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NY State Legislature· A11295-2025Signed by Governor

Provides for emergency appropriation for the period April 1, 2026 through May 14, 2026, the official text

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S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   11295
 
                           I N  A S S E M B L Y
 
                               May 11, 2026
                                ___________
 
 Introduced  by COMMITTEE ON RULES -- (at request of M. of A. Pretlow) --
   (at request of the Governor) -- read once and referred to the  Commit-
   tee on Ways and Means
 
 AN  ACT  making  appropriations  for the support of government; to amend
   chapter 98 of the laws of 2026, relating to making appropriations  for
   the  support  of government, in relation thereto; to amend chapter 100
   of the laws of 2026, relating to making appropriations for the support
   of government, in relation thereto; to amend chapter 102 of  the  laws
   of  2026, relating to making appropriations for the support of govern-
   ment, in relation thereto;  and  providing  for  the  repeal  of  such
   provisions upon expiration thereof
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   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.  Section 2 of chapter 98 of the laws of 2026, relating to making
 appropriations for the support of government, as amended by chapter  111
 of the laws of 2026, is amended to read as follows:
   §  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

  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD12040-01-6
 A. 11295                            2
 
   payrolls scheduled to be paid  during  the
   period  April  1 through May [11] 14, 2026
   to state officers  and  employees  of  the
   executive  branch, including the governor,
   lieutenant  governor,   comptroller,   and
   attorney  general, and to employees of the
   legislature.   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 ..............
   .......................... [1,799,296,469] 2,053,493,041
                              --------------
 
   §  3.  Section 3 of chapter 98 of the laws of 2026, relating to making
 appropriations for the support of government, as amended by chapter  111
 of the laws of 2026, is amended to read as follows:
   § 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, and legislature,
   incurred in the ordinary course  of  busi-
   ness,  during  the  period April 1 through
   May [11] 14, 2026,  pursuant  to  existing
   state  law  and for purposes for which the
   legislature authorized 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  accord-
   ance   with   existing  law,  and  further
   provided  that  nothing  contained  herein
   shall  be  deemed to supersede, nullify or
   modify the provisions of section 40 of the
   state finance law prescribing when  appro-
   priations  made  for  the  2025-2026 state
   fiscal year  shall  have  ceased  to  have
   force and effect ............. [56,000,000]   66,000,000
                               --------------
 
   §  4. Section 4 of chapter 102 of the laws of 2026, relating to making
 appropriations for the support of government, as amended by chapter  111
 of the laws of 2026, is amended to read as follows:
   §  4.  The  amounts  specified  in this section, or so much thereof as
 shall be sufficient to accomplish the  purposes  designated,  is  hereby
 A. 11295                            3
 
 appropriated  and  authorized to be paid as hereinafter provided, to the
 respective 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

 The    sum    of    ten    million   dollars
   ($10,000,000), or so much thereof as shall
   be sufficient to  accomplish  the  purpose
   designated,  is  hereby  appropriated  for
   contracts and grants approved for purposes
   for which the legislature  authorized  the
   expenditures of money during the 2025-2026
   fiscal  year.  An amount up to ten million
   dollars ($10,000,000) shall  be  available
   for   the   payment  of  capital  projects
   liabilities  incurred  during  the  period
   from April 1 through May [11] 14, 2026 for
   contracts  and  grants  approved  prior to
   April 1,  2026,  provided,  however,  that
   nothing  contained  herein shall be deemed
   to limit or restrict the power or authori-
   ty 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 supersede, nullify,  or
   modify the provisions of section 40 of the
   state  finance law prescribing when appro-
   priations made for  the  2025-2026  fiscal
   year  shall  have ceased to have force and
   effect ...................................... 10,000,000
                                             --------------
 
   § 5. Section 5 of chapter 102 of the laws of 2026, relating to  making
 appropriations  for the support of government, as amended by chapter 111
 of the laws of 2026, is amended to read as follows:
   § 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
 respective  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
 
 The   sum   of   twenty   million    dollars
   ($20,000,000), or so much thereof as shall
   be  sufficient  to  accomplish the purpose
   designated,  is  hereby  appropriated  for
   contracts and grants approved for purposes
   for  which  the legislature authorized the
   expenditures of money during the 2025-2026
   fiscal  year.  An  amount  up  to   twenty
   million  dollars  ($20,000,000)  shall  be
   available  for  the  payment  of   capital
   projects  liabilities  incurred during the
 A. 11295                            4
 
   period from April 1 through May  [11]  14,
   2026  for  contracts  and  grants approved
   after April 1,  2026,  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   supersede,
   nullify,   or  modify  the  provisions  of
   section  40  of  the  state  finance   law
   prescribing  when  appropriations made for
   the  2025-2026  fiscal  year  shall   have
   ceased to have force and effect ............  20,000,000
                                             --------------
 
   §  6.  Section 4 of chapter 98 of the laws of 2026, relating to making
 appropriations for the support of government, as amended by chapter  111
 of the laws of 2026, is amended to read as follows:
   §  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 ....................... [814,763,000]  836,942,500
                                             --------------
 
   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 (85022) .. [799,145,000]  821,324,500
 
