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NY State Legislature· S10221-2025Signed by Governor

Provides for emergency appropriation for the period April 1, 2026 through May 11, 2026, the official text

Shown verbatim: the complete text as captured from the official source posted by the New York State Senate, fetched 2026-08-11. Nothing is edited or removed. Where this bill amends existing law, language marked for deletion in the official source appears here in brackets. The official bill page.
S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   10221
 
                             I N  S E N A T E
 
                                May 7, 2026
                                ___________
 
 Introduced by Sen. SERRANO -- (at request of the Governor) -- read twice
   and ordered printed, and when printed to be committed to the Committee
   on Rules
 
 AN  ACT  making  appropriations  for the support of government; to amend
   chapter 98 of the laws of 2026, relating to making appropriations  for
   the  support  of government, in relation thereto; to amend chapter 100
   of the laws of 2026, relating to making appropriations for the support
   of government, in relation thereto; to amend chapter 102 of  the  laws
   of  2026, relating to making appropriations for the support of govern-
   ment, in relation thereto;  and  providing  for  the  repeal  of  such
   provisions upon expiration thereof
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   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  109
 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.
                                                            LBD12039-03-6
 S. 10221                            2
 
   payrolls scheduled to be paid  during  the
   period April 1 through May [6] 11, 2026 to
   state officers and employees of the execu-
   tive branch, including the governor, lieu-
   tenant governor, comptroller, and attorney
   general,  and to employees of the legisla-
   ture.  This  appropriation  also  includes
   payments for services performed by mental-
   ly ill or developmentally disabled persons
   who are employed in state-operated special
   employment,   work-for-pay   or  sheltered
   workshop programs ........................ 1,799,296,469
                                             --------------
 
   § 3. Section 3 of chapter 98 of the laws of 2026, relating  to  making
 appropriations  for the support of government, as amended by chapter 109
 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  [6]  11,  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
                                             --------------
 
   § 4. Section 4 of chapter 102 of the laws of 2026, relating to  making
 appropriations  for the support of government, as amended by chapter 109
 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
 S. 10221                            3
 
 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 [6] 11, 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  109
 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
   period  from  April  1 through May [6] 11,
 S. 10221                            4

   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 109
 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 ....................... [748,383,000]  814,763,000
                                             --------------
 
   General Fund
   State Purposes Account - 10050
 
 For employee fringe  benefits  according  to
   the  following  project schedule including
   those  benefits  which  are   related   to
   employees  paid  from  funds, accounts, or
   programs where the division of the  budget
   has issued waivers (85022) .. [740,485,000]  799,145,000
 
               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
 S. 10221                            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
 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 ... [5,345,000]    7,005,000
 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
 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 ...
       ........... [740,485,000]  799,145,000
                 --------------
 
 For payments in accordance with section 19-a
   of the public lands law (80567) .............. 7,720,000
 S. 10221                            6
 
 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  109
 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 [6] 11, 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
   the purpose of making payments for nonper-
   sonal service liabilities incurred by  the
   judiciary from April 1 through May [6] 11,
   2026 ........................................ 36,000,000
 S. 10221                            7

 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 [6] 11, 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 [6] 11, 2026 ...... 115,750,000
                                             --------------
 
   §  8.  Section 5 of chapter 98 of the laws of 2026, relating to making
 appropriations for the support of government, as amended by chapter  109
 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 .......... [48,582,000]   53,932,000
                                             --------------
 S. 10221                            8
 
   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
   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)
   .............................. [38,520,000]   43,870,000
                               --------------
 
 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
                                             --------------
 S. 10221                            9

 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
                                             --------------
 
 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
                                                           --------------
 
   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.
 S. 10221                           10
 
 Notwithstanding  section  40  of  the  state
   finance law or any provision of law to the
   contrary,  subject  to  federal  approval,
   department of health state funds  medicaid
   spending,  excluding  payments for medical
   services  provided  at  state   facilities
   operated  by  the office of mental health,
   the office for people  with  developmental
   disabilities  and  the office of addiction
   services and supports and further  exclud-
   ing  any  payments which are not appropri-
   ated within the department of  health,  in
   the  aggregate,  for  the  period April 1,
   2026 through March  31,  2027,  shall  not
   exceed  $36,099,200,000 except as provided
   below provided,  however,  such  aggregate
   limits  may be adjusted by the director of
   the budget to account for any  changes  in
   the New York state federal medical assist-
   ance  percentage amount established pursu-
   ant to the federal  social  security  act,
   increases in provider revenues, reductions
   in local social services district payments
   for   medical  assistance  administration,
   minimum  wage  increases,  and   beginning
   April 1, 2012 the operational costs of the
   New  York  state  medical  indemnity fund,
   pursuant to chapter  59  of  the  laws  of
   2011,  and state costs or savings from the
   essential plan program.  Such  projections
   may  be  adjusted  by  the director of the
   budget to account for increased  or  expe-
   dited  department  of  health  state funds
   medicaid expenditures as  a  result  of  a
   natural or other type of disaster, includ-
   ing a governmental declaration of emergen-
   cy.
 The  director of the budget, in consultation
   with the  commissioner  of  health,  shall
   assess  on  a  quarterly  basis  known and
   projected medicaid expenditures by catego-
   ry of service and by geographic region, as
   defined by the commissioner, incurred both
   prior to and subsequent to such assessment
   for each such period, and if the  director
   of the budget determines that such expend-
   itures  are  expected  to  cause  medicaid
   spending for such  period  to  exceed  the
   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.
 S. 10221                           11
 
