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NY State Legislature· A10760-2025Signed by Governor

Provides for emergency appropriation for the period April 1, 2026 through April 7, 2026, the official text

Shown verbatim: the complete text as captured from the official source posted by the New York State Senate, fetched 2026-08-11. Nothing is edited or removed. Where this bill amends existing law, language marked for deletion in the official source appears here in brackets. The official bill page.
S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   10760
 
                           I N  A S S E M B L Y
 
                              March 30, 2026
                                ___________
 
 Introduced  by  M. of A. PRETLOW -- (at request of the Governor) -- read
   once and referred to the Committee on Ways and Means
 
 AN ACT making appropriations for the support of government; and  provid-
   ing 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:

   Section 1.  Legislative  intent.  The  legislature  hereby  finds  and
 declares  that the enactment of these appropriations provides sufficient
 authority to the comptroller for the purpose of making payments for  the
 purposes described herein until such time as appropriation bills submit-
 ted  by  the  governor pursuant to article VII of the state constitution
 for the support of government for the state fiscal year beginning  April
 1, 2026 are enacted.
   §  2.  The  amounts  specified  in this section, or so much thereof as
 shall be sufficient to accomplish the  purposes  designated,  is  hereby
 appropriated  and  authorized to be paid as hereinafter provided, to the
 public officers and for the purpose specified,  which  amount  shall  be
 available for the state fiscal year beginning April 1, 2026.
 
                    ALL STATE DEPARTMENTS AND AGENCIES

 For  the  purpose  of  making  payments  for
   personal  service,  including  liabilities
   incurred  prior  to  April 1, 2026, on the
   payrolls scheduled to be paid  during  the
   period  April  1  through April 7, 2026 to
   state officers and employees of the execu-
   tive  branch.  This   appropriation   also
   includes  payments  for services performed
   by mentally ill or  developmentally  disa-
   bled persons who are employed in state-op-
   erated special employment, work-for-pay or
   sheltered workshop programs ................ 247,904,000
                                             --------------
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD12026-01-6
 A. 10760                            2
 
   § 3. The amount specified in this section, or so much thereof as shall
 be  sufficient to accomplish the purpose designated, is hereby appropri-
 ated and authorized to be paid as hereinafter provided,  to  the  public
 officers  and for the purpose specified, which amount shall be available
 for the state fiscal year beginning April 1, 2026.
 
                    ALL STATE DEPARTMENTS AND AGENCIES
 
 For  the  payment  of  state  operations non
   personal service liabilities to the execu-
   tive branch,  including  the  comptroller,
   and  the attorney general, incurred in the
   ordinary course of  business,  during  the
   period  April  1  through  April  7, 2026,
   pursuant to existing  state  law  and  for
   purposes for which the legislature author-
   ized  the expenditure of moneys during the
   2025-2026  state  fiscal  year;  provided,
   however,  that  nothing  contained  herein
   shall be deemed to limit or  restrict  the
   power or authority of state departments or
   agencies  to  conduct  their activities or
   operations  in  accordance  with  existing
   law,  and  further  provided  that nothing
   contained herein shall be deemed to super-
   sede, nullify or modify the provisions  of
   section   40  of  the  state  finance  law
   prescribing when appropriations  made  for
   the 2025-2026 state fiscal year shall have
   ceased to have force and effect ............. 10,000,000
                                             --------------
 
   §  4.  The  amounts  specified  in this section, or so much thereof as
 shall be sufficient to accomplish the  purposes  designated,  is  hereby
 appropriated  and  authorized to be paid as hereinafter provided, to the
 public officers and for the purposes specified, which  amount  shall  be
 available for the state fiscal year beginning April 1, 2026.
 
            MISCELLANEOUS -- ALL STATE DEPARTMENTS AND AGENCIES
 
                           GENERAL STATE CHARGES
 
                             STATE OPERATIONS
 GENERAL STATE CHARGES ......................................  22,525,000
                                                           --------------
 
   General Fund
   State Purposes Account - 10050
 
 For  employee  fringe  benefits according to
   the following project  schedule  including
   those   benefits   which  are  related  to
   employees paid from  funds,  accounts,  or
   programs  where the division of the budget
   has issued waivers .......................... 22,525,000
 A. 10760                            3
 
               Project Schedule
 PROJECT                               AMOUNT
 --------------------------------------------
 For  the  state's contribution
   to   the   social   security
   contribution fund ............. 21,500,000
 For  the payment of the metro-
   politan commuter transporta-
   tion mobility  tax  pursuant
   to  article  23  of  the tax
   law, as added by chapter  25
   of  the  laws  of  2009,  on
   behalf of the state  employ-
   ees  employed  in the metro-
   politan commuter transporta-
   tion district .................... 675,000
 For  the  state's   share   of
   contributions  to the volun-
   tary  defined   contribution
   plan   made   on  behalf  of
   eligible employees  pursuant
   to chapter 18 of the laws of
   2012  who  elect  to partic-
   ipate in such plan  and  who
   are  not  otherwise eligible
   to participate in  the  SUNY
   optional retirement program ...... 350,000
                               --------------
      Project schedule total ....  22,525,000
                               --------------
   §  5.  The  amounts  specified  in this section, or so much thereof as
 shall be sufficient to accomplish the  purposes  designated,  is  hereby
 appropriated  and  authorized to be paid as hereinafter provided, to the
 public officers and for the purposes specified, which  amount  shall  be
 available for the state fiscal year beginning April 1, 2026.
 