               Project Schedule
 PROJECT                               AMOUNT
 --------------------------------------------
 For the  state's  contribution
   to the health insurance fund
   and deposit into the retiree
   health  benefit  trust  fund
   pursuant to section 99-aa of
   the state finance  law.  The
   state's  share of the health
   insurance program  dividends
 A. 11295                            5
 
   shall  be  available  to pay
   for the premiums in 2026-27 .. 514,422,000
 For  the  state's contribution
   to   the   social   security
   contribution fund ..........
   ............... [171,000,000]  192,500,000
 For   payments  to  the  state
   insurance fund for  workers'
   compensation   benefits  and
   other    related    workers'
   compensation  costs prior to
   or   after    they    become
   incurred  including  but not
   limited  to   the   benefits
   defined  in chapters 302 and
   303 of the laws of 1985 ....... 55,000,000
 For the  state's  contribution
   to   employee  benefit  fund
   programs ...................... 40,500,000
 For the  state's  contribution
   to the dental insurance plan ... 7,415,000
 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 ... [7,005,000]    7,680,000
 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  eligi-
   ble to  participate  in  the
   SUNY   optional   retirement
   program ......... [1,059,000]    1,063,500
 For reimbursement to the unem-
   ployment  insurance fund for
   payments made  to  claimants
   formerly employed   by   the
   state of New York .............. 2,000,000
 For  the  state's contribution
   to the vision care plan .......... 744,000
                               --------------
     Project schedule total ...
       ........... [799,145,000]  821,324,500
                 --------------
 A. 11295                            6
 
 For payments in accordance with section 19-a
   of the public lands law (80567) .............. 7,720,000
 For the payment in-lieu of taxes to the city
   of  Albany  for  certain  state-owned land
   pursuant to section  19-a  of  the  public
   lands law. Provided however, notwithstand-
   ing  paragraph  (4)  of subdivision 2-a of
   section 19-a of the public lands law, such
   funds may be paid prior to October 1, 2026
   (80567) ...................................... 7,720,000
 For payment of claims for damage to personal
   or real property or for bodily injuries or
   wrongful death caused by officers, employ-
   ees, or other authorized persons providing
   service to state government while  provid-
   ing such service, and the state university
   construction  fund while acting within the
   scope of their employment, and while oper-
   ating motor vehicles, and for any individ-
   uals operating motor  vehicles  which  are
   assigned  on  a permanent basis with unre-
   stricted use to state officers and employ-
   ees  when  the   person   is   permanently
   assigned the motor vehicle (80559) ............. 178,000
                                             --------------
 
   §  7. Section 5 of chapter 100 of the laws of 2026, relating to making
 appropriations for the support of government, as amended by chapter  111
 of the laws of 2026, is amended to read as follows:
   §  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.
 
                                 JUDICIARY
 
 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 May [11] 14, 2026
   to officers and employees of the judiciary
   ............................................ 269,000,000
 For the payment of state operations  nonper-
   sonal  service  liabilities,  the  sum  of
   thirty-six million dollars  ($36,000,000),
   or  so much thereof as shall be sufficient
   to accomplish the purpose  designated,  is
   hereby  appropriated  to the judiciary out
   of any moneys in the general fund or other
   funds to the credit of the state  purposes
   account  not  otherwise  appropriated. The
   comptroller  is  hereby   authorized   and
   directed to utilize this appropriation for
 A. 11295                            7
 
   the purpose of making payments for nonper-
   sonal  service liabilities incurred by the
   judiciary  from  April  1 through May [11]
   14, 2026 .................................... 36,000,000
 For the payment of aid to localities liabil-
   ities,  the  sum  of  twenty-two   million
   dollars  ($22,000,000), or so much thereof
   as shall be sufficient to  accomplish  the
   purpose designated, is hereby appropriated
   to  the judiciary out of any moneys in the
   general fund or other funds to the  credit
   of  the  state purposes account not other-
   wise  appropriated.  The  comptroller   is
   hereby  authorized and directed to utilize
   this  appropriation  for  the  purpose  of
   making  payments  for  aid  to  localities
   liabilities incurred by the judiciary from
   April 1 through May [11] 14, 2026 ........... 22,000,000
 For the payment of employee  fringe  benefit
   programs  including,  but  not limited to,
   the  judiciary's  contributions   to   the
   health   insurance  fund,  the  employees'
   retirement  system  pension   accumulation
   fund,  the  social  security  contribution
   fund, employee benefit fund programs,  the
   dental  insurance  plan,  the  vision care
   plan, the unemployment insurance fund, and
   for workers'  compensation  benefits,  the
   sum  of  one hundred fifteen million seven
   hundred     fifty     thousand     dollars
   ($115,750,000),  or  so  much  thereof  as
   shall  be  sufficient  to  accomplish  the
   purpose designated, is hereby appropriated
   to  the judiciary out of any moneys in the
   general fund or other funds to the  credit
   of  the  state purposes account not other-
   wise  appropriated.  The  comptroller   is
   hereby  authorized and directed to utilize
   this  appropriation  for  the  purpose  of
   making  payments for employee fringe bene-
   fit liabilities incurred by the  judiciary
   from April 1 through May [11] 14, 2026 ..... 115,750,000
                                             --------------
 
   §  8. Section 8 of chapter 102 of the laws of 2026, relating to making
 appropriations for the support of government,  is  amended  to  read  as
 follows:
   §  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.
 