 Such medicaid savings allocation  adjustment
   shall  be designed, to reduce the expendi-
   tures  authorized  by  the  appropriations
   herein  in  compliance  with the following
   guidelines:  (1)  reductions shall be made
   in compliance with applicable federal law,
   including the provisions  of  the  Patient
   Protection and Affordable Care Act, Public
   Law  No.  111-148, and the Health Care and
   Education  Reconciliation  Act  of   2010,
   Public   Law   No.  111-152  (collectively
   "Affordable Care Act") and any  subsequent
   amendments  thereto or regulations promul-
   gated thereunder; (2) reductions shall  be
   made  in  a  manner that complies with the
   state medicaid plan approved by the feder-
   al  centers  for  medicare  and   medicaid
   services,   provided,  however,  that  the
   commissioner of health  is  authorized  to
   submit  any  state  plan amendment or seek
   other federal approval,  including  waiver
   authority,  to implement the provisions of
   the medicaid savings allocation adjustment
   that meets the other  criteria  set  forth
   herein;  (3) reductions shall be made in a
   manner that  maximizes  federal  financial
   participation,  to the extent practicable,
   including any  federal  financial  partic-
   ipation that is available or is reasonably
   expected   to  become  available,  in  the
   discretion of the commissioner, under  the
   Affordable  Care Act; (4) reductions shall
   be  made  uniformly  among  categories  of
   services  and  geographic  regions  of the
   state,  to  the  extent  practicable,  and
   shall  be made uniformly within a category
   of service,  to  the  extent  practicable,
   except  where  the commissioner determines
   that  there  are  sufficient  grounds  for
   non-uniformity,  including but not limited
   to: the extent to which  specific  catego-
   ries of services contributed to department
   of health medicaid state funds spending in
   excess of the limits specified herein; the
   need  to  maintain  safety net services in
   underserved communities; or the  potential
   benefits  of  pursuing  innovative payment
   models contemplated by the Affordable Care
   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.
 S. 10221                           12
 
 The commissioner shall seek the input of the
   legislature,   as  well  as  organizations
   representing   health   care    providers,
   consumers,   businesses,  workers,  health
   insurers,  and others with relevant exper-
   tise, in developing such medicaid  savings
   allocation  adjustment, to the extent that
   all or part of  such  adjustment,  in  the
   discretion  of the commissioner, is likely
   to have a material impact on  the  overall
   medicaid program, particular categories of
   service  or  particular geographic regions
   of the state.
 (a) The commissioner shall post the medicaid
   savings  allocation  adjustment   on   the
   department  of  health's website and shall
   provide written copies of such  adjustment
   to  the  chairs  of the senate finance and
   the assembly ways and means committees  at
   least  30  days  before  the date on which
   implementation is expected to begin.
 (b) The commissioner may revise the medicaid
   savings allocation  adjustment  subsequent
   to  the  provisions of notice and prior to
   implementation but needs to provide a  new
   notice  pursuant  to  subparagraph  (i) of
   this paragraph only  if  the  commissioner
   determines, in his or her discretion, that
   such   revisions   materially   alter  the
   adjustment.
 Notwithstanding the provisions of paragraphs
   (a)  and  (b)  of  this  subdivision,  the
   commissioner   need  not  seek  the  input
   described in paragraph (a) of this  subdi-
   vision or provide notice pursuant to para-
   graph  (b)  of this subdivision if, in the
   discretion of the commissioner,  expedited
   development  and implementation of a medi-
   caid  savings  allocation  adjustment   is
   necessary  due to a public health emergen-
   cy.
 For  purposes  of  this  section,  a  public
   health  emergency  is  defined  as:  (i) a
   disaster,  natural  or   otherwise,   that
   significantly increases the immediate need
   for  health  care  personnel in an area of
   the state; (ii) an event or condition that
   creates a widespread risk of exposure to a
   serious  communicable  disease,   or   the
   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
 S. 10221                           13
 
   savings  allocation adjustment from taking
   effect retroactively to the extent permit-
   ted by the federal  centers  for  medicare
   and medicaid services.
 In  accordance  with  the  medicaid  savings
   allocation adjustment, the commissioner of
   the  department  of  health  shall  reduce
   department  of health state funds medicaid
   spending by the amount  of  the  projected
   overspending  through,  actions including,
   but not limited to modifying or suspending
   reimbursement methods, including  but  not
   limited  to  all  fees, premium levels and
   rates  of  payment,  notwithstanding   any
   provision  of  law  that  sets  a specific
   amount  or  methodology   for   any   such
   payments or rates of payment; modifying or
   discontinuing  medicaid  program benefits;
   seeking all necessary  federal  approvals,
   including,  but  not  limited  to waivers,
   waiver  amendments;  and  suspending  time
   frames  for  notice,  approval  or certif-
   ication  of  rate  requirements,  notwith-
   standing  any  provision  of  law, rule or
   regulation to the contrary, including  but
   not  limited  to sections 2807 and 3614 of
   the public health law, section 18 of chap-
   ter 2 of the laws of 1988,  and  18  NYCRR
   505.14(h).
 The  department  of  health  shall prepare a
   quarterly  report  that  sets  forth:  (a)
   known  and  projected department of health
   medicaid  expenditures  as  described   in
   subdivision   (1)  of  this  section,  and
   factors  that  could  result  in  medicaid
   disbursements   for   the  relevant  state
   fiscal  year  to  exceed   the   projected
   department of health state funds disburse-
   ments in the enacted budget financial plan
   pursuant to subdivision 3 of section 23 of
   the  state finance law, including spending
   increases or decreases due to:  enrollment
   fluctuations,  rate  changes,  utilization
   changes, MRT  investments,  and  shift  of
   beneficiaries  to  managed care; and vari-
   ations in offline medicaid  payments;  and
   (b)  the  actions  taken  to implement any
   medicaid  savings  allocation   adjustment
   implemented pursuant to subdivision (4) of
   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
 S. 10221                           14
 