                           DEPARTMENT OF HEALTH
 
                             AID TO LOCALITIES
 
 CENTER FOR COMMUNITY HEALTH PROGRAM .......................... 6,420,000
                                                           --------------
 
   Special Revenue Funds - Federal
   Federal USDA-Food and Nutrition Services Fund
   Federal Food and Nutrition Services Account - 25022
 
 For  various  federal  food  and nutritional
   services. The moneys  hereby  appropriated
   shall  be  available for payment of finan-
   cial assistance heretofore accrued (26986) ... 6,420,000
                                             --------------
 
 MEDICAL ASSISTANCE PROGRAM ................................. 609,931,000
                                                           --------------
 A. 10760                            4
 
   General Fund
   Local Assistance Account - 10000
 
 For  the medical assistance program, includ-
   ing  administrative  expenses,  for  local
   social services districts, and for medical
   care rates for authorized child care agen-
   cies.
 Notwithstanding  section  40  of  the  state
   finance law or any provision of law to the
   contrary,  subject  to  federal  approval,
   department  of health state funds medicaid
   spending, excluding payments  for  medical
   services   provided  at  state  facilities
   operated by the office of  mental  health,
   the  office  for people with developmental
   disabilities and the office  of  addiction
   services  and supports and further exclud-
   ing any payments which are  not  appropri-
   ated  within  the department of health, in
   the aggregate, for  the  period  April  1,
   2026  through  March  31,  2027, shall not
   exceed $36,099,200,000 except as  provided
   below  provided,  however,  such aggregate
   limits may be adjusted by the director  of
   the  budget  to account for any changes in
   the New York state federal medical assist-
   ance percentage amount established  pursu-
   ant  to  the  federal social security act,
   increases in provider revenues, reductions
   in local social services district payments
   for  medical  assistance   administration,
   minimum   wage  increases,  and  beginning
   April 1, 2012 the operational costs of the
   New York  state  medical  indemnity  fund,
   pursuant  to  chapter  59  of  the laws of
   2011, and state costs or savings from  the
   essential  plan  program. Such projections
   may be adjusted by  the  director  of  the
   budget  to  account for increased or expe-
   dited department  of  health  state  funds
   medicaid  expenditures  as  a  result of a
   natural or other type of disaster, includ-
   ing a governmental declaration of emergen-
   cy.
 The director of the budget, in  consultation
   with  the  commissioner  of  health, shall
   assess on  a  quarterly  basis  known  and
   projected medicaid expenditures by catego-
   ry of service and by geographic region, as
   defined by the commissioner, incurred both
   prior to and subsequent to such assessment
   for  each such period, and if the director
   of the budget determines that such expend-
   itures  are  expected  to  cause  medicaid
   spending  for  such  period  to exceed the
 A. 10760                            5
 
   aggregate limit specified herein for  such
   period,  the  state  medicaid director, in
   consultation  with  the  director  of  the
   budget  and  the  commissioner  of health,
   shall develop  a  medicaid  savings  allo-
   cation  adjustment  to limit such spending
   to the aggregate  limit  specified  herein
   for such period.
 Such  medicaid savings allocation adjustment
   shall be designed, to reduce the  expendi-
   tures  authorized  by  the  appropriations
   herein in compliance  with  the  following
   guidelines:  (1)  reductions shall be made
   in compliance with applicable federal law,
   including the provisions  of  the  Patient
   Protection and Affordable Care Act, Public
   Law  No.  111-148, and the Health Care and
   Education  Reconciliation  Act  of   2010,
   Public   Law   No.  111-152  (collectively
   "Affordable Care Act") and any  subsequent
   amendments  thereto or regulations promul-
   gated thereunder; (2) reductions shall  be
   made  in  a  manner that complies with the
   state medicaid plan approved by the feder-
   al  centers  for  medicare  and   medicaid
   services,   provided,  however,  that  the
   commissioner of health  is  authorized  to
   submit  any  state  plan amendment or seek
   other federal approval,  including  waiver
   authority,  to implement the provisions of
   the medicaid savings allocation adjustment
   that meets the other  criteria  set  forth
   herein;  (3) reductions shall be made in a
   manner that  maximizes  federal  financial
   participation,  to the extent practicable,
   including any  federal  financial  partic-
   ipation that is available or is reasonably
   expected   to  become  available,  in  the
   discretion of the commissioner, under  the
   Affordable  Care Act; (4) reductions shall
   be  made  uniformly  among  categories  of
   services  and  geographic  regions  of the
   state,  to  the  extent  practicable,  and
   shall  be made uniformly within a category
   of service,  to  the  extent  practicable,
   except  where  the commissioner determines
   that  there  are  sufficient  grounds  for
   non-uniformity,  including but not limited
   to: the extent to which  specific  catego-
   ries of services contributed to department
   of health medicaid state funds spending in
   excess of the limits specified herein; the
   need  to  maintain  safety net services in
   underserved communities; or the  potential
   benefits  of  pursuing  innovative payment
   models contemplated by the Affordable Care
 A. 10760                            6
 