                  OFFICE OF CHILDREN AND FAMILY SERIVCES
 
                             AID TO LOCALITIES
 A. 11295                            8
 
 ADOPTION SUBSIDY ASSISTANCE PROGRAM .......... [20,340,000]   40,680,000
                                             --------------
 
   General Fund
   Local Assistance Account - 10000
 
 For  services  and expenses for the adoption
   subsidy program pursuant  to  title  9  of
   article  6  of  the  social  services law.
   Notwithstanding any inconsistent provision
   of law, the  liability  of  the  state  to
   social  services  districts and the amount
   to be distributed or otherwise expended by
   the state  to  reimburse  social  services
   districts  pursuant  to section 456 of the
   social services law shall be 62 percent of
   eligible social services district expendi-
   tures.
 The amount  hereby  appropriated  is  to  be
   available  for  payment  of aid heretofore
   accrued or hereafter to accrue to  munici-
   palities.  Subject  to the approval of the
   director of the budget, such  funds  shall
   be  available  to the office net of disal-
   lowances,  refunds,  reimbursements,   and
   credits.
 Notwithstanding  any  inconsistent provision
   of law, the amount herein appropriated may
   be transferred to any other  appropriation
   within  the  office of children and family
   services and/or the  office  of  temporary
   and  disability assistance and/or suballo-
   cated to the office of temporary and disa-
   bility  assistance  for  the  purpose   of
   paying  local  social  services districts'
   costs of the  above  program  and  may  be
   increased or decreased by interchange with
   any  other appropriation or with any other
   item or items within the amounts appropri-
   ated within the  office  of  children  and
   family   services  general  fund  -  local
   assistance account 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, 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
 A. 11295                            9
 
   by the state  commissioner  or  the  state
   commissioner  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  with  such
   interest  accruing  to  the  credit of the
   locality in order to  ensure  the  orderly
   and  prompt  payment  of  providers  under
   section 367-b of the social  services  law
   pursuant  to  an  estimate 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.
 The amounts  appropriated  herein  shall  be
   available   for   reimbursement  of  local
   district claims only to  the  extent  that
   such  claims  are submitted within twenty-
   four months of the last day of  the  state
   fiscal year in which the expenditures were
   incurred,  unless waived for good cause by
   the commissioner subject to  the  approval
   of the director of the budget.
 Notwithstanding  any  inconsistent provision
   of law including, but not limited to,  any
   chapter of the laws of 2026 which enacts a
   targeted  inflationary  increase  for  the
   state fiscal year beginning  on  April  1,
   2026,  the  commissioner shall continue to
   apply any targeted  inflationary  increase
   in effect on March 31, 2026 for the entire
   rate  year  that  began  when such cost of
   living adjustment increase was in effect.
 Notwithstanding any other provision  of  law
   to  the contrary, amounts due and owing to
   a  social  services  district  under  this
   appropriation,  may  be reduced up to such
   amounts due and owing to the  state  under
   section 529 of the executive law (13917) .
   .............................. [20,340,000]   40,680,000
                               --------------
 
   §  9. Section 9 of chapter 102 of the laws of 2026, relating to making
 appropriations for the support of government,  is  amended  to  read  as
 follows:
   §  9.  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.
 
               OFFICE OF TEMPORARY AND DISABILITY ASSISTANCE
 
                             AID TO LOCALITIES
 A. 11295                           10

 EMPLOYMENT AND INCOME SUPPORT PROGRAM ....... [262,533,000]  525,066,000
                                             --------------
 
   General Fund
   Local Assistance Account - 10000
 
 For  state  reimbursement  of the safety net
   assistance program as established pursuant
   to chapter 436 of the laws of 1997.
 Notwithstanding section 153  of  the  social
   services  law  or  any  other inconsistent
   provision of law, funds appropriated here-
   in shall reimburse 29  percent  of  safety
   net assistance expenditures, including the
   cost  of providing shelter supplements for
   safety net assistance households at  local
   option,   including   eligible  households
   containing a household member who has been
   released from prison, in order to  prevent
   eviction   and   address  homelessness  in
   accordance with social  services  district
   plans  approved by the office of temporary
   and disability assistance and the director
   of the budget, provided, however, that  in
   social  services  districts  with  a popu-
   lation  over  five  million   no   shelter
   supplements  other  than  the family home-
   lessness and eviction  prevention  supple-
   ment shall be reimbursed, provided however
   funds  appropriated  herein  shall only be
   used to reimburse rental costs up  to  the
   maximum rent levels in place as of January
   1, 2021, then adjusted consistent with the
   annual  year-over-year  percentage changes
   in fair market rent, provided, however, in
   the event of a  decrease  in  fair  market
   rent  the value of the maximum rent levels
   reimbursed with funds appropriated  herein
   shall not decrease and shall be set at the
   maximum rent levels established during the
   prior year, and further provided that such
   supplements shall not be part of the stan-
   dard  of need pursuant to section 131-a of
   the social services law.  Funds  appropri-
   ated   herein   shall  also  reimburse  29
   percent of safety net assistance  expendi-
   tures, in social services districts with a
   population over five million, for emergen-
   cy  shelter,  transportation, or nutrition
   payments which the district determines are
   necessary to establish or  maintain  inde-
   pendent  living arrangements among persons
   living  with   medically   diagnosed   HIV
   infection as defined by the AIDS institute
   of  the state department of health and who
   are homeless or  facing  homelessness  and
 A. 11295                           11
 