   shall  be  posted  on  the  department  of
   health's website in a timely manner.
 The  money  hereby  appropriated  is  to  be
   available for payment  of  aid  heretofore
   accrued  or  hereafter  accrued to munici-
   palities,  and  to  providers  of  medical
   services  pursuant to section 367-b of the
   social services law, and  for  payment  of
   state aid to municipalities and to provid-
   ers  of  family care where payment systems
   through the fiscal intermediaries are  not
   operational.
 Notwithstanding  any  inconsistent provision
   of law to the contrary, funds may be  used
   by   the   department  for  outside  legal
   assistance on issues involving the federal
   government, the  conduct  of  preadmission
   screening   and  annual  resident  reviews
   required by the state's medicaid  program,
   computer  matching with insurance carriers
   to insure that medicaid is  the  payer  of
   last  resort and activities related to the
   management of the pharmacy benefit  avail-
   able under the medicaid program.
 Notwithstanding  any  inconsistent provision
   of law, in lieu of payments authorized  by
   the  social  services  law, or payments of
   federal funds otherwise due to  the  local
   social  services  districts  for  programs
   provided under the federal social security
   act or the federal food stamp  act,  funds
   herein  appropriated, in amounts certified
   by the state commissioner of temporary and
   disability assistance or the state commis-
   sioner of health as due from local  social
   services  districts  each  month  as their
   share of payments made pursuant to section
   367-b of the social services  law  may  be
   set  aside  by the state comptroller in an
   interest-bearing  account  in   order   to
   ensure  the  orderly and prompt payment of
   providers  under  section  367-b  of   the
   social  services  law pursuant to an esti-
   mate  provided  by  the  commissioner   of
   health   of  each  local  social  services
   district's share of payments made pursuant
   to section 367-b of  the  social  services
   law.
 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
 S. 10221                           15

   the  labor law. Each eligible organization
   in receipt of funding  made  available  by
   these  appropriations  may  be required to
   submit written certification, in such form
   and  at  such  time  the  commissioner may
   prescribe, attesting to the  total  amount
   of  funds  used  by the eligible organiza-
   tion, how such funding will be or was used
   for purposes eligible under  these  appro-
   priations  and  any other reporting deemed
   necessary by the commissioner. The amounts
   appropriated herein may  include  advances
   to  organizations  authorized  to  receive
   such funds to accomplish this purpose.
 Notwithstanding any other provision of  law,
   the   money  hereby  appropriated  may  be
   increased or decreased by  interchange  or
   transfer,  with  any  appropriation of the
   department of health  and  the  office  of
   medicaid  inspector  general  and  may  be
   increased  or  decreased  by  transfer  or
   suballocation  between  these appropriated
   amounts and appropriations of the  depart-
   ment  of health state purpose account, the
   office of mental health, office for people
   with   developmental   disabilities,   the
   office of addiction services and supports,
   the department of family assistance office
   of  temporary  and  disability assistance,
   the department of corrections and communi-
   ty supervision, the office of  information
   technology  services, the state university
   of New York, and office  of  children  and
   family  services,  the  office of medicaid
   inspector  general,  the  state  education
   department,  and  the state office for the
   aging with the approval of the director of
   the budget, who shall file  such  approval
   with  the  department of audit and control
   and copies thereof with  the  chairman  of
   the   senate  finance  committee  and  the
   chairman of the assembly  ways  and  means
   committee.
 Notwithstanding  any  inconsistent provision
   of law to the contrary, the moneys  hereby
   appropriated  may  be used for payments to
   the  centers  for  medicaid  and  medicare
   services  for obligations incurred related
   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
 S. 10221                           16
 
   may affect the cost of care  and  services
   provided  by personal care providers, case
   managers,  health  maintenance   organiza-
   tions,  out  of  state  medical facilities
   which provide care and services  to  resi-
   dents of the state, providers of transpor-
   tation   services,   that   are   altered,
   amended, adjusted or otherwise changed  by
   a  local  social  services district unless
   previously approved by the  department  of
   health and the director of the budget.
 Notwithstanding  any  inconsistent provision
   of law to the  contrary,  funds  shall  be
   made  available to the commissioner of the
   office of mental health or the commission-
   er of the office of addiction services and
   supports, in consultation with the commis-
   sioner  of  health  and  approved  by  the
   director  of  the  budget,  and consistent
   with  appropriations  made  therefor,   to
   implement  allocation adjustment developed
   by  each  such  commissioner  which  shall
   describe  mental  health  or substance use
   disorder services that should be developed
   to meet service needs resulting  from  the
   reduction  of  inpatient behavioral health
   services  provided  under   the   medicaid
   program,  by programs licensed pursuant to
   article 31 or 32  of  the  mental  hygiene
   law.  Such  programs  may include programs
   that are licensed pursuant to both article
   31 of the mental hygiene law  and  article
   28  of the public health law, or certified
   under  both  article  32  of  the   mental
   hygiene  law  and article 28 of the public
   health law.
 Notwithstanding any  inconsistent  provision
   of law, the moneys hereby appropriated may
   be  available for payments associated with
   the resolution by settlement agreement  or
   judgment of rate appeals and/or litigation
   where the department of health is a party.
 For  services  and  expenses  of the medical
   assistance  program   including   hospital
   inpatient  services  and general hospitals
   that are safety-net providers that  evince
   severe  financial  distress,  pursuant  to
   criteria determined by  the  commissioner,
   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
 S. 10221                           17
 