   Act, in which case such grounds  shall  be
   set  forth  in  the medicaid savings allo-
   cation  adjustment;  and  (5)   reductions
   shall  be  made  in a manner that does not
   unnecessarily    create     administrative
   burdens to medicaid applicants and recipi-
   ents or providers.
 The commissioner shall seek the input of the
   legislature,   as  well  as  organizations
   representing   health   care    providers,
   consumers,   businesses,  workers,  health
   insurers, and others with relevant  exper-
   tise,  in developing such medicaid savings
   allocation adjustment, to the extent  that
   all  or  part  of  such adjustment, in the
   discretion of the commissioner, is  likely
   to  have  a material impact on the overall
   medicaid program, particular categories of
   service or particular  geographic  regions
   of the state.
 (a) The commissioner shall post the medicaid
   savings   allocation   adjustment  on  the
   department of health's website  and  shall
   provide  written copies of such adjustment
   to the chairs of the  senate  finance  and
   the  assembly ways and means committees at
   least 30 days before  the  date  on  which
   implementation is expected to begin.
 (b) The commissioner may revise the medicaid
   savings  allocation  adjustment subsequent
   to the provisions of notice and  prior  to
   implementation  but needs to provide a new
   notice pursuant  to  subparagraph  (i)  of
   this  paragraph  only  if the commissioner
   determines, in his or her discretion, that
   such  revisions   materially   alter   the
   adjustment.
 Notwithstanding the provisions of paragraphs
   (a)  and  (b)  of  this  subdivision,  the
   commissioner  need  not  seek  the   input
   described  in paragraph (a) of this subdi-
   vision or provide notice pursuant to para-
   graph (b) of this subdivision if,  in  the
   discretion  of the commissioner, expedited
   development and implementation of a  medi-
   caid   savings  allocation  adjustment  is
   necessary due to a public health  emergen-
   cy.
 For  purposes  of  this  section,  a  public
   health emergency  is  defined  as:  (i)  a
   disaster,   natural   or  otherwise,  that
   significantly increases the immediate need
   for health care personnel in  an  area  of
   the state; (ii) an event or condition that
   creates a widespread risk of exposure to a
   serious   communicable   disease,  or  the
 A. 10760                            7
 
   potential  for  such  widespread  risk  of
   exposure;  or  (iii)  any  other  event or
   condition determined by  the  commissioner
   to constitute an imminent threat to public
   health.
 Nothing in this paragraph shall be deemed to
   prevent  all  or  part  of  such  medicaid
   savings allocation adjustment from  taking
   effect retroactively to the extent permit-
   ted  by  the  federal centers for medicare
   and medicaid services.
 In  accordance  with  the  medicaid  savings
   allocation adjustment, the commissioner of
   the  department  of  health  shall  reduce
   department of health state funds  medicaid
   spending  by  the  amount of the projected
   overspending through,  actions  including,
   but not limited to modifying or suspending
   reimbursement  methods,  including but not
   limited to all fees,  premium  levels  and
   rates   of  payment,  notwithstanding  any
   provision of  law  that  sets  a  specific
   amount   or   methodology   for  any  such
   payments or rates of payment; modifying or
   discontinuing medicaid  program  benefits;
   seeking  all  necessary federal approvals,
   including, but  not  limited  to  waivers,
   waiver  amendments;  and  suspending  time
   frames for  notice,  approval  or  certif-
   ication  of  rate  requirements,  notwith-
   standing any provision  of  law,  rule  or
   regulation  to the contrary, including but
   not limited to sections 2807 and  3614  of
   the public health law, section 18 of chap-
   ter  2  of  the laws of 1988, and 18 NYCRR
   505.14(h).
 The department of  health  shall  prepare  a
   quarterly  report  that  sets  forth:  (a)
   known and projected department  of  health
   medicaid   expenditures  as  described  in
   subdivision  (1)  of  this  section,   and
   factors  that  could  result  in  medicaid
   disbursements  for  the   relevant   state
   fiscal   year   to  exceed  the  projected
   department of health state funds disburse-
   ments in the enacted budget financial plan
   pursuant to subdivision 3 of section 23 of
   the state finance law, including  spending
   increases  or decreases due to: enrollment
   fluctuations,  rate  changes,  utilization
   changes,  MRT  investments,  and  shift of
   beneficiaries to managed care;  and  vari-
   ations  in  offline medicaid payments; and
   (b) the actions  taken  to  implement  any
   medicaid   savings  allocation  adjustment
   implemented pursuant to subdivision (4) of
 A. 10760                            8
 