   for  whom no viable and less costly alter-
   native to housing is available;  provided,
   however,  that  funds  appropriated herein
   may  only be used for such purposes if the
   cost of such allowances are  not  eligible
   for reimbursement under medical assistance
   or other programs.
 Funds appropriated herein shall reimburse 29
   percent  of safety net assistance expendi-
   tures, in social services districts with a
   population of five million or  fewer,  for
   emergency  shelter payments promulgated by
   the office  of  temporary  and  disability
   assistance  which  the district determines
   are necessary  to  establish  or  maintain
   independent   living   arrangements  among
   persons living  with  medically  diagnosed
   HIV  infection  as  defined  by  the  AIDS
   institute  of  the  state  department   of
   health  and  who  are  homeless  or facing
   homelessness and for whom  no  viable  and
   less  costly  alternative  to  housing  is
   available; provided, however,  that  funds
   appropriated  herein  may only be used for
   such purposes if the cost of  such  allow-
   ances  are  not eligible for reimbursement
   under   medical   assistance   or    other
   programs.
 Funds appropriated herein shall reimburse 29
   percent  of safety net assistance expendi-
   tures, in social services districts with a
   population of five million or  fewer,  for
   emergency  shelter  payments  in excess of
   those promulgated by the office of  tempo-
   rary  and  disability  assistance  but not
   exceeding an amount reasonably approximate
   to 100 percent of  fair  market  rent,  at
   local option which the district determines
   are  necessary  to  establish  or maintain
   independent  living   arrangements   among
   persons  living  with  medically diagnosed
   HIV  infection  as  defined  by  the  AIDS
   institute   of  the  state  department  of
   health and  who  are  homeless  or  facing
   homelessness  and  for  whom no viable and
   less  costly  alternative  to  housing  is
   available;  provided,  however, that funds
   appropriated herein may only be  used  for
   such  purposes  if the cost of such allow-
   ances are not eligible  for  reimbursement
   under    medical   assistance   or   other
   programs. Such emergency shelter  payments
   shall  only be made at local option and in
   accordance with a  plan  approved  by  the
   office of temporary and disability assist-
   ance  and  the  director  of  the  budget.
 A. 11295                           12
 
   Provided, however, notwithstanding section
   153 of the  social  services  law  or  any
   other  inconsistent  provision  of law, if
   necessary  funding,  as  determined by the
   director of the budget, is  secured  in  a
   social  services district from the medical
   assistance program by reducing the capita-
   tion rates paid to medicaid  managed  care
   organizations  by  the  amount  of savings
   resulting from stably housing  individuals
   living   with   medically   diagnosed  HIV
   infection as defined by the AIDS institute
   of the state  department  of  health,  the
   social  services  district shall make such
   emergency shelter payments  in  excess  of
   those  promulgated by the office of tempo-
   rary and  disability  assistance  but  not
   exceeding an amount reasonably approximate
   to  100  percent  of fair market rent, and
   the savings shall be used to reimburse 100
   percent of the cost of such  excess  emer-
   gency  shelter  payments  for  cases reim-
   bursed under the safety net assistance  or
   family   assistance   programs  in  social
   services districts with  a  population  of
   five  million or fewer, in accordance with
   a plan approved by the office of temporary
   and disability assistance and the director
   of  the  budget;  provided  further   that
   reimbursement  shall  be provided to medi-
   caid managed  care  organizations  through
   adjustments  to  capitation  rates  should
   actual gross savings not  be  realized  as
   determined by the director of the budget.
 For  persons living with medically diagnosed
   HIV  infection  as  defined  by  the  AIDS
   institute   of  the  state  department  of
   health living in social services districts
   with a population over  five  million  who
   are  receiving  public  assistance,  funds
   appropriated herein shall be used to reim-
   burse 29 percent of the additional  rental
   costs  determined  based  on limiting such
   person's  earned  and/or  unearned  income
   contribution to 30 percent.
 For  persons living with medically diagnosed
   HIV  infection  as  defined  by  the  AIDS
   institute   of  the  state  department  of
   health living in social services districts
   with a population of five million or fewer
   who are receiving public assistance, funds
   appropriated herein may be used  to  reim-
   burse  up to 100 percent of the additional
   rental costs determined based on  limiting
   such   person's   earned  and/or  unearned
   income contribution to  30  percent.  Such
 A. 11295                           13
 
   payments  of additional rental costs shall
   only  be  made  at  local  option  and  in
   accordance  with  a  plan  approved by the
   office of temporary and disability assist-
   ance  and  the  director  of  the  budget.
   Provided, however, notwithstanding section
   153 of the  social  services  law  or  any
   other  inconsistent  provision  of law, if
   necessary funding, as  determined  by  the
   director  of  the  budget, is secured in a
   social services district from the  medical
   assistance program by reducing the capita-
   tion  rates  paid to medicaid managed care
   organizations by  the  amount  of  savings
   resulting  from stably housing individuals
   living  with   medically   diagnosed   HIV
   infection as defined by the AIDS institute
   of  the  state  department  of health, the
   social services district shall  make  such
   payments  of  additional rental costs, for
   cases  reimbursed  under  the  safety  net
   assistance  and family assistance program,
   and the savings shall be used to reimburse
   100 percent of the cost of the  additional
   rental  costs determined based on limiting
   such  person's  earned   and/or   unearned
   income   contribution  to  30  percent  in
   social services  districts  with  a  popu-
   lation   of  five  million  or  fewer,  in
   accordance with a  plan  approved  by  the
   office of temporary and disability assist-
   ance  and  the  director  of  the  budget;
   provided further that reimbursement  shall
   be   provided  to  medicaid  managed  care
   organizations through adjustments to capi-
   tation rates should actual  gross  savings
   not  be  realized  as  determined  by  the
   director of the budget.
 Amounts appropriated herein may be  used  to
   enter into contracts with persons or enti-
   ties  authorized  pursuant  to subdivision
   (j) of section 17 of the  social  services
   law   consistent   with  federal  law  and
   requirements.  Such  contracts   will   be
   consistent with subdivision (j) of section
   17  of  the social services law.  Notwith-
   standing  section  153   of   the   social
   services  law  or  any  other inconsistent
   provision of law, the  office  may  reduce
   reimbursement  otherwise payable to social
   services districts to recover  29  percent
   of   costs  incurred  by  the  office  for
   expenditures related to subdivision (j) of
   section 17 of the social services law.
 Such funds are to be available  for  payment
   of  aid heretofore accrued or hereafter to
 A. 11295                           14
 