   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
 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) ........................ 43,494,000
 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
 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
 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)
 S. 10221                           18
 
   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
 For services and  expenses  of  the  medical
   assistance  program including managed care
   services   including   regional   planning
   activities  of  the  finger  lakes  health
   systems agency, including statewide  coor-
   dination  and  demonstration of best prac-
   tices. The department  shall  make  grants
   within  amounts  appropriated therefor, to
   assure high-quality and accessible primary
   care, to provide technical  assistance  to
   support  financial  and  business planning
   for integrated systems  of  care,  and  to
   assist   primary  care  providers  in  the
   adoption, implementation,  and  meaningful
   use  of electronic health record technolo-
   gy.
 Notwithstanding any provision of law to  the
   contrary,  the  portion  of this appropri-
   ation covering fiscal year  2026-27  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2026-27,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2026-27  set  forth  in  chapter 53 of the
   laws of 2025 (26952) ....................... 934,260,000
 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
 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
 S. 10221                           19
 
   2026-27  set  forth  in  chapter 53 of the
   laws of 2025 (26953) ....................... 431,556,000
 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
 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
 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
 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-
 S. 10221                           20
 
   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
                                             --------------
 
   Special Revenue Funds - Federal
   Federal Health and Human Services Fund
   Medicaid Direct Account - 25106
 
 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
 S. 10221                           21
 
   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
   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
 S. 10221                           22
 
   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.
 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
 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
 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-
 S. 10221                           23
 
   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
 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) ....................... 563,700,000
 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
 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
 S. 10221                           24
 
   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
   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
 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
 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
 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
 S. 10221                           25
 
   2026-27  set  forth  in  chapter 53 of the
   laws of 2025 (26955) ......................... 9,180,000
 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
   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
 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
                                             --------------
 
   §  9.  Section 6 of chapter 98 of the laws of 2026, relating to making
 appropriations for the support of government, as amended by chapter  109
 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.
 S. 10221                           26
 
                            DEPARTMENT OF LABOR
 
                             AID TO LOCALITIES

 UNEMPLOYMENT INSURANCE BENEFIT PROGRAM ... [1,215,000,000] 1,260,000,000
                                            --------------
 
   Enterprise Funds
   Unemployment Insurance Benefit Fund
   Unemployment Insurance Benefit Account - 50650
 
 For  payment of unemployment insurance bene-
   fits pursuant to article 18 of  the  labor
   law   or  as  authorized  by  the  federal
   government through the disaster  unemploy-
   ment  assistance  program,  the  emergency
   unemployment  compensation  program,   the
   extended   benefit  program,  the  federal
   additional  compensation  program  or  any
   other  federally funded unemployment bene-
   fit program (34787) ...... [1,215,000,000] 1,260,000,000
                              --------------

   § 10. Section 8 of chapter 100 of the laws of 2026, relating to making
 appropriations for the support of government, as amended by chapter  109
 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 TRANSPORTATION
 
                             AID TO LOCALITIES
 
 ADDITIONAL MASS TRANSPORTATION ASSISTANCE PROGRAM ........... 42,536,150
                                                           --------------
 
   General Fund
   Local Assistance Account - 10000

 Notwithstanding  any  inconsistent provision
   of law, the following  appropriations  are
   for  the  payment  of  mass transportation
   operating   assistance    provided    that
   payments  from this appropriation shall be
   made pursuant to a financial plan approved
   by the director of the budget.
 To  the  Capital   District   transportation
   authority for the operating expenses ther-
   eof (53206) .................................. 9,590,650
 To the Central New York regional transporta-
   tion  authority for the operating expenses
   thereof (53207) .............................. 6,906,575
 To the Rochester-Genesee regional  transpor-
 S. 10221                           27
 
   tation   authority   for   the   operating
   expenses thereof (53208) ..................... 8,229,375
 To   the   Niagara  Frontier  transportation
   authority for the operating expenses ther-
   eof (53209) .................................. 9,876,025
 To all other public  transportation  systems
   serving primarily outside of the metropol-
   itan   commuter   transportation  district
   eligible to receive  operating  assistance
   under  the  provisions  of section 18-b of
   the transportation law for  the  operating
   expenses  thereof  in  accordance  with  a
   service and usage  formula  to  be  estab-
   lished  by the commissioner of transporta-
   tion with the approval of the director  of
   the budget (53210) ........................... 7,178,100
 To Rockland county for the expenses thereof,
   incurred    for    public   transportation
   services  within   the   county   provided
   directly or under contract (53211) ............... 8,375
 To  the  city  of New York for the operating
   expenses  of  the  Staten   Island   ferry
   notwithstanding any other provision of law
   (53212) ......................................... 81,725
 To the county of Westchester for the operat-
   ing  expenses  thereof  incurred  for  the
   public transportation  services,  provided
   within   the   county  directly  or  under
   contract (53213) ............................... 137,175
 To the county of Nassau or its  sub-grantees
   for   the   operating   expenses   thereof
   incurred   for    public    transportation
   services (53214) ............................... 165,925
 To  the  county  of  Suffolk  for  operating
   expenses  thereof  incurred   for   public
   transportation  services,  provided within
   the  county  directly  or  under  contract
   (53215) ......................................... 64,550
 To  the  city  of New York for the operating
   expenses  thereof  incurred   for   public
   transportation  services,  provided within
   the  city  directly  or   under   contract
   (53216) ........................................ 218,425
 To  all  other public transportation systems
   serving primarily within the  metropolitan
   commuter  transportation district eligible
   to receive operating assistance under  the
   provisions  of  section 18-b of the trans-
   portation law for the  operating  expenses
   thereof  in  accordance with a service and
   usage formula to  be  established  by  the
   commissioner  of  transportation  with the
   approval of the  director  of  the  budget
   (53217) ......................................... 79,250
                                             --------------
 S. 10221                           28
 