   this   section,   including    information
   concerning  the  impact of such actions on
   each  category   of   service   and   each
   geographic  region of the state. Each such
   quarterly report shall be provided to  the
   chairs  of  the  senate  finance  and  the
   assembly ways  and  means  committees  and
   shall  be  posted  on  the  department  of
   health's website in a timely manner.
 The  money  hereby  appropriated  is  to  be
   available  for  payment  of aid heretofore
   accrued or hereafter  accrued  to  munici-
   palities,  and  to  providers  of  medical
   services pursuant to section 367-b of  the
   social  services  law,  and for payment of
   state aid to municipalities and to provid-
   ers of family care where  payment  systems
   through  the fiscal intermediaries are not
   operational.
 Notwithstanding any  inconsistent  provision
   of  law to the contrary, funds may be used
   by  the  department  for   outside   legal
   assistance on issues involving the federal
   government,  the  conduct  of preadmission
   screening  and  annual  resident   reviews
   required  by the state's medicaid program,
   computer matching with insurance  carriers
   to  insure  that  medicaid is the payer of
   last resort and activities related to  the
   management  of the pharmacy benefit avail-
   able under the medicaid program.
 Notwithstanding any  inconsistent  provision
   of  law, in lieu of payments authorized by
   the social services law,  or  payments  of
   federal  funds  otherwise due to the local
   social  services  districts  for  programs
   provided under the federal social security
   act  or  the federal food stamp act, funds
   herein appropriated, in amounts  certified
   by the state commissioner of temporary and
   disability assistance or the state commis-
   sioner  of health as due from local social
   services districts  each  month  as  their
   share of payments made pursuant to section
   367-b  of  the  social services law may be
   set aside by the state comptroller  in  an
   interest-bearing   account   in  order  to
   ensure the orderly and prompt  payment  of
   providers   under  section  367-b  of  the
   social services law pursuant to  an  esti-
   mate   provided  by  the  commissioner  of
   health  of  each  local  social   services
   district's share of payments made pursuant
   to  section  367-b  of the social services
   law.
 A. 10760                            9
 
 Notwithstanding any  inconsistent  provision
   of  law,  funding  made available by these
   appropriations shall support direct salary
   costs and related fringe  benefits  within
   the  medical assistance program associated
   with any minimum wage increase that  takes
   effect   during  the  timeframe  of  these
   appropriations, pursuant to section 652 of
   the labor law. Each eligible  organization
   in  receipt  of  funding made available by
   these appropriations may  be  required  to
   submit written certification, in such form
   and  at  such  time  the  commissioner may
   prescribe, attesting to the  total  amount
   of  funds  used  by the eligible organiza-
   tion, how such funding will be or was used
   for purposes eligible under  these  appro-
   priations  and  any other reporting deemed
   necessary by the commissioner. The amounts
   appropriated herein may  include  advances
   to  organizations  authorized  to  receive
   such funds to accomplish this purpose.
 Notwithstanding any other provision of  law,
   the   money  hereby  appropriated  may  be
   increased or decreased by  interchange  or
   transfer,  with  any  appropriation of the
   department of health  and  the  office  of
   medicaid  inspector  general  and  may  be
   increased  or  decreased  by  transfer  or
   suballocation  between  these appropriated
   amounts and appropriations of the  depart-
   ment  of health state purpose account, the
   office of mental health, office for people
   with   developmental   disabilities,   the
   office of addiction services and supports,
   the department of family assistance office
   of  temporary  and  disability assistance,
   the department of corrections and communi-
   ty supervision, the office of  information
   technology  services, the state university
   of New York, and office  of  children  and
   family  services,  the  office of medicaid
   inspector  general,  the  state  education
   department,  and  the state office for the
   aging with the approval of the director of
   the budget, who shall file  such  approval
   with  the  department of audit and control
   and copies thereof with  the  chairman  of
   the   senate  finance  committee  and  the
   chairman of the assembly  ways  and  means
   committee.
 Notwithstanding  any  inconsistent provision
   of law to the contrary, the moneys  hereby
   appropriated  may  be used for payments to
   the  centers  for  medicaid  and  medicare
   services  for obligations incurred related
 A. 10760                           10
 