   accrue to municipalities. Subject  to  the
   approval  of  the  director of the budget,
   such  funds  shall  be  available  to  the
   office of temporary and disability assist-
   ance   net   of   disallowances,  refunds,
   reimbursements,  and  credits,   including
   those  related to title IV-E of the social
   security  act;  and  including,  but   not
   limited   to,   additional  federal  funds
   resulting from any changes in federal cost
   allocation methodologies.
 Notwithstanding any  inconsistent  provision
   of law, the amount herein appropriated may
   be  increased  or decreased by interchange
   with any other  appropriation  within  the
   office of temporary and disability assist-
   ance   general  fund  -  local  assistance
   account 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 chair-
   man  of  the  senate finance committee and
   the chairman  of  the  assembly  ways  and
   means committee.
 Social  services districts shall be required
   to report to the office of  temporary  and
   disability  assistance on an annual basis,
   information, as determined  and  requested
   by  the  office,  related  to services and
   expenditures for  which  reimbursement  is
   sought  for  providing  temporary  housing
   assistance  to  homeless  individuals  and
   families.   Such   information   shall  be
   submitted  electronically  to  the  extent
   feasible  as determined by the office, and
   shall be used to evaluate expenditures  by
   such  social  services  districts  for the
   provision of temporary housing  assistance
   for homeless individuals and families.
 Notwithstanding  section  153  of the social
   services law, or  any  other  inconsistent
   provision  of law, the office of temporary
   and disability assistance may withhold  or
   deny  reimbursement,  in whole or in part,
   to any social services district that fails
   to develop or submit a  homeless  services
   plan subject to the approval of the office
   of  temporary  and  disability assistance,
   fails to  provide  homeless  services  and
   outreach  in  accordance with its approved
   homeless services plan, or fails to devel-
   op or  submit  homeless  services  outcome
   reports,  consistent  with  those require-
   ments promulgated by the office of  tempo-
   rary and disability assistance.
 A. 11295                           15
 
 Notwithstanding  section  153  of the social
   services law, or  any  other  inconsistent
   provision of law, such appropriation shall
   be available for reimbursement of eligible
   costs incurred on or after January 1, 2026
   and  before  January  1,  2027,  that  are
   otherwise reimbursable by the state on  or
   after  April  1, 2026, that are claimed by
   March 1, 2027.  Such  reimbursement  shall
   constitute  total  state reimbursement for
   activities funded herein in  state  fiscal
   year 2026-2027 (52203) ....... [79,200,000]  158,400,000
 For   expenditures   for   additional  state
   payments for  eligible  aged,  blind,  and
   disabled  persons  related to supplemental
   security income and for expenditures  made
   pursuant  to  title  8 of article 5 of the
   social services law. Such funds are avail-
   able for payment of aid heretofore accrued
   or hereafter  to  accrue.  Notwithstanding
   any  inconsistent  provision  of  law, the
   amount   herein   appropriated   may    be
   increased or decreased by interchange with
   any  other appropriation within the office
   of  temporary  and  disability  assistance
   general  fund  -  local assistance account
   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
   (52311) ...................... [58,333,000]  116,666,000
                               --------------
 
   Special Revenue Funds - Federal
   Federal Health and Human Services Fund
   Temporary Assistance for Needy Families Account - 25178
 
 For reimbursement of the cost of the  family
   assistance and the emergency assistance to
   families programs. Notwithstanding section
   153  of  the  social  services  law or any
   inconsistent  provision  of   law,   funds
   appropriated   herein  shall  be  provided
   without  state  or   local   participation
   except  that for social services districts
   with a population of five million or more,
   reimbursement will be eighty-five percent.
   Funds  appropriated  herein   shall   also
   include  the  cost  of  providing  shelter
   supplements for family  assistance  house-
   holds  at local option, including eligible
   households containing a  household  member
   who  has  been  released  from  prison, in
   order  to  prevent  eviction  and  address
 A. 11295                           16
 
   homelessness  in  accordance  with  social
   services district plans  approved  by  the
   office of temporary and disability assist-
   ance  and  the  director  of  the  budget,
   provided, however, that in social services
   districts  with  a  population  over  five
   million  no shelter supplements other than
   the  family  homelessness   and   eviction
   prevention supplement shall be reimbursed,
   provided however funds appropriated herein
   shall  only  be  used  to reimburse rental
   costs up to the  maximum  rent  levels  in
   place as of January 1, 2021, then adjusted
   consistent  with the annual year-over-year
   percentage changes in  fair  market  rent,
   provided,  however,  in  the  event  of  a
   decrease in fair market rent the value  of
   the  maximum  rent  levels reimbursed with
   funds  appropriated   herein   shall   not
   decrease  and  shall be set at the maximum
   rent levels established during  the  prior
   year,   and  further  provided  that  such
   supplements shall not be part of the stan-
   dard of need pursuant to section 131-a  of
   the social services law.
 Funds  appropriated  herein shall also reim-
   burse for family  assistance  expenditures
   for  emergency shelter, transportation, or
   nutrition  payments  which  the   district
   determines  are  necessary to establish or
   maintain independent  living  arrangements
   among  persons living with medically diag-
   nosed HIV infection as defined by the AIDS
   institute  of  the  state  department   of
   health  and  who  are  homeless  or facing
   homelessness and for whom  no  viable  and
   less  costly  alternative  to  housing  is
   available; provided, however,  that  funds
   appropriated  herein  may only be used for
   such purposes if the cost of  such  allow-
   ances  are  not eligible for reimbursement
   under   medical   assistance   or    other
   programs.
 For  persons living with medically diagnosed
   HIV  infection  as  defined  by  the  AIDS
   institute   of  the  state  department  of
   health who are receiving public assistance
   funds appropriated  herein  shall  not  be
   used  to  reimburse  the additional rental
   costs determined based  on  limiting  such
   person's  earned  and/or  unearned  income
   contribution to 30 percent.
 Amounts appropriated herein may be  used  to
   enter into contracts with persons or enti-
   ties  authorized  pursuant  to subdivision
   (j) of section 17 of the  social  services
 A. 11295                           17
 