 DEDICATED MASS TRANSPORTATION TRUST FUND PROGRAM .........
   ............................................ [61,360,250]  199,534,250
                                             --------------
 
   Special Revenue Funds - Other
   Dedicated Mass Transportation Trust Fund
   Non-MTA Capital Account - 20853
 
 Notwithstanding  any  inconsistent provision
   of law, the following  appropriations  are
   for payment of mass transportation operat-
   ing  assistance  for public transportation
   systems  eligible  to  receive   operating
   assistance under the provisions of section
   18-b  of  the transportation law, provided
   that  payments  from  this   appropriation
   shall be made pursuant to a financial plan
   approved by the director of the budget.
 To   the   Capital  District  transportation
   authority for the operating expenses ther-
   eof (54253) .................................. 2,585,875
 To the Central New York regional transporta-
   tion authority for the operating  expenses
   thereof (54251) .............................. 2,304,275
 To  the Rochester-Genesee regional transpor-
   tation   authority   for   the   operating
   expenses thereof (54252) ..................... 2,582,850
 To the Niagara Frontier regional transporta-
   tion  authority for the operating expenses
   thereof (54254) .............................. 3,364,300
 To  all  other  public  transportation   bus
   systems serving primarily areas outside of
   the  metropolitan  transportation commuter
   district  eligible  to  receive  operating
   assistance under the provisions of section
   18-b  of  the  transportation  law for the
   operating expenses thereof  in  accordance
   with  the  service and usage formula to be
   established by the commissioner of  trans-
   portation  with the approval of the direc-
   tor of the budget (54250) .................... 2,197,950
                                             --------------
 
   Special Revenue Funds - Other
   Dedicated Mass Transportation Trust Fund
   Railroad Account - 20852
 
 To the metropolitan transportation authority
   for deposit in the metropolitan  transpor-
   tation  authority  dedicated  tax fund for
   the expenses of the New York city  transit
   authority, the Manhattan and Bronx surface
   transit   operating   authority,  and  the
   Staten  Island  rapid  transit   operating
   authority,   the  Long  Island  rail  road
   company and the Metro-North commuter rail-
 S. 10221                           29
 
   road company which includes the  New  York
   state  portion of the Harlem, Hudson, Port
   Jervis, Pascack, and the New Haven  commu-
   ter railroad service regardless of whether
   the  services  are  provided  directly  or
   pursuant to joint service agreements.   No
   expenditure  shall be made hereunder until
   a certificate of approval has been  issued
   by  the  director of the budget and a copy
   of such certificate filed with  the  state
   comptroller, the chairperson of the senate
   finance  committee  and the chairperson of
   the assembly  ways  and  means  committee.
   Moneys  appropriated  herein  may  be made
   available at  such  times  and  upon  such
   conditions as may be deemed appropriate by
   the commissioner of transportation and the
   director  of the budget in accordance with
   the following:
 To the metropolitan transportation authority
   for the operating  expenses  of  the  Long
   Island  rail  road  company and the Metro-
   North  commuter  railroad  company   which
   include  operating  expenses  for  the New
   York state portion of Harlem, Hudson, Port
   Jervis, Pascack, and  New  Haven  commuter
   railroad  services  regardless  of whether
   such services  are  provided  directly  or
   pursuant   to   joint  service  agreements
   (54282) ....................... [7,260,000]   27,996,000
                               --------------
 
   Special Revenue Funds - Other
   Dedicated Mass Transportation Trust Fund
   Transit Authorities Account - 20851
 
 To the metropolitan transportation authority
   for deposit in the metropolitan  transpor-
   tation  authority  dedicated  tax fund for
   the expenses of the New York city  transit
   authority, the Manhattan and Bronx surface
   transit   operating   authority,  and  the
   Staten  Island  rapid  transit   operating
   authority,   the  Long  Island  rail  road
   company and the Metro-North commuter rail-
   road company which includes the  New  York
   state  portion of the Harlem, Hudson, Port
   Jervis, Pascack, and the New Haven  commu-
   ter railroad service regardless of whether
   the  services  are  provided  directly  or
   pursuant to joint service agreements.   No
   expenditure  shall be made hereunder until
   a certificate of approval has been  issued
   by  the  director of the budget and a copy
   of such certificate filed with  the  state
   comptroller, the chairperson of the senate
 S. 10221                           30
 
   finance  committee  and the chairperson of
   the assembly  ways  and  means  committee.
   Moneys  appropriated  herein  may  be made
   available  at  such  times  and  upon such
   conditions as may be deemed appropriate by
   the commissioner of transportation and the
   director of the budget in accordance  with
   the following:
 To the metropolitan transportation authority
   for the operating expenses of the New York
   city  transit authority, the Manhattan and
   Bronx surface transit operating authority,
   and the Staten Island rapid transit  oper-
   ating authority (53173) ...... [41,065,000]  158,503,000
                               --------------
 
 MASS TRANSPORTATION ASSISTANCE PROGRAM ....................... 6,312,750
                                                           --------------
 