   to  the  pharmaceutical  costs  of  dually
   eligible  medicare/medicaid  beneficiaries
   participating in the medicare drug benefit
   authorized by P.L. 108-173.
 Notwithstanding  any  inconsistent provision
   of law,  the  moneys  hereby  appropriated
   shall  not be used for any existing rates,
   fees, fee schedule,  or  procedures  which
   may  affect  the cost of care and services
   provided by personal care providers,  case
   managers,   health  maintenance  organiza-
   tions, out  of  state  medical  facilities
   which  provide  care and services to resi-
   dents of the state, providers of transpor-
   tation   services,   that   are   altered,
   amended,  adjusted or otherwise changed by
   a local social  services  district  unless
   previously  approved  by the department of
   health and the director of the budget.
 Notwithstanding any  inconsistent  provision
   of  law  to  the  contrary, funds shall be
   made available to the commissioner of  the
   office of mental health or the commission-
   er of the office of addiction services and
   supports, in consultation with the commis-
   sioner  of  health  and  approved  by  the
   director of  the  budget,  and  consistent
   with   appropriations  made  therefor,  to
   implement allocation adjustment  developed
   by  each  such  commissioner  which  shall
   describe mental health  or  substance  use
   disorder services that should be developed
   to  meet  service needs resulting from the
   reduction of inpatient  behavioral  health
   services   provided   under  the  medicaid
   program, by programs licensed pursuant  to
   article  31  or  32  of the mental hygiene
   law. Such programs  may  include  programs
   that are licensed pursuant to both article
   31  of  the mental hygiene law and article
   28 of the public health law, or  certified
   under   both  article  32  of  the  mental
   hygiene law and article 28 of  the  public
   health law.
 Notwithstanding  any  inconsistent provision
   of law, the moneys hereby appropriated may
   be available for payments associated  with
   the  resolution by settlement agreement or
   judgment of rate appeals and/or litigation
   where the department of health is a party.
 For services and  expenses  of  the  medical
   assistance   program   including  hospital
   inpatient services and  general  hospitals
   that  are safety-net providers that evince
   severe  financial  distress,  pursuant  to
   criteria  determined  by the commissioner,
 A. 10760                           11
 
   shall be eligible for awards  for  amounts
   appropriated   herein,   to   enable  such
   providers to maintain operations and vital
   services   while  establishing  long  term
   solutions to  achieve  sustainable  health
   services.
 Notwithstanding  any inconsistent provisions
   of law, no expenditures shall be used  for
   the  medical  assistance  program  for any
   expenses not explicitly authorized in  law
   without  the  approval  of the director of
   the budget.
 Notwithstanding any provision of law to  the
   contrary,  the  portion  of this appropri-
   ation covering fiscal year  2026-27  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2026-27,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2026-27  set  forth  in  chapter 53 of the
   laws of 2025 (26947) ........................ 24,238,000
 For services and  expenses  of  the  medical
   assistance   program   including  hospital
   outpatient and emergency room services.
 Notwithstanding any provision of law to  the
   contrary,  the  portion  of this appropri-
   ation covering fiscal year  2026-27  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2026-27,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2026-27  set  forth  in  chapter 53 of the
   laws of 2025 (26948) ......................... 7,249,000
 For services and  expenses  of  the  medical
   assistance    program   including   clinic
   services.
 Notwithstanding any provision of law to  the
   contrary,  the  portion  of this appropri-
   ation covering fiscal year  2026-27  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2026-27,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2026-27  set  forth  in  chapter 53 of the
   laws of 2025 (26949) ........................ 14,198,000
 For services and  expenses  of  the  medical
   assistance  program including nursing home
   services.
 Notwithstanding any provision of law to  the
   contrary,  the  portion  of this appropri-
   ation covering fiscal year  2026-27  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2026-27,  and (ii) appropri-
   ation for this item covering  fiscal  year
 A. 10760                           12
 
   2026-27  set  forth  in  chapter 53 of the
   laws of 2025 (26950) ........................ 35,685,000
 For  services  and  expenses  of the medical
   assistance program  including  other  long
   term care services.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2026-27 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2026-27,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26951) ....................... 169,986,000
 For  services  and  expenses  of the medical
   assistance program including managed  care
   services   including   regional   planning
   activities  of  the  finger  lakes  health
   systems  agency, including statewide coor-
   dination and demonstration of  best  prac-
   tices.  The  department  shall make grants
   within amounts appropriated  therefor,  to
   assure high-quality and accessible primary
   care,  to  provide technical assistance to
   support financial  and  business  planning
   for  integrated  systems  of  care, and to
   assist  primary  care  providers  in   the
   adoption,  implementation,  and meaningful
   use of electronic health record  technolo-
   gy.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2026-27 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2026-27,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26952) ....................... 155,710,000
 For  services  and expenses for health homes
   including grants to health homes.
 Notwithstanding any provision of law to  the
   contrary,  the  portion  of this appropri-
   ation covering fiscal year  2026-27  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2026-27,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2026-27  set  forth  in  chapter 53 of the
   laws of 2025 (29548) ......................... 3,770,000
 For services and  expenses  of  the  medical
   assistance   program   including  pharmacy
   services provided, however, that no  funds
   shall  be  made available pursuant to this
   appropriation for any drug not  explicitly
   authorized  in  any  enacted law, rule, or
 A. 10760                           13
 