   law   consistent   with  federal  law  and
   requirements. Such contracts will be  made
   consistent with subdivision (j) of section
   17  of  the social services law.  Notwith-
   standing  section  153   of   the   social
   services  law  or  any  other inconsistent
   provision of law, the  office  may  reduce
   reimbursement  otherwise payable to social
   services districts to recover the  federal
   share  of costs incurred by the office for
   expenditures related to subdivision (j) of
   section 17 of the social services law.
 Such funds are to be available  for  payment
   of  aid heretofore accrued or hereafter to
   accrue to municipalities. Subject  to  the
   approval  of  the  director of the budget,
   such  funds  shall  be  available  to  the
   office of temporary and disability assist-
   ance   net   of   disallowances,  refunds,
   reimbursements, and credits including, but
   not limited to, additional  federal  funds
   resulting from any changes in federal cost
   allocation methodologies.
 Notwithstanding  any  inconsistent provision
   of law, the amount herein appropriated may
   be increased or decreased  by  interchange
   with  any  other  appropriation within the
   office of temporary and disability assist-
   ance  federal  fund  -  local   assistance
   account  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 chair-
   man of the senate  finance  committee  and
   the  chairman  of  the  assembly  ways and
   means committee.
 Social services districts shall be  required
   to  report  to the office of temporary and
   disability assistance on an annual  basis,
   information,  as  determined and requested
   by the office,  related  to  services  and
   expenditures  for  which  reimbursement is
   sought  for  providing  temporary  housing
   assistance  to  homeless  individuals  and
   families.  Such   information   shall   be
   submitted  electronically  to  the  extent
   feasible as determined by the office,  and
   shall  be used to evaluate expenditures by
   such social  services  districts  for  the
   provision  of temporary housing assistance
   for homeless individuals and families.
 Notwithstanding section 153  of  the  social
   services  law,  or  any other inconsistent
   provision of law, the office of  temporary
   and  disability assistance may withhold or
   deny reimbursement, in whole or  in  part,
 A. 11295                           18
 
   to any social services district that fails
   to  develop  or submit a homeless services
   plan subject to the approval of the office
   of  temporary  and  disability assistance,
   fails to  provide  homeless  services  and
   outreach  in  accordance with its approved
   homeless services plan, or fails to devel-
   op or  submit  homeless  services  outcome
   reports,  consistent  with  those require-
   ments promulgated by the office of  tempo-
   rary and disability assistance.
 Notwithstanding  section  153  of the social
   services law, or  any  other  inconsistent
   provision of law, such appropriation shall
   be available for reimbursement of eligible
   costs incurred on or after January 1, 2026
   and  before  January  1,  2027,  that  are
   otherwise reimbursable by the state on  or
   after  April  1, 2026, that are claimed by
   March 1, 2027.  Such  reimbursement  shall
   constitute total federal reimbursement for
   activities  funded  herein in state fiscal
   year 2026-27 (52203) ........ [125,000,000]  250,000,000
                               --------------
 
   § 10. Section 5 of chapter 98 of the laws of 2026, relating to  making
 appropriations  for the support of government, as amended by chapter 111
 of the laws of 2026, is amended to read as follows:
   § 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 .......... [53,932,000]   57,142,000
                                             --------------
 
   General Fund
   Local Assistance Account - 10000
 
 For services and  expenses  related  to  the
   Indian  health  program pursuant to a plan
   prepared by the commissioner of health and
   approved by the director  of  the  budget.
   The  moneys  hereby  appropriated shall be
   for payment of financial assistance  here-
   tofore  accrued  or  hereafter  to  accrue
   (26840) ..................................... 10,062,000
                                             --------------
 
   Special Revenue Funds - Federal
   Federal USDA-Food and Nutrition Services Fund
 A. 11295                           19
 
   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)
   .............................. [43,870,000]   47,080,000
                               --------------
 
 CHILD HEALTH INSURANCE PROGRAM ............................. 212,950,000
                                                           --------------
 
   Special Revenue Funds - Other
   HCRA Resources Fund
   Children's Health Insurance Account - 20810
 
 The money hereby appropriated  is  available
   for  payment  of aid heretofore accrued or
   hereafter accrued.
 Notwithstanding any other provision of  law,
   the   money  hereby  appropriated  may  be
   increased  or  decreased  by  transfer  or
   suballocation  to  appropriations  of  the
   office of temporary and disability assist-
   ance,  for  the  reimbursement  of   local
   district  administrative  costs related to
   children newly enrolled in medicaid  whose
   household  income  is  between 100 percent
   and 133 percent  of  the  federal  poverty
   level.
 Notwithstanding  any provision of law to the
   contrary, the amounts appropriated  herein
   shall   be   net   of   refunds,  rebates,
   reimbursements,    credits,    repayments,
   and/or disallowances.
 For  services  and  expenses  related to the
   children's   health   insurance    program
   authorized  pursuant to title 1-A of arti-
   cle 25 of the public health law (26931) .... 212,950,000
                                             --------------
 