   General Fund
   Local Assistance Account - 10000
 
 For  payment to the metropolitan transporta-
   tion  authority  for  the  costs  of   the
   student  fare  for school children program
   for  the  2026-27  school  year   provided
   however,  that  the program shall maintain
   the same eligibility criteria and discount
   structure for  students  as  was  provided
   during the 2019-20 school year. No expend-
   iture  shall  be  made  hereunder  until a
   certificate of approval has been issued by
   the director of the budget and a  copy  of
   such  certificate  filed  with  the  state
   comptroller, the chairperson of the senate
   finance committee and the  chairperson  of
   the  assembly  ways  and  means committee.
   Moneys appropriated  herein  may  only  be
   made  available  prior to the beginning of
   each school year semester designated fall,
   spring, and summer after  the  receipt  of
   student  fare  passes by the New York City
   department of education from the metropol-
   itan transportation authority (53175) ........ 6,312,750
                                             --------------
 
 MASS TRANSPORTATION OPERATING ASSISTANCE FUND PROGRAM ....
   ........................................... [167,533,375]  374,961,075
                                             --------------
 
   Special Revenue Funds - Other
   Mass Transportation Operating Assistance Fund
   Metropolitan Mass  Transportation  Operating  Assistance
     Account - 21402
 S. 10221                           31
 
 Notwithstanding  any  inconsistent provision
   of law, the following  appropriations  are
   for payment of mass transportation operat-
   ing assistance provided that payments from
   this  appropriation shall be made pursuant
   to a financial plan approved by the direc-
   tor of the budget.
 TO THE METROPOLITAN TRANSPORTATION AUTHORITY
   FOR THE OPERATING EXPENSES OF THE NEW YORK
   CITY TRANSIT AUTHORITY, THE MANHATTAN  AND
   BRONX SURFACE TRANSIT OPERATING AUTHORITY,
   AND  THE STATEN ISLAND RAPID TRANSIT OPER-
   ATING AUTHORITY (53176) .................... 142,443,400
 TO THE METROPOLITAN TRANSPORTATION AUTHORITY
   FOR THE OPERATING  EXPENSES  OF  THE  LONG
   ISLAND  RAIL  ROAD  COMPANY AND THE METRO-
   NORTH  COMMUTER  RAILROAD  COMPANY   WHICH
   INCLUDES  THE  NEW  YORK  STATE PORTION OF
   HARLEM, HUDSON, PORT JERVIS, PASCACK,  AND
   THE  NEW  HAVEN COMMUTER RAILROAD SERVICES
   REGARDLESS OF  WHETHER  THE  SERVICES  ARE
   PROVIDED  DIRECTLY  OR  PURSUANT  TO JOINT
   SERVICE AGREEMENTS (53177) .................. 64,984,300
 To Rockland county for the expenses  thereof
   incurred    for    public   transportation
   services  within  the   county,   provided
   directly or under contract (53178) ........... 1,591,325
 To  the  city  of New York for the operating
   expenses  of  the  Staten   Island   ferry
   notwithstanding  any  other  provisions of
   law (53179) ................................. 14,831,275
 To the county of Westchester for the operat-
   ing expenses thereof incurred  for  public
   transportation  services,  provided within
   the  county  directly  or  under  contract
   (53180) ..................................... 25,355,925
 To  the county of Nassau or its sub-grantees
   for   the   operating   expenses   thereof
   incurred    for    public   transportation
   services (53181) ............................ 30,880,275
 To  the  county  of  Suffolk  for  operating
   expenses   thereof   incurred  for  public
   transportation services,  provided  within
   the  county  directly  or  under  contract
   (53182) ..................................... 12,027,150
 To the city of New York  for  the  operating
   expenses   thereof   incurred  for  public
   transportation services,  provided  within
   the   city  directly  or  under  contract;
   provided however, that $2,000,000 of  this
   appropriation   shall   be   for  expenses
   incurred for the Staten Island express bus
   service (53183) ............................. 39,794,050
 To all other public  transportation  systems
   serving  primarily within the metropolitan
   commuter   transportation   district,   as
 S. 10221                           32
 
   defined  in  section  1262  of  the public
   authorities law, eligible to receive oper-
   ating assistance under the  provisions  of
   section 18-b of the transportation law for
   the  operating expenses thereof in accord-
   ance with a service and usage  formula  to
   be  established  by  the  commissioner  of
   transportation with the  approval  of  the
   director of the budget (53184) .............. 14,542,125
                                             --------------
 
   Special Revenue Funds - Other
   Mass Transportation Operating Assistance Fund
   Public   Transportation   Systems  Operating  Assistance
     Account - 21401
 
 Notwithstanding any  inconsistent  provision
   of  law,  the following appropriations are
   for payment of mass transportation operat-
   ing assistance provided that payments from
   this appropriation shall be made  pursuant
   to a financial plan approved by the direc-
   tor of the budget.
 To   the   Capital  District  transportation
   authority for the operating expenses ther-
   eof (53185) .................................. 4,623,425
 To the Central New York regional transporta-
   tion authority for the operating  expenses
   thereof (53186) .............................. 4,278,125
 To  the Rochester-Genesee regional transpor-
   tation   authority   for   the   operating
   expenses thereof (53187) ..................... 5,339,850
 To   the   Niagara  Frontier  transportation
   authority for the operating expenses ther-
   eof (53188) .................................. 7,986,200
 To  all  other  public  transportation   bus
   systems serving primarily areas outside of
   the  metropolitan  commuter transportation
   district  eligible  to  receive  operating
   assistance under the provisions of section
   18-b  of  the  transportation  law for the
   operating expenses thereof  in  accordance
   with  the  service and usage formula to be
   established by the commissioner of  trans-
   portation  with the approval of the direc-
   tor of the budget (53189) .................... 6,283,650
                                             --------------
 