   regulation  without  approval   from   the
   director of the budget.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2026-27 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2026-27,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26953) ........................ 71,926,000
 For  services  and  expenses  of the medical
   assistance program  including  transporta-
   tion services.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2026-27 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2026-27,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26954) ........................ 10,332,000
 For  services  and  expenses  of the medical
   assistance   program   including    dental
   services.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2026-27 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2026-27,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26955) ............................ 79,000
 For  services  and  expenses  of the medical
   assistance program including  non-institu-
   tional and other spending.
 The  money  hereby appropriated is available
   for  payment  of  liabilities   heretofore
   accrued or hereafter accrued.
 Notwithstanding  any  inconsistent provision
   of law, the money hereby appropriated  may
   be available for payments to any county or
   public  school  districts  associated with
   additional claims  for  school  supportive
   health services.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2026-27 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2026-27,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26956) ........................ 20,604,000
 A. 10760                           14
 
 For  services  and  expenses  of the medical
   assistance   program   including   medical
   services   provided  at  state  facilities
   operated by the office of  mental  health,
   the  office  for people with developmental
   disabilities and the office  of  addiction
   services and supports.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2026-27 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2026-27,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26961) ........................ 96,154,000
                                             --------------
 
   §  6.  The  amounts  specified  in this section, or so much thereof as
 shall be sufficient to accomplish the  purposes  designated,  is  hereby
 appropriated  and  authorized to be paid as hereinafter provided, to the
 public officers and for the purposes specified, which  amount  shall  be
 available for the state fiscal year beginning April 1, 2026.
 
                            DEPARTMENT OF LABOR
 
                             AID TO LOCALITIES
 
 UNEMPLOYMENT INSURANCE BENEFIT PROGRAM ..................... 135,000,000
                                                           --------------
 
   Enterprise Funds
   Unemployment Insurance Benefit Fund
   Unemployment Insurance Benefit Account - 50650
 
 For  payment of unemployment insurance bene-
   fits pursuant to article 18 of  the  labor
   law   or  as  authorized  by  the  federal
   government through the disaster  unemploy-
   ment  assistance  program,  the  emergency
   unemployment  compensation  program,   the
   extended   benefit  program,  the  federal
   additional  compensation  program  or  any
   other  federally funded unemployment bene-
   fit program (34787) ........................ 135,000,000
                                             --------------
 
   § 7. The amounts specified in this section,  or  so  much  thereof  as
 shall  be  sufficient  to  accomplish the purposes designated, is hereby
 appropriated and authorized to be paid as hereinafter provided,  to  the
 public  officers  and  for the purposes specified, which amount shall be
 available for the state fiscal year beginning April 1, 2026.
 A. 10760                           15
 
                       DEPARTMENT OF MENTAL HYGIENE
 
             OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES
 
                             AID TO LOCALITIES
 
 COMMUNITY SERVICES PROGRAM .................................. 10,098,000
                                                           --------------
 
   General Fund
   Local Assistance Account - 10000
 
 For  services  and expenses of the community
   services program,  net  of  disallowances,
   for  community  programs  for  people with
   developmental  disabilities  pursuant   to
   article  41  of  the  mental  hygiene law,
   and/or chapter 620 of the  laws  of  1974,
   chapter  660  of the laws of 1977, chapter
   412 of the laws of 1981, chapter 27 of the
   laws of 1987, chapter 729 of the  laws  of
   1989,  chapter 329 of the laws of 1993 and
   other provisions  of  the  mental  hygiene
   law.   Notwithstanding   any  inconsistent
   provision of law, the following  appropri-
   ation shall be net of prior and/or current
   year refunds, rebates, reimbursements, and
   credits.
 Notwithstanding  any other provision of law,
   advances and reimbursement  made  pursuant
   to  subdivision  (d)  of section 41.15 and
   section 41.18 of the  mental  hygiene  law
   shall  be allocated pursuant to a plan and
   in a manner prescribed by the agency  head
   and  approved by the director of the budg-
   et.   The moneys hereby  appropriated  are
   available  to reimburse or advance locali-
   ties and voluntary non-profit agencies for
   expenditures  made  during  local   fiscal
   periods  commencing January 1, 2026, April
   1, 2026 or July 1, 2026, and for  advances
   for  the  3 month period beginning January
   1, 2027.
 Notwithstanding the provisions of article 41
   of the mental hygiene  law  or  any  other
   inconsistent  provision  of  law,  rule or
   regulation, the commissioner, pursuant  to
   such  contract  and in the manner provided
   therein, may pay all or a portion  of  the
   expenses  incurred by such voluntary agen-
   cies arising out of loans which are funded
   from  the  proceeds  of  bonds  and  notes
   issued  by  the dormitory authority of the
   state of New York.
 Notwithstanding any other provision of  law,
   the   money  hereby  appropriated  may  be
 A. 10760                           16
 
   transferred to state operations and/or any
   appropriation of  the  office  for  people
   with  developmental  disabilities with the
   approval of the director of the budget.
 Notwithstanding  any  inconsistent provision
   of law, moneys from this appropriation may
   be used for state aid of up to 100 percent
   of the net deficit costs of  day  training
   programs and family support services.
 Notwithstanding  the  provisions  of section
   16.23 of the mental hygiene  law  and  any
   other  inconsistent provision of law, with
   relation to  the  operation  of  certified
   family  care  homes, including family care
   homes sponsored by voluntary  not-for-pro-
   fit  agencies,  moneys from this appropri-
   ation may be used for payments to purchase
   general services including but not limited
   to respite providers, up to a  maximum  of
   14 days, at rates to be established by the
   commissioner  and approved by the director
   of the budget in consideration of  factors
   including,  but not limited to, geographic
   area and number of clients  cared  for  in
   the  home  and  for  payment  in an amount
   determined by  the  commissioner  for  the
   personal  needs of each client residing in
   the family care home.
 Notwithstanding the provisions  of  subdivi-
   sion  12 of section 8 of the state finance
   law and any other  inconsistent  provision
   of law, moneys from this appropriation may
   be  used for expenses of family care homes
   including payments to operators of  certi-
   fied  family care homes for damages caused
   by clients to personal and  real  property
   in  accordance  with standards established
   by the commissioner and  approved  by  the
   director of the budget.
 Notwithstanding  any  inconsistent provision
   of law, moneys from this appropriation may
   be  used  for  appropriate   day   program
   services  and residential services includ-
   ing, but not limited  to,  direct  housing
   subsidies    to    individuals,   start-up
   expenses for family care providers,  envi-
   ronmental modifications, adaptive technol-
   ogies,   appraisals,   property   options,
   feasibility  studies  and   preoperational
   expenses.
 Notwithstanding  any  inconsistent provision
   of law, moneys from this appropriation may
   be  used  to  fund  continuity   of   care
   services, family reimbursed respite, other
   than  personal services and direct housing
   subsidies for people who are  enrolled  in
 A. 10760                           17
 
   OPWDD's  self-direction  program, provided
   any or all such costs are identified in  a
   self-direction budget approved by OPWDD.
 Notwithstanding  any  inconsistent provision
   of law except pursuant to a chapter of the
   laws of 2025  authorizing  a  2.6  percent
   targeted  inflationary  increase,  for the
   period commencing on  April  1,  2025  and
   ending  March  31,  2026  the commissioner
   shall not  apply  any  other  inflationary
   increases,  cost of living type increases,
   inflation factors, or  trend  factors  for
   the   purpose  of  establishing  rates  of
   payments, contracts or any other  form  of
   reimbursement;  provided  that  this shall
   not prevent the commissioner from applying
   prior  adjustments  for  the  purpose   of
   establishing rates resulting from a rebas-
   ing of base year costs.
 Notwithstanding  section  6908 of the educa-
   tion law and any other provision  of  law,
   rule or regulation to the contrary, direct
   support  staff  in  programs  certified or
   approved by the  office  for  people  with
   developmental  disabilities, including the
   home and community based  services  waiver
   programs  that  the office for people with
   developmental disabilities  is  authorized
   to administer with federal approval pursu-
   ant  to subdivision (c) of section 1915 of
   the  federal  social  security  act,   are
   authorized  to provide such tasks as OPWDD
   may  specify  when  performed  under   the
   supervision,    training    and   periodic
   inspection of  a  registered  professional
   nurse and in accordance with an authorized
   practitioner's ordered care.
 Notwithstanding  any  other provision of law
   to  the  contrary,  and  consistent   with
   section  33.07  of the mental hygiene law,
   the directors of facilities  licensed  but
   not operated by the office for people with
   developmental   disabilities  who  act  as
   federally-appointed representative  payees
   and  who  assume management responsibility
   over the funds of a resident may  continue
   to  use  such  funds  for  the cost of the
   resident's care and treatment,  consistent
   with federal law and regulations.
 Funds appropriated herein shall be available
   in accordance with the following:
 Notwithstanding  any  other provision of law
   to the contrary, funds appropriated herein
   are   available  to    reimburse  in-  and
   out-of-state  private residential schools,
   pursuant to  subdivision  (c)  of  section
 A. 10760                           18
 
   13.37-a  and  subdivision  (g)  of section
   13.38 of the mental hygiene law, for costs
   of  supporting  the  residential  and  day
   program  services available to individuals
   who are over the age of 21 years  of  age,
   provided that the amount paid for residen-
   tial  services and/or maintenance costs is
   net of any  supplemental  security  income
   benefit  to which the individual receiving
   services is eligible, and provided further
   that funding for  nonresidential  services
   will  be  in  an  amount not to exceed the
   maximum reimbursement for appropriate  day
   services   delivered  by  the  office  for
   people  with  developmental   disabilities
   certified or approved providers other than
   in-  and  out-of-state private residential
   schools, unless  otherwise  authorized  by
   the director of the budget.
 Notwithstanding  section  163  of  the state
   finance law, section 142 of  the  economic
   development  law,  and  article  41 of the
   mental hygiene law,  the  commissioner  of
   the  office  for people with developmental
   disabilities may make the funds  appropri-
   ated herein available as state aid, a loan
   or  a  grant, pursuant to terms and condi-
   tions established by the  commissioner  of
   the  office  for people with developmental
   disabilities, to cover a  portion  of  the
   development   costs   of  private,  public
   and/or non-profit organizations, including
   corporations and partnerships  established
   pursuant  to  the  private housing finance
   law and/or any other statutory provisions,
   for supportive  housing  units  that  have
   been set aside for individuals with intel-
   lectual  and  developmental  disabilities.
   Further, the office for people with devel-
   opmental disabilities shall have a lien on
   the  real  property  developed  with  such
   state aid, loans or grants, which shall be
   in  the amount of the loan or grant, for a
   maximum term of 30 years, or other  longer
   term  consistent  with the requirements of
   another regulatory agency.
 For services and  expenses  related  to  the
   provision   of   residential  services  to
   people  with  developmental   disabilities
   (37802) ...................................... 5,862,000
 For  services  and  expenses  related to the
   provision  of  day  program  services   to
   people   with  developmental  disabilities
   (37803) ...................................... 1,440,000
 For services and  expenses  related  to  the
   provision  of  family  support services to
 A. 10760                           19
 
   people  with  developmental   disabilities
   (37804) ...................................... 1,620,000
 For  services  and  expenses  related to the
   provision of workshop,  day  training  and
   employment  services to people with devel-
   opmental disabilities. Notwithstanding any
   other provision of law, up to  $13,800  of
   this  appropriation  may be transferred to
   the New York State Education  Departments'
   Adult   Career  and  Continuing  Education
   Services   -   Vocational   Rehabilitation
   (ACCES-VR) program to support the LongTerm
   Sheltered  Employment  program operated by
   FEDCAP   Rehabilitation   Services,   Inc.
   (37805) ........................................ 936,000
 For  other services and expenses provided to
   people  with  developmental   disabilities
   including  but not limited to hepatitis B,
   care at home  waiver,  epilepsy  services,
   Special Olympics New York, Inc. and volun-
   tary fingerprinting (37806) .................... 240,000
                                             --------------
 
   §  8.  The  amounts  specified  in this section, or so much thereof as
 shall be sufficient to accomplish the  purposes  designated,  is  hereby
 appropriated  and  authorized to be paid as hereinafter provided, to the
 public officers and for the purposes specified, which  amount  shall  be
 available for the state fiscal year beginning April 1, 2026.
 
                     DEPARTMENT OF VETERANS' SERVICES
 
                             AID TO LOCALITIES

 VETERANS' BENEFITS ADVISING PROGRAM ............................. 36,000
                                                           --------------
 
   Special Revenue Funds - Other
   Homeless Veterans Assistance Fund
   Homeless Veterans Assistance Account - 20204
 
 For  services  and expenses related to home-
   less veterans' housing (54815) .................. 36,000
 
   § 9. No expenditure may be made from any appropriation  in  this  act,
 until  a  certificate of approval has been issued by the director of the
 budget and a copy of such certificate shall have  been  filed  with  the
 state  comptroller, the chairman of the senate finance committee and the
 chairman of the assembly ways and  means  committee  provided,  however,
 that  any  expenditures  from  any appropriation in this act made by the
 legislature or judiciary shall not require such certificate.

   § 10. All expenditures and disbursements made  against  the  appropri-
 ations in this act shall, upon final action by the legislature on appro-
 priation  bills submitted by the governor pursuant to article VII of the
 state constitution for the support of government for  the  state  fiscal
 year  beginning  April  1,  2026,  be  transferred by the comptroller as
 A. 10760                           20
 
 expenditures and disbursements to  such  appropriations  for  all  state
 departments and agencies, as applicable, in amounts equal to the amounts
 charged against the appropriations in this act for each such department,
 agency, and the legislature and the judiciary.
 
   §  11. Severability clause. If any clause, sentence, paragraph, subdi-
 vision, section or part of this act shall be adjudged by  any  court  of
 competent  jurisdiction  to  be invalid, such judgment shall not affect,
 impair, or invalidate the remainder thereof, but shall  be  confined  in
 its  operation  to the clause, sentence, paragraph, subdivision, section
 or part thereof directly involved in the controversy in which such judg-
 ment shall have been rendered. It is hereby declared to be the intent of
 the legislature that this act would  have  been  enacted  even  if  such
 invalid provisions had not been included herein.
 
   §  12.  This  act shall take effect immediately and shall be deemed to
 have been in full force and effect on and after April 1, 2026; provided,
 however, that upon the transfer of expenditures and disbursements by the
 comptroller as provided in section ten of this act,  the  appropriations
 made by this act and subject to such section shall be deemed repealed.
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