 ELDERLY PHARMACEUTICAL INSURANCE COVERAGE PROGRAM ............ 1,800,000
                                                           --------------
 
   Special Revenue Funds - Other
   HCRA Resources Fund
   EPIC Premium Account - 20818
 
 For services and expenses of the program for
   elderly pharmaceutical insurance coverage,
   including  reimbursement   to   pharmacies
   participating in such program.  The moneys
   hereby appropriated shall be available for
   payment of financial assistance heretofore
   accrued (26803) .............................. 1,800,000
                                             --------------
 A. 11295                           20
 
 ESSENTIAL PLAN PROGRAM ................................... 1,150,000,000
                                                           --------------
 
   Special Revenue Funds - Federal
   Federal Health and Human Services Fund
   Essential Plan Account - 25186
 
 For  services  and  expenses  related to the
   essential  plan  program,  in   accordance
   State Innovation Waiver provisions author-
   ized   by  Section  1332  of  the  federal
   patient  protection  and  affordable  care
   act.
 Notwithstanding  any  inconsistent provision
   of law, the moneys hereby appropriated may
   be increased or decreased  by  interchange
   or  transfer with any appropriation of the
   department of health or  for  transfer  to
   Health Research Incorporated (HRI).
 Notwithstanding  any provision of law to the
   contrary, the amounts appropriated  herein
   shall   be   net   of   refunds,  rebates,
   reimbursements,    credits,    repayments,
   and/or disallowances.
 The  money  hereby appropriated is available
   for payment of aid heretofore  accrued  or
   hereafter accrued (59054) ................ 1,150,000,000
                                             --------------
 
 MEDICAL ASSISTANCE PROGRAM ............. [10,409,681,000] 12,369,631,000
                                           --------------
 
   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
 A. 11295                           21
 
   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
   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-
 A. 11295                           22
 
   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
   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
 A. 11295                           23
 
   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
   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
 A. 11295                           24
 
   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
   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
 A. 11295                           25
 
   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.
 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
 A. 11295                           26
 
   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
   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-
 A. 11295                           27
 
   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,
   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) ........ [145,428,000]  169,666,000
 For services and  expenses  of  the  medical
   assistance   program   including  hospital
   outpatient and emergency room services.
 A. 11295                           28
 
 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) ......... [43,494,000]   50,743,000
 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) ......... [85,188,000]   99,386,000
 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
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26950) ........ [214,110,000]  249,795,000
 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) .....................
   .......................... [1,019,916,000] 1,189,902,000
 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
 A. 11295                           29
 
   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) ....... [934,260,000] 1,089,970,000
 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) ......... [22,620,000]   26,390,000
 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
   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) ........ [431,556,000]  503,482,000
 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) ......... [61,992,000]   72,324,000
 A. 11295                           30
 
 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) ............ [474,000]      553,000
 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) ........ [123,624,000]  144,228,000
 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) ........ [576,924,000]  673,078,000
                               --------------
 
   Special Revenue Funds - Federal
   Federal Health and Human Services Fund
   Medicaid Direct Account - 25106
 A. 11295                           31
 
 For  services  and  expenses for the medical
   assistance program, including  administra-
   tive  expenses  for  local social services
   districts, pursuant to title  XIX  of  the
   federal social security act or its succes-
   sor program.
 The  moneys  hereby  appropriated  are 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, 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 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,
   office  of  children  and family services,
   the  department  of  financial   services,
   department  of  corrections  and community
   supervision,  the  office  of  information
 A. 11295                           32
 
   technology  services, the state university
   of New York, the state  education  depart-
   ment,  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, 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.
 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
 A. 11295                           33
 
   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.
 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.
 For  services  and  expenses  of the medical
   assistance  program   including   hospital
   inpatient 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 (26947) ........ [379,425,000]  455,310,000
 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) ......... [67,620,000]   81,144,000
 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) ........ [109,485,000]  131,382,000
 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
 A. 11295                           34
 
   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 (26950) ........ [563,700,000]  676,440,000
 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) ..... [1,608,045,000] 1,929,654,000
 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  inconsistent provision
   of law, rule, or regulation to the contra-
   ry, funds appropriated herein shall not be
   subject to  article  6  of  the  financial
   services law.
 Notwithstanding  any  inconsistent provision
   of law, rule, or regulation to the contra-
   ry, funds appropriated herein  shall  only
   be  made  available  for  applied behavior
   analysis services  if  such  services  are
   recommended  by  a  health  care or mental
   health care practitioner authorized  under
   title  eight  of the education law who has
   been designated  as  an  applied  behavior
   analysis  center of excellence provider by
   the commissioner of health.
 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
 A. 11295                           35
 
   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) ..... [1,962,340,000] 2,354,808,000
 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 heretofore enacted  law,
   rule,  or 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) ........ [591,095,000]  709,314,000
 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) ......... [79,410,000]   95,292,000
 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) .......... [9,180,000]   11,016,000
 For services and  expenses  of  the  medical
   assistance  program  including noninstitu-
   tional and other spending.
 The money hereby appropriated  is  available
   for   payment  of  liabilities  heretofore
   accrued or hereafter accrued.
 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
 A. 11295                           36
 
   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) ....... [899,025,000] 1,078,830,000
 Notwithstanding any  inconsistent  provision
   of  law,  subject  to  the approval of the
   director of the budget, upon submission of
   an allocation adjustment from the  commis-
   sioner  of health, the amount appropriated
   herein, together with any available feder-
   al matching funds, may be  transferred  or
   suballocated   to  the  office  of  mental
   health, office of addiction  services  and
   supports,  office for people with develop-
   mental disabilities, division  of  housing
   and  community  renewal,  New  York  state
   housing trust fund corporation, and office
   of temporary and disability assistance for
   services and expenses related to providing
   affordable  housing.  Any  such   spending
   shall  consider  the geographical location
   of the grants.
 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 (29521) ........ [480,770,000]  576,924,000
                               --------------
 
   § 11. Section 6 of chapter 98 of the laws of 2026, relating to  making
 appropriations  for the support of government, as amended by chapter 111
 of the laws of 2026, is amended to read as follows:
   § 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 ... [1,260,000,000] 1,455,000,000
                                            --------------
 
   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
 A. 11295                           37
 
   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) ...... [1,260,000,000] 1,455,000,000
                              --------------
 
   § 12. Section 7 of chapter 98 of the laws of 2026, relating to  making
 appropriations  for the support of government, as amended by chapter 111
 of the laws of 2026, is amended to read as follows:
   § 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.
 
                       DEPARTMENT OF MENTAL HYGIENE
 
             OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES
 
                             AID TO LOCALITIES
 
 COMMUNITY SERVICES PROGRAM .................. [769,023,000]  914,076,000
                                             --------------
 
   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
 A. 11295                           38
 
   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
   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
 A. 11295                           39
 
   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 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
 A. 11295                           40
 
   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  inconsistent provision
   of law, the  director  of  the  budget  is
   authorized  to  make  suballocations  from
   this appropriation to  the  department  of
   health medical assistance program.
 Notwithstanding  any  inconsistent provision
   of law, and pursuant  to  criteria  estab-
   lished  by  the commissioner of the office
   for people with developmental disabilities
   and approved by the director of the  budg-
   et,  expenditures  may  be  made from this
   appropriation for  residential  facilities
   which   are   pending  recertification  as
   intermediate care  facilities  for  people
   with developmental disabilities.
 Notwithstanding  the  provisions  of section
   41.36 of the mental hygiene  law  and  any
   other   inconsistent   provision  of  law,
   moneys from this appropriation may be used
   for  payment  up  to  $250  per  year  per
   client,  at  such times and in such manner
   as determined by the commissioner  on  the
   basis  of  financial need for the personal
   needs of each client residing in voluntar-
   y-operated community residences and volun-
   tary-operated community residential alter-
   natives,     including      individualized
   residential  alternatives  under  the home
   and community based services  waiver.  The
   commissioner   shall,   subject   to   the
   approval of the director  of  the  budget,
   alter  existing  advance payment schedules
   for  voluntary-operated  community   resi-
   dences  established  pursuant  to  section
   41.36 of the mental hygiene law.
 Notwithstanding any  inconsistent  provision
   of law, moneys from this appropriation may
   be  used  for  the  operation  of  clinics
   licensed pursuant to  article  16  of  the
   mental  hygiene  law  including,  but  not
   limited to,  supportive  and  habilitative
   services  consistent  with  the  home  and
   community based services waiver.
 For the state and/or local share of  medical
   assistance  services  expenses incurred by
   the department of health for the provision
   of medical assistance services  to  people
   with developmental disabilities (37835) ..
   ............................. [700,020,000]  840,024,000
 For  services  and expenses of the community
   services program,  net  of  disallowances,
 A. 11295                           41
 
   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
   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
 A. 11295                           42
 
   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
   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
 A. 11295                           43
 
   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
   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
 A. 11295                           44
 
   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) ...................... [40,057,000]   42,988,000
 For services and  expenses  related  to  the
   provision   of  day  program  services  to
   people  with  developmental   disabilities
   (37803) ....................... [9,840,000]   10,560,000
 For  services  and  expenses  related to the
   provision of family  support  services  to
   people   with  developmental  disabilities
   (37804) ...................... [11,070,000]   11,880,000
 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 [$94,300]
   $101,200  of  this  appropriation  may  be
   transferred  to  the New York State Educa-
   tion Departments' Adult Career and Contin-
   uing Education Services - Vocational Reha-
   bilitation (ACCES-VR) program  to  support
   the  LongTerm Sheltered Employment program
 A. 11295                           45
 
   operated    by    FEDCAP    Rehabilitation
   Services, Inc.  (37805) ....... [6,396,000]    6,864,000
 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) ... [1,640,000]    1,760,000
                               --------------
 
   §  13. Section 8 of chapter 98 of the laws of 2026, relating to making
 appropriations for the support of government, as amended by chapter  111
 of the laws of 2026, is amended to read as follows:
   §  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
 
 BLIND VETERAN ANNUITY ASSISTANCE PROGRAM ....................... 385,000
                                                           --------------
 
   General Fund
   Local Assistance Account - 10000
 
 For  payment  of annuities to blind veterans
   and  eligible  surviving  spouses.  Up  to
   $15,000   of  this  appropriation  may  be
   transferred to state operations for admin-
   istrative  costs  associated   with   this
   program (54606) ................................ 385,000
                                             --------------
 
 VETERANS' BENEFITS ADVISING PROGRAM ............. [246,000]      264,000
                                             --------------
 
   Special Revenue Funds - Other
   Homeless Veterans Assistance Fund
   Homeless Veterans Assistance Account - 20204
 
 For  services  and expenses related to home-
   less veterans' housing (54815) .. [246,000]      264,000
                               --------------
 
   § 14. 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.
 A. 11295                           46
 
   § 15. 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
 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.
 
   §  16. 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.
 
   §  17.  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 fifteen of this  act,  the  appropri-
 ations  made  by  this  act  and subject to such section shall be deemed
 repealed.
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