 MASS TRANSPORTATION OPERATING ASSISTANCE PROGRAM ............ 55,467,475
                                                           --------------
 
   General Fund
   Local Assistance Account - 10000
 
 Notwithstanding any  inconsistent  provision
   of  law,  the following appropriations are
 S. 10221                           33
 
   for the  payment  of  mass  transportation
   operating  assistance  pursuant to section
   18-b of the transportation law.
 To the metropolitan transportation authority
   for the operating expenses of the New York
   city  transit authority, the Manhattan and
   Bronx surface transit operating authority,
   and the Staten Island rapid transit  oper-
   ating authority (53192) ........................ 548,850
 To the metropolitan transportation authority
   for  the  operating  expenses  of the Long
   Island rail road company  and  the  Metro-
   North   commuter  railroad  company  which
   include operating  expenses  for  the  New
   York state portion of Harlem, Hudson, Port
   Jervis,  Pascack,  and  New Haven commuter
   railroad services  regardless  of  whether
   such  services  are  provided  directly or
   pursuant  to  joint   service   agreements
   (53193) ........................................ 916,650
 To  the  city  of New York for the operating
   expenses  of  the  Staten   Island   ferry
   notwithstanding any other provision of law
   (53198) ......................................... 77,250
 To the county of Westchester for the operat-
   ing  expenses  thereof  incurred  for  the
   public transportation  services,  provided
   within   the   county  directly  or  under
   contract (53199) ................................ 65,275
 To the county of Nassau or its  sub-grantees
   for   the   operating   expenses   thereof
   incurred   for    public    transportation
   services (53200) ................................ 52,800
 To  the  county  of  Suffolk  for  operating
   expenses  thereof  incurred   for   public
   transportation  services,  provided within
   the  county  directly  or  under  contract
   (53201) ......................................... 18,700
 To  the  city  of New York for the operating
   expenses  thereof  incurred   for   public
   transportation  services,  provided within
   the  city  directly  or   under   contract
   (53202) ........................................ 184,275
 To  all  other public transportation systems
   serving primarily within the  metropolitan
   commuter  transportation district eligible
   to receive operating assistance under  the
   provisions  of  section 18-b of the trans-
   portation law for the  operating  expenses
   thereof  in  accordance with a service and
   usage formula to  be  established  by  the
   commissioner  of  transportation  with the
   approval of the  director  of  the  budget
   (53203) ......................................... 51,900
 To   the   Capital  District  transportation
 S. 10221                           34

   authority for the operating expenses ther-
   eof (53194) .................................... 347,325
 To the Central New York regional transporta-
   tion  authority for the operating expenses
   thereof (53195) ................................ 548,125
 To the Rochester-Genesee regional  transpor-
   tation   authority   for   the   operating
   expenses thereof (53196) ....................... 685,125
 To  the  Niagara   Frontier   transportation
   authority for the operating expenses ther-
   eof (53197) .................................... 713,500
 To  all  other public transportation systems
   serving primarily outside the metropolitan
   commuter transportation district  eligible
   to  receive operating assistance under the
   provisions of section 18-b of  the  trans-
   portation  law  for the operating expenses
   thereof in accordance with a  service  and
   usage  formula  to  be  established by the
   commissioner of  transportation  with  the
   approval  of  the  director  of the budget
   (53204) ........................................ 510,175
                                             --------------
 
   Special Revenue Funds - Other
   Mass Transportation Operating Assistance Fund
   Metropolitan Mass  Transportation  Operating  Assistance
     Account - 21402
 
 Notwithstanding  any  inconsistent provision
   of law, the following  appropriations  are
   for  the  payment  of  mass transportation
   operating assistance pursuant  to  section
   18-b of the transportation law and section
   88-a of the state finance law.
 To the metropolitan transportation authority
   for the operating expenses of the New York
   city  transit authority, the Manhattan and
   Bronx surface transit operating authority,
   and the Staten Island rapid transit  oper-
   ating authority (53192) ..................... 39,119,150
 To the metropolitan transportation authority
   for  the  operating  expenses  of the Long
   Island rail road company  and  the  Metro-
   North   commuter  railroad  company  which
   include operating  expenses  for  the  New
   York state portion of Harlem, Hudson, Port
   Jervis,  Pascack,  and  New Haven commuter
   railroad services  regardless  of  whether
   such  services  are  provided  directly or
   pursuant  to  joint   service   agreements
   (53193) ...................................... 6,396,350
 To  the  city  of New York for the operating
   expenses  of  the  Staten   Island   ferry
   (53198) ........................................ 615,675
 S. 10221                           35
 
 To the county of Westchester for the operat-
   ing  expenses  thereof incurred for public
   transportation services,  provided  within
   the  county  directly  or  under  contract
   (53199) ........................................ 635,575
 To the county of Nassau or its  sub-grantees
   for   the   operating   expenses   thereof
   incurred   for    public    transportation
   services (53200) ............................... 582,075
 To  the  county  of  Suffolk  for  operating
   expenses  thereof  incurred   for   public
   transportation  services,  provided within
   the  county  directly  or  under  contract
   (53201) ........................................ 212,375
 To  the  city  of New York for the operating
   expenses  thereof  incurred   for   public
   transportation  services,  provided within
   the  city  directly  or   under   contract
   (53202) ...................................... 1,507,775
 To  eligible  public  transportation systems
   serving primarily within the  metropolitan
   commuter   transportation   district,   as
   defined in  section  1262  of  the  public
   authorities law, eligible to receive oper-
   ating  assistance  under the provisions of
   section 18-b of the transportation law for
   the operating expenses thereof in  accord-
   ance  with  a service and usage formula to
   be  established  by  the  commissioner  of
   transportation  with  the  approval of the
   director of the budget (53203) ................. 454,550
                                             --------------
 
   Special Revenue Funds - Other
   Mass Transportation Operating Assistance Fund
   Public  Transportation  Systems   Operating   Assistance
     Account - 21401
 
 Notwithstanding  any  inconsistent provision
   of law, the following  appropriations  are
   for  the  payment  of  mass transportation
   operating assistance pursuant  to  section
   18-b of the transportation law and section
   88-a of the state finance law.
 To   the   Capital  District  transportation
   authority for the operating expenses ther-
   eof (53194) .................................... 151,525
 To the Central New York regional transporta-
   tion authority for the operating  expenses
   thereof (53195) ................................ 255,775
 To  the Rochester-Genesee regional transpor-
   tation   authority   for   the   operating
   expenses thereof (53196) ....................... 292,250
 To   the   Niagara  Frontier  transportation
   authority for the operating expenses ther-
   eof (53197) .................................... 311,500
 S. 10221                           36
 
 To  all  other  public  transportation   bus
   systems   serving  areas  outside  of  the
   metropolitan    commuter    transportation
   district  eligible  to  receive  operating
   assistance under the provisions of section
   18-b  of  the  transportation  law for the
   operating expenses thereof  in  accordance
   with  the  service and usage formula to be
   established by the commissioner of  trans-
   portation  with the approval of the direc-
   tor of the budget (54289) ...................... 212,950
                                             --------------
 
 METROPOLITAN TRANSPORTATION AUTHORITY SUPPORT PROGRAM ....... 13,138,000
                                                           --------------
 
   Special Revenue Funds - Other
   Metropolitan Transportation Authority Financial  Assist-
     ance Fund
   New York Central Business District Trust Fund - 23653
 
 To the metropolitan transportation authority
   pursuant  to  section  99-ff  of the state
   finance law for  deposit  in  the  central
   business  district tolling capital lockbox
   established pursuant to section  553-j  of
   the public authorities law (54298) .......... 13,138,000
                                             --------------
 
   §  11. Section 7 of chapter 98 of the laws of 2026, relating to making
 appropriations for the support of government, as amended by chapter  109
 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 .................. [760,608,000]  769,023,000
                                             --------------
 
   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,
 S. 10221                           37
 
   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
   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
 S. 10221                           38
 
   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 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
 S. 10221                           39
 
   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  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
 S. 10221                           40
 
   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
 For services and expenses of  the  community
   services  program,  net  of disallowances,
   for community  programs  for  people  with
   developmental   disabilities  pursuant  to
   article 41  of  the  mental  hygiene  law,
   and/or  chapter  620  of the laws of 1974,
   chapter 660 of the laws of  1977,  chapter
   412 of the laws of 1981, chapter 27 of the
   laws  of  1987, chapter 729 of the laws of
   1989, chapter 329 of the laws of 1993  and
   other  provisions  of  the  mental hygiene
   law.  Notwithstanding   any   inconsistent
   provision  of law, the following appropri-
   ation shall be net of prior and/or current
   year refunds, rebates, reimbursements, and
   credits.
 Notwithstanding any other provision of  law,
   advances  and  reimbursement made pursuant
   to subdivision (d) of  section  41.15  and
   section  41.18  of  the mental hygiene law
   shall be allocated pursuant to a plan  and
   in  a manner prescribed by the agency head
   and approved by the director of the  budg-
   et.    The  moneys hereby appropriated are
   available to reimburse or advance  locali-
   ties and voluntary non-profit agencies for
   expenditures   made  during  local  fiscal
   periods commencing January 1, 2026,  April
   1,  2026 or July 1, 2026, and for advances
   for the 3 month period  beginning  January
   1, 2027.
 Notwithstanding the provisions of article 41
   of  the  mental  hygiene  law or any other
   inconsistent provision  of  law,  rule  or
   regulation,  the commissioner, pursuant to
   such contract and in the  manner  provided
   therein,  may  pay all or a portion of the
   expenses incurred by such voluntary  agen-
   cies arising out of loans which are funded
   from  the  proceeds  of  bonds  and  notes
 S. 10221                           41
 
   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
   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
 S. 10221                           42
 
   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
   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:
 S. 10221                           43
 
 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
   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) ...................... [35,172,000]   40,057,000
 S. 10221                           44
 
 For services and  expenses  related  to  the
   provision   of  day  program  services  to
   people   with  developmental  disabilities
   (37803) ....................... [8,640,000]    9,840,000
 For services and  expenses  related  to  the
   provision  of  family  support services to
   people  with  developmental   disabilities
   (37804) ....................... [9,720,000]   11,070,000
 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  [$82,800]
   $94,300   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
   operated    by    FEDCAP    Rehabilitation
   Services, Inc.  (37805) ....... [5,616,000]    6,396,000
 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) ... [1,440,000]    1,640,000
                               --------------
 
   § 12. Section 8 of chapter 98 of the laws of 2026, relating to  making
 appropriations  for the support of government, as amended by chapter 109
 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
                                             --------------
 S. 10221                           45
 
 VETERANS' BENEