44 Dedicated Mass Transportation Trust Fund
45 Railroad Account - 20852
46 To the metropolitan transportation authority
47 for deposit in the metropolitan transpor-
48 tation authority dedicated tax fund for
49 the expenses of the New York city transit
50 authority, the Manhattan and Bronx surface
51 transit operating authority, and the
S. 10324 29
1 Staten Island rapid transit operating
2 authority, the Long Island rail road
3 company and the Metro-North commuter rail-
4 road company which includes the New York
5 state portion of the Harlem, Hudson, Port
6 Jervis, Pascack, and the New Haven commu-
7 ter railroad service regardless of whether
8 the services are provided directly or
9 pursuant to joint service agreements. No
10 expenditure shall be made hereunder until
11 a certificate of approval has been issued
12 by the director of the budget and a copy
13 of such certificate filed with the state
14 comptroller, the chairperson of the senate
15 finance committee and the chairperson of
16 the assembly ways and means committee.
17 Moneys appropriated herein may be made
18 available at such times and upon such
19 conditions as may be deemed appropriate by
20 the commissioner of transportation and the
21 director of the budget in accordance with
22 the following:
23 To the metropolitan transportation authority
24 for the operating expenses of the Long
25 Island rail road company and the Metro-
26 North commuter railroad company which
27 include operating expenses for the New
28 York state portion of Harlem, Hudson, Port
29 Jervis, Pascack, and New Haven commuter
30 railroad services regardless of whether
31 such services are provided directly or
32 pursuant to joint service agreements
33 (54282) ..................................... 27,996,000
34 --------------
35 Special Revenue Funds - Other
36 Dedicated Mass Transportation Trust Fund
37 Transit Authorities Account - 20851
38 To the metropolitan transportation authority
39 for deposit in the metropolitan transpor-
40 tation authority dedicated tax fund for
41 the expenses of the New York city transit
42 authority, the Manhattan and Bronx surface
43 transit operating authority, and the
44 Staten Island rapid transit operating
45 authority, the Long Island rail road
46 company and the Metro-North commuter rail-
47 road company which includes the New York
48 state portion of the Harlem, Hudson, Port
49 Jervis, Pascack, and the New Haven commu-
50 ter railroad service regardless of whether
51 the services are provided directly or
52 pursuant to joint service agreements. No
53 expenditure shall be made hereunder until
54 a certificate of approval has been issued
S. 10324 30
1 by the director of the budget and a copy
2 of such certificate filed with the state
3 comptroller, the chairperson of the senate
4 finance committee and the chairperson of
5 the assembly ways and means committee.
6 Moneys appropriated herein may be made
7 available at such times and upon such
8 conditions as may be deemed appropriate by
9 the commissioner of transportation and the
10 director of the budget in accordance with
11 the following:
12 To the metropolitan transportation authority
13 for the operating expenses of the New York
14 city transit authority, the Manhattan and
15 Bronx surface transit operating authority,
16 and the Staten Island rapid transit oper-
17 ating authority (53173) .................... 158,503,000
18 --------------
19 MASS TRANSPORTATION ASSISTANCE PROGRAM ....................... 6,312,750
20 --------------
21 General Fund
22 Local Assistance Account - 10000
23 For payment to the metropolitan transporta-
24 tion authority for the costs of the
25 student fare for school children program
26 for the 2026-27 school year provided
27 however, that the program shall maintain
28 the same eligibility criteria and discount
29 structure for students as was provided
30 during the 2019-20 school year. No expend-
31 iture shall be made hereunder until a
32 certificate of approval has been issued by
33 the director of the budget and a copy of
34 such certificate filed with the state
35 comptroller, the chairperson of the senate
36 finance committee and the chairperson of
37 the assembly ways and means committee.
38 Moneys appropriated herein may only be
39 made available prior to the beginning of
40 each school year semester designated fall,
41 spring, and summer after the receipt of
42 student fare passes by the New York City
43 department of education from the metropol-
44 itan transportation authority (53175) ........ 6,312,750
45 --------------
46 MASS TRANSPORTATION OPERATING ASSISTANCE FUND PROGRAM ...... 374,961,075
47 --------------
48 Special Revenue Funds - Other
49 Mass Transportation Operating Assistance Fund
S. 10324 31
1 Metropolitan Mass Transportation Operating Assistance
2 Account - 21402
3 Notwithstanding any inconsistent provision
4 of law, the following appropriations are
5 for payment of mass transportation operat-
6 ing assistance provided that payments from
7 this appropriation shall be made pursuant
8 to a financial plan approved by the direc-
9 tor of the budget.
10 To the metropolitan transportation authority
11 for the operating expenses of the New York
12 city transit authority, the Manhattan and
13 Bronx surface transit operating authority,
14 and the Staten Island rapid transit oper-
15 ating authority (53176) .................... 142,443,400
16 To the metropolitan transportation authority
17 for the operating expenses of the Long
18 Island rail road company and the Metro-
19 North commuter railroad company which
20 includes the New York state portion of
21 Harlem, Hudson, Port Jervis, Pascack, and
22 the New Haven commuter railroad services
23 regardless of whether the services are
24 provided directly or pursuant to joint
25 service agreements (53177) .................. 64,984,300
26 To Rockland county for the expenses thereof
27 incurred for public transportation
28 services within the county, provided
29 directly or under contract (53178) ........... 1,591,325
30 To the city of New York for the operating
31 expenses of the Staten Island ferry
32 notwithstanding any other provisions of
33 law (53179) ................................. 14,831,275
34 To the county of Westchester for the operat-
35 ing expenses thereof incurred for public
36 transportation services, provided within
37 the county directly or under contract
38 (53180) ..................................... 25,355,925
39 To the county of Nassau or its sub-grantees
40 for the operating expenses thereof
41 incurred for public transportation
42 services (53181) ............................ 30,880,275
43 To the county of Suffolk for operating
44 expenses thereof incurred for public
45 transportation services, provided within
46 the county directly or under contract
47 (53182) ..................................... 12,027,150
48 To the city of New York for the operating
49 expenses thereof incurred for public
50 transportation services, provided within
51 the city directly or under contract;
52 provided however, that $2,000,000 of this
53 appropriation shall be for expenses
54 incurred for the Staten Island express bus
55 service (53183) ............................. 39,794,050
S. 10324 32
1 To all other public transportation systems
2 serving primarily within the metropolitan
3 commuter transportation district, as
4 defined in section 1262 of the public
5 authorities law, eligible to receive oper-
6 ating assistance under the provisions of
7 section 18-b of the transportation law for
8 the operating expenses thereof in accord-
9 ance with a service and usage formula to
10 be established by the commissioner of
11 transportation with the approval of the
12 director of the budget (53184) .............. 14,542,125
13 --------------
14 Special Revenue Funds - Other
15 Mass Transportation Operating Assistance Fund
16 Public Transportation Systems Operating Assistance
17 Account - 21401
18 Notwithstanding any inconsistent provision
19 of law, the following appropriations are
20 for payment of mass transportation operat-
21 ing assistance provided that payments from
22 this appropriation shall be made pursuant
23 to a financial plan approved by the direc-
24 tor of the budget.
25 To the Capital District transportation
26 authority for the operating expenses ther-
27 eof (53185) .................................. 4,623,425
28 To the Central New York regional transporta-
29 tion authority for the operating expenses
30 thereof (53186) .............................. 4,278,125
31 To the Rochester-Genesee regional transpor-
32 tation authority for the operating
33 expenses thereof (53187) ..................... 5,339,850
34 To the Niagara Frontier transportation
35 authority for the operating expenses ther-
36 eof (53188) .................................. 7,986,200
37 To all other public transportation bus
38 systems serving primarily areas outside of
39 the metropolitan commuter transportation
40 district eligible to receive operating
41 assistance under the provisions of section
42 18-b of the transportation law for the
43 operating expenses thereof in accordance
44 with the service and usage formula to be
45 established by the commissioner of trans-
46 portation with the approval of the direc-
47 tor of the budget (53189) .................... 6,283,650
48 --------------
49 MASS TRANSPORTATION OPERATING ASSISTANCE PROGRAM ............ 55,467,475
50 --------------
51 General Fund
52 Local Assistance Account - 10000
S. 10324 33
1 Notwithstanding any inconsistent provision
2 of law, the following appropriations are
3 for the payment of mass transportation
4 operating assistance pursuant to section
5 18-b of the transportation law.
6 To the metropolitan transportation authority
7 for the operating expenses of the New York
8 city transit authority, the Manhattan and
9 Bronx surface transit operating authority,
10 and the Staten Island rapid transit oper-
11 ating authority (53192) ........................ 548,850
12 To the metropolitan transportation authority
13 for the operating expenses of the Long
14 Island rail road company and the Metro-
15 North commuter railroad company which
16 include operating expenses for the New
17 York state portion of Harlem, Hudson, Port
18 Jervis, Pascack, and New Haven commuter
19 railroad services regardless of whether
20 such services are provided directly or
21 pursuant to joint service agreements
22 (53193) ........................................ 916,650
23 To the city of New York for the operating
24 expenses of the Staten Island ferry
25 notwithstanding any other provision of law
26 (53198) ......................................... 77,250
27 To the county of Westchester for the operat-
28 ing expenses thereof incurred for the
29 public transportation services, provided
30 within the county directly or under
31 contract (53199) ................................ 65,275
32 To the county of Nassau or its sub-grantees
33 for the operating expenses thereof
34 incurred for public transportation
35 services (53200) ................................ 52,800
36 To the county of Suffolk for operating
37 expenses thereof incurred for public
38 transportation services, provided within
39 the county directly or under contract
40 (53201) ......................................... 18,700
41 To the city of New York for the operating
42 expenses thereof incurred for public
43 transportation services, provided within
44 the city directly or under contract
45 (53202) ........................................ 184,275
46 To all other public transportation systems
47 serving primarily within the metropolitan
48 commuter transportation district eligible
49 to receive operating assistance under the
50 provisions of section 18-b of the trans-
51 portation law for the operating expenses
52 thereof in accordance with a service and
53 usage formula to be established by the
54 commissioner of transportation with the
55 approval of the director of the budget
56 (53203) ......................................... 51,900
S. 10324 34
1 To the Capital District transportation
2 authority for the operating expenses ther-
3 eof (53194) .................................... 347,325
4 To the Central New York regional transporta-
5 tion authority for the operating expenses
6 thereof (53195) ................................ 548,125
7 To the Rochester-Genesee regional transpor-
8 tation authority for the operating
9 expenses thereof (53196) ....................... 685,125
10 To the Niagara Frontier transportation
11 authority for the operating expenses ther-
12 eof (53197) .................................... 713,500
13 To all other public transportation systems
14 serving primarily outside the metropolitan
15 commuter transportation district eligible
16 to receive operating assistance under the
17 provisions of section 18-b of the trans-
18 portation law for the operating expenses
19 thereof in accordance with a service and
20 usage formula to be established by the
21 commissioner of transportation with the
22 approval of the director of the budget
23 (53204) ........................................ 510,175
24 --------------
25 Special Revenue Funds - Other
26 Mass Transportation Operating Assistance Fund
27 Metropolitan Mass Transportation Operating Assistance
28 Account - 21402
29 Notwithstanding any inconsistent provision
30 of law, the following appropriations are
31 for the payment of mass transportation
32 operating assistance pursuant to section
33 18-b of the transportation law and section
34 88-a of the state finance law.
35 To the metropolitan transportation authority
36 for the operating expenses of the New York
37 city transit authority, the Manhattan and
38 Bronx surface transit operating authority,
39 and the Staten Island rapid transit oper-
40 ating authority (53192) ..................... 39,119,150
41 To the metropolitan transportation authority
42 for the operating expenses of the Long
43 Island rail road company and the Metro-
44 North commuter railroad company which
45 include operating expenses for the New
46 York state portion of Harlem, Hudson, Port
47 Jervis, Pascack, and New Haven commuter
48 railroad services regardless of whether
49 such services are provided directly or
50 pursuant to joint service agreements
51 (53193) ...................................... 6,396,350
52 To the city of New York for the operating
53 expenses of the Staten Island ferry
54 (53198) ........................................ 615,675
S. 10324 35
1 To the county of Westchester for the operat-
2 ing expenses thereof incurred for public
3 transportation services, provided within
4 the county directly or under contract
5 (53199) ........................................ 635,575
6 To the county of Nassau or its sub-grantees
7 for the operating expenses thereof
8 incurred for public transportation
9 services (53200) ............................... 582,075
10 To the county of Suffolk for operating
11 expenses thereof incurred for public
12 transportation services, provided within
13 the county directly or under contract
14 (53201) ........................................ 212,375
15 To the city of New York for the operating
16 expenses thereof incurred for public
17 transportation services, provided within
18 the city directly or under contract
19 (53202) ...................................... 1,507,775
20 To eligible public transportation systems
21 serving primarily within the metropolitan
22 commuter transportation district, as
23 defined in section 1262 of the public
24 authorities law, eligible to receive oper-
25 ating assistance under the provisions of
26 section 18-b of the transportation law for
27 the operating expenses thereof in accord-
28 ance with a service and usage formula to
29 be established by the commissioner of
30 transportation with the approval of the
31 director of the budget (53203) ................. 454,550
32 --------------
33 Special Revenue Funds - Other
34 Mass Transportation Operating Assistance Fund
35 Public Transportation Systems Operating Assistance
36 Account - 21401
37 Notwithstanding any inconsistent provision
38 of law, the following appropriations are
39 for the payment of mass transportation
40 operating assistance pursuant to section
41 18-b of the transportation law and section
42 88-a of the state finance law.
43 To the Capital District transportation
44 authority for the operating expenses ther-
45 eof (53194) .................................... 151,525
46 To the Central New York regional transporta-
47 tion authority for the operating expenses
48 thereof (53195) ................................ 255,775
49 To the Rochester-Genesee regional transpor-
50 tation authority for the operating
51 expenses thereof (53196) ....................... 292,250
52 To the Niagara Frontier transportation
53 authority for the operating expenses ther-
54 eof (53197) .................................... 311,500
S. 10324 36
1 To all other public transportation bus
2 systems serving areas outside of the
3 metropolitan commuter transportation
4 district eligible to receive operating
5 assistance under the provisions of section
6 18-b of the transportation law for the
7 operating expenses thereof in accordance
8 with the service and usage formula to be
9 established by the commissioner of trans-
10 portation with the approval of the direc-
11 tor of the budget (54289) ...................... 212,950
12 --------------
13 METROPOLITAN TRANSPORTATION AUTHORITY SUPPORT PROGRAM ....
14 ............................................ [13,138,000] 75,126,000
15 --------------
16 Special Revenue Funds - Other
17 Metropolitan Transportation Authority Financial Assistance
18 Fund
19 Mobility Tax Trust Account - 23651
20 To the metropolitan transportation authority
21 for deposit in the metropolitan transpor-
22 tation authority finance fund pursuant to
23 the provisions of section 92-ff of the
24 state finance law. Moneys appropriated
25 herein may be made available at such times
26 and upon such conditions as may be deemed
27 appropriate by the commissioner of trans-
28 portation and the director of the budget
29 in accordance with section 92-ff of the
30 state finance law (54298) ................... 48,850,000
31 --------------
32 Special Revenue Funds - Other
33 Metropolitan Transportation Authority Financial Assist-
34 ance Fund
35 New York Central Business District Trust Fund - 23653
36 To the metropolitan transportation authority
37 pursuant to section 99-ff of the state
38 finance law for deposit in the central
39 business district tolling capital lockbox
40 established pursuant to section 553-j of
41 the public authorities law (54298) .......
42 .............................. [13,138,000] 26,276,000
43 --------------
44 § 11. Section 7 of chapter 98 of the laws of 2026, relating to making
45 appropriations for the support of government, as amended by chapter 112
46 of the laws of 2026, is amended to read as follows:
47 § 7. 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
S. 10324 37
1 public officers and for the purposes specified, which amount shall be
2 available for the state fiscal year beginning April 1, 2026.
3 DEPARTMENT OF MENTAL HYGIENE
4 OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES
5 AID TO LOCALITIES
6 COMMUNITY SERVICES PROGRAM .................. [914,076,000] 919,125,000
7 --------------
8 General Fund
9 Local Assistance Account - 10000
10 For services and expenses of the community
11 services program, net of disallowances,
12 for community programs for people with
13 developmental disabilities pursuant to
14 article 41 of the mental hygiene law,
15 and/or chapter 620 of the laws of 1974,
16 chapter 660 of the laws of 1977, chapter
17 412 of the laws of 1981, chapter 27 of the
18 laws of 1987, chapter 729 of the laws of
19 1989, chapter 329 of the laws of 1993 and
20 other provisions of the mental hygiene
21 law. Notwithstanding any inconsistent
22 provision of law, the following appropri-
23 ation shall be net of prior and/or current
24 year refunds, rebates, reimbursements, and
25 credits.
26 Notwithstanding any other provision of law,
27 advances and reimbursement made pursuant
28 to subdivision (d) of section 41.15 and
29 section 41.18 of the mental hygiene law
30 shall be allocated pursuant to a plan and
31 in a manner prescribed by the agency head
32 and approved by the director of the budg-
33 et. The moneys hereby appropriated are
34 available to reimburse or advance locali-
35 ties and voluntary non-profit agencies for
36 expenditures made during local fiscal
37 periods commencing January 1, 2026, April
38 1, 2026 or July 1, 2026, and for advances
39 for the 3 month period beginning January
40 1, 2027.
41 Notwithstanding the provisions of article 41
42 of the mental hygiene law or any other
43 inconsistent provision of law, rule or
44 regulation, the commissioner, pursuant to
45 such contract and in the manner provided
46 therein, may pay all or a portion of the
47 expenses incurred by such voluntary agen-
48 cies arising out of loans which are funded
49 from the proceeds of bonds and notes
S. 10324 38
1 issued by the dormitory authority of the
2 state of New York.
3 Notwithstanding any other provision of law,
4 the money hereby appropriated may be
5 transferred to state operations and/or any
6 appropriation of the office for people
7 with developmental disabilities with the
8 approval of the director of the budget.
9 Notwithstanding any inconsistent provision
10 of law, moneys from this appropriation may
11 be used for state aid of up to 100 percent
12 of the net deficit costs of day training
13 programs and family support services.
14 Notwithstanding the provisions of section
15 16.23 of the mental hygiene law and any
16 other inconsistent provision of law, with
17 relation to the operation of certified
18 family care homes, including family care
19 homes sponsored by voluntary not-for-pro-
20 fit agencies, moneys from this appropri-
21 ation may be used for payments to purchase
22 general services including but not limited
23 to respite providers, up to a maximum of
24 14 days, at rates to be established by the
25 commissioner and approved by the director
26 of the budget in consideration of factors
27 including, but not limited to, geographic
28 area and number of clients cared for in
29 the home and for payment in an amount
30 determined by the commissioner for the
31 personal needs of each client residing in
32 the family care home.
33 Notwithstanding the provisions of subdivi-
34 sion 12 of section 8 of the state finance
35 law and any other inconsistent provision
36 of law, moneys from this appropriation may
37 be used for expenses of family care homes
38 including payments to operators of certi-
39 fied family care homes for damages caused
40 by clients to personal and real property
41 in accordance with standards established
42 by the commissioner and approved by the
43 director of the budget.
44 Notwithstanding any inconsistent provision
45 of law, moneys from this appropriation may
46 be used for appropriate day program
47 services and residential services includ-
48 ing, but not limited to, direct housing
49 subsidies to individuals, start-up
50 expenses for family care providers, envi-
51 ronmental modifications, adaptive technol-
52 ogies, appraisals, property options,
53 feasibility studies and preoperational
54 expenses.
55 Notwithstanding any inconsistent provision
56 of law except pursuant to a chapter of the
S. 10324 39
1 laws of 2025 authorizing a 2.6 percent
2 targeted inflationary increase, for the
3 period commencing on April 1, 2025 and
4 ending March 31, 2026 the commissioner
5 shall not apply any other inflationary
6 increases, cost of living type increases,
7 inflation factors, or trend factors for
8 the purpose of establishing rates of
9 payments, contracts or any other form of
10 reimbursement; provided that this shall
11 not prevent the commissioner from applying
12 prior adjustments for the purpose of
13 establishing rates resulting from a rebas-
14 ing of base year costs.
15 Notwithstanding section 6908 of the educa-
16 tion law and any other provision of law,
17 rule or regulation to the contrary, direct
18 support staff in programs certified or
19 approved by the office for people with
20 developmental disabilities, including the
21 home and community based services waiver
22 programs that the office for people with
23 developmental disabilities is authorized
24 to administer with federal approval pursu-
25 ant to subdivision (c) of section 1915 of
26 the federal social security act, are
27 authorized to provide such tasks as OPWDD
28 may specify when performed under the
29 supervision, training and periodic
30 inspection of a registered professional
31 nurse and in accordance with an authorized
32 practitioner's ordered care.
33 Notwithstanding any other provision of law
34 to the contrary, and consistent with
35 section 33.07 of the mental hygiene law,
36 the directors of facilities licensed but
37 not operated by the office for people with
38 developmental disabilities who act as
39 federally-appointed representative payees
40 and who assume management responsibility
41 over the funds of a resident may continue
42 to use such funds for the cost of the
43 resident's care and treatment, consistent
44 with federal law and regulations.
45 Funds appropriated herein shall be available
46 in accordance with the following:
47 Notwithstanding any inconsistent provision
48 of law, the director of the budget is
49 authorized to make suballocations from
50 this appropriation to the department of
51 health medical assistance program.
52 Notwithstanding any inconsistent provision
53 of law, and pursuant to criteria estab-
54 lished by the commissioner of the office
55 for people with developmental disabilities
56 and approved by the director of the budg-
S. 10324 40
1 et, expenditures may be made from this
2 appropriation for residential facilities
3 which are pending recertification as
4 intermediate care facilities for people
5 with developmental disabilities.
6 Notwithstanding the provisions of section
7 41.36 of the mental hygiene law and any
8 other inconsistent provision of law,
9 moneys from this appropriation may be used
10 for payment up to $250 per year per
11 client, at such times and in such manner
12 as determined by the commissioner on the
13 basis of financial need for the personal
14 needs of each client residing in voluntar-
15 y-operated community residences and volun-
16 tary-operated community residential alter-
17 natives, including individualized
18 residential alternatives under the home
19 and community based services waiver. The
20 commissioner shall, subject to the
21 approval of the director of the budget,
22 alter existing advance payment schedules
23 for voluntary-operated community resi-
24 dences established pursuant to section
25 41.36 of the mental hygiene law.
26 Notwithstanding any inconsistent provision
27 of law, moneys from this appropriation may
28 be used for the operation of clinics
29 licensed pursuant to article 16 of the
30 mental hygiene law including, but not
31 limited to, supportive and habilitative
32 services consistent with the home and
33 community based services waiver.
34 For the state and/or local share of medical
35 assistance services expenses incurred by
36 the department of health for the provision
37 of medical assistance services to people
38 with developmental disabilities (37835) .... 840,024,000
39 For services and expenses of the community
40 services program, net of disallowances,
41 for community programs for people with
42 developmental disabilities pursuant to
43 article 41 of the mental hygiene law,
44 and/or chapter 620 of the laws of 1974,
45 chapter 660 of the laws of 1977, chapter
46 412 of the laws of 1981, chapter 27 of the
47 laws of 1987, chapter 729 of the laws of
48 1989, chapter 329 of the laws of 1993 and
49 other provisions of the mental hygiene
50 law. Notwithstanding any inconsistent
51 provision of law, the following appropri-
52 ation shall be net of prior and/or current
53 year refunds, rebates, reimbursements, and
54 credits.
55 Notwithstanding any other provision of law,
56 advances and reimbursement made pursuant
S. 10324 41
1 to subdivision (d) of section 41.15 and
2 section 41.18 of the mental hygiene law
3 shall be allocated pursuant to a plan and
4 in a manner prescribed by the agency head
5 and approved by the director of the budg-
6 et. The moneys hereby appropriated are
7 available to reimburse or advance locali-
8 ties and voluntary non-profit agencies for
9 expenditures made during local fiscal
10 periods commencing January 1, 2026, April
11 1, 2026 or July 1, 2026, and for advances
12 for the 3 month period beginning January
13 1, 2027.
14 Notwithstanding the provisions of article 41
15 of the mental hygiene law or any other
16 inconsistent provision of law, rule or
17 regulation, the commissioner, pursuant to
18 such contract and in the manner provided
19 therein, may pay all or a portion of the
20 expenses incurred by such voluntary agen-
21 cies arising out of loans which are funded
22 from the proceeds of bonds and notes
23 issued by the dormitory authority of the
24 state of New York.
25 Notwithstanding any other provision of law,
26 the money hereby appropriated may be
27 transferred to state operations and/or any
28 appropriation of the office for people
29 with developmental disabilities with the
30 approval of the director of the budget.
31 Notwithstanding any inconsistent provision
32 of law, moneys from this appropriation may
33 be used for state aid of up to 100 percent
34 of the net deficit costs of day training
35 programs and family support services.
36 Notwithstanding the provisions of section
37 16.23 of the mental hygiene law and any
38 other inconsistent provision of law, with
39 relation to the operation of certified
40 family care homes, including family care
41 homes sponsored by voluntary not-for-pro-
42 fit agencies, moneys from this appropri-
43 ation may be used for payments to purchase
44 general services including but not limited
45 to respite providers, up to a maximum of
46 14 days, at rates to be established by the
47 commissioner and approved by the director
48 of the budget in consideration of factors
49 including, but not limited to, geographic
50 area and number of clients cared for in
51 the home and for payment in an amount
52 determined by the commissioner for the
53 personal needs of each client residing in
54 the family care home.
55 Notwithstanding the provisions of subdivi-
56 sion 12 of section 8 of the state finance
S. 10324 42
1 law and any other inconsistent provision
2 of law, moneys from this appropriation may
3 be used for expenses of family care homes
4 including payments to operators of certi-
5 fied family care homes for damages caused
6 by clients to personal and real property
7 in accordance with standards established
8 by the commissioner and approved by the
9 director of the budget.
10 Notwithstanding any inconsistent provision
11 of law, moneys from this appropriation may
12 be used for appropriate day program
13 services and residential services includ-
14 ing, but not limited to, direct housing
15 subsidies to individuals, start-up
16 expenses for family care providers, envi-
17 ronmental modifications, adaptive technol-
18 ogies, appraisals, property options,
19 feasibility studies and preoperational
20 expenses.
21 Notwithstanding any inconsistent provision
22 of law, moneys from this appropriation may
23 be used to fund continuity of care
24 services, family reimbursed respite, other
25 than personal services and direct housing
26 subsidies for people who are enrolled in
27 OPWDD's self-direction program, provided
28 any or all such costs are identified in a
29 self-direction budget approved by OPWDD.
30 Notwithstanding any inconsistent provision
31 of law except pursuant to a chapter of the
32 laws of 2025 authorizing a 2.6 percent
33 targeted inflationary increase, for the
34 period commencing on April 1, 2025 and
35 ending March 31, 2026 the commissioner
36 shall not apply any other inflationary
37 increases, cost of living type increases,
38 inflation factors, or trend factors for
39 the purpose of establishing rates of
40 payments, contracts or any other form of
41 reimbursement; provided that this shall
42 not prevent the commissioner from applying
43 prior adjustments for the purpose of
44 establishing rates resulting from a rebas-
45 ing of base year costs.
46 Notwithstanding section 6908 of the educa-
47 tion law and any other provision of law,
48 rule or regulation to the contrary, direct
49 support staff in programs certified or
50 approved by the office for people with
51 developmental disabilities, including the
52 home and community based services waiver
53 programs that the office for people with
54 developmental disabilities is authorized
55 to administer with federal approval pursu-
56 ant to subdivision (c) of section 1915 of
S. 10324 43
1 the federal social security act, are
2 authorized to provide such tasks as OPWDD
3 may specify when performed under the
4 supervision, training and periodic
5 inspection of a registered professional
6 nurse and in accordance with an authorized
7 practitioner's ordered care.
8 Notwithstanding any other provision of law
9 to the contrary, and consistent with
10 section 33.07 of the mental hygiene law,
11 the directors of facilities licensed but
12 not operated by the office for people with
13 developmental disabilities who act as
14 federally-appointed representative payees
15 and who assume management responsibility
16 over the funds of a resident may continue
17 to use such funds for the cost of the
18 resident's care and treatment, consistent
19 with federal law and regulations.
20 Funds appropriated herein shall be available
21 in accordance with the following:
22 Notwithstanding any other provision of law
23 to the contrary, funds appropriated herein
24 are available to reimburse in- and
25 out-of-state private residential schools,
26 pursuant to subdivision (c) of section
27 13.37-a and subdivision (g) of section
28 13.38 of the mental hygiene law, for costs
29 of supporting the residential and day
30 program services available to individuals
31 who are over the age of 21 years of age,
32 provided that the amount paid for residen-
33 tial services and/or maintenance costs is
34 net of any supplemental security income
35 benefit to which the individual receiving
36 services is eligible, and provided further
37 that funding for nonresidential services
38 will be in an amount not to exceed the
39 maximum reimbursement for appropriate day
40 services delivered by the office for
41 people with developmental disabilities
42 certified or approved providers other than
43 in- and out-of-state private residential
44 schools, unless otherwise authorized by
45 the director of the budget.
46 Notwithstanding section 163 of the state
47 finance law, section 142 of the economic
48 development law, and article 41 of the
49 mental hygiene law, the commissioner of
50 the office for people with developmental
51 disabilities may make the funds appropri-
52 ated herein available as state aid, a loan
53 or a grant, pursuant to terms and condi-
54 tions established by the commissioner of
55 the office for people with developmental
56 disabilities, to cover a portion of the
S. 10324 44
1 development costs of private, public
2 and/or non-profit organizations, including
3 corporations and partnerships established
4 pursuant to the private housing finance
5 law and/or any other statutory provisions,
6 for supportive housing units that have
7 been set aside for individuals with intel-
8 lectual and developmental disabilities.
9 Further, the office for people with devel-
10 opmental disabilities shall have a lien on
11 the real property developed with such
12 state aid, loans or grants, which shall be
13 in the amount of the loan or grant, for a
14 maximum term of 30 years, or other longer
15 term consistent with the requirements of
16 another regulatory agency.
17 For services and expenses related to the
18 provision of residential services to
19 people with developmental disabilities
20 (37802) ...................... [42,988,000] 45,919,000
21 For services and expenses related to the
22 provision of day program services to
23 people with developmental disabilities
24 (37803) ...................... [10,560,000] 11,280,000
25 For services and expenses related to the
26 provision of family support services to
27 people with developmental disabilities
28 (37804) ...................... [11,880,000] 12,690,000
29 For services and expenses related to the
30 provision of workshop, day training and
31 employment services to people with devel-
32 opmental disabilities. Notwithstanding any
33 other provision of law, up to [$101,200]
34 $108,100 of this appropriation may be
35 transferred to the New York State Educa-
36 tion Departments' Adult Career and Contin-
37 uing Education Services - Vocational Reha-
38 bilitation (ACCES-VR) program to support
39 the LongTerm Sheltered Employment program
40 operated by FEDCAP Rehabilitation
41 Services, Inc. (37805) ....... [6,864,000] 7,332,000
42 For other services and expenses provided to
43 people with developmental disabilities
44 including but not limited to hepatitis B,
45 care at home waiver, epilepsy services,
46 Special Olympics New York, Inc. and volun-
47 tary fingerprinting (37806) ... [1,760,000] 1,880,000
48 --------------
49 § 12. Section 8 of chapter 98 of the laws of 2026, relating to making
50 appropriations for the support of government, as amended by chapter 112
51 of the laws of 2026, is amended to read as follows:
52 § 8. The amounts specified in this section, or so much thereof as
53 shall be sufficient to accomplish the purposes designated, is hereby
54 appropriated and authorized to be paid as hereinafter provided, to the
S. 10324 45
1 public officers and for the purposes specified, which amount shall be
2 available for the state fiscal year beginning April 1, 2026.
3 DEPARTMENT OF VETERANS' SERVICES
4 AID TO LOCALITIES
5 BLIND VETERAN ANNUITY ASSISTANCE PROGRAM ........ [385,000] 770,000
6 --------------
7 General Fund
8 Local Assistance Account - 10000
9 For payment of annuities to blind veterans
10 and eligible surviving spouses. Up to
11 $15,000 of this appropriation may be
12 transferred to state operations for admin-
13 istrative costs associated with this
14 program (54606) ................. [385,000] 770,000
15 --------------
16 VETERANS' BENEFITS ADVISING PROGRAM ............. [264,000] 282,000
17 --------------
18 Special Revenue Funds - Other
19 Homeless Veterans Assistance Fund
20 Homeless Veterans Assistance Account - 20204
21 For services and expenses related to home-
22 less veterans' housing (54815) .. [264,000] 282,000
23 --------------
24 § 13. No expenditure may be made from any appropriation in this act,
25 until a certificate of approval has been issued by the director of the
26 budget and a copy of such certificate shall have been filed with the
27 state comptroller, the chairman of the senate finance committee and the
28 chairman of the assembly ways and means committee provided, however,
29 that any expenditures from any appropriation in this act made by the
30 legislature or judiciary shall not require such certificate.
31 § 14. All expenditures and disbursements made against the appropri-
32 ations in this act shall, upon final action by the legislature on appro-
33 priation bills submitted by the governor pursuant to article VII of the
34 state constitution for the support of government for the state fiscal
35 year beginning April 1, 2026, be transferred by the comptroller as
36 expenditures and disbursements to such appropriations for all state
37 departments and agencies, as applicable, in amounts equal to the amounts
38 charged against the appropriations in this act for each such department,
39 agency, and the legislature and the judiciary.
40 § 15. Severability clause. If any clause, sentence, paragraph, subdi-
41 vision, section or part of this act shall be adjudged by any court of
42 competent jurisdiction to be invalid, such judgment shall not affect,
43 impair, or invalidate the remainder thereof, but shall be confined in
44 its operation to the clause, sentence, paragraph, subdivision, section
45 or part thereof directly involved in the controversy in which such judg-
S. 10324 46
1 ment shall have been rendered. It is hereby declared to be the intent of
2 the legislature that this act would have been enacted even if such
3 invalid provisions had not been included herein.
4 § 16. This act shall take effect immediately and shall be deemed to
5 have been in full force and effect on and after April 1, 2026; provided,
6 however, that upon the transfer of expenditures and disbursements by the
7 comptroller as provided in section fourteen of this act, the appropri-
8 ations made by this act and subject to such section shall be deemed
9 repealed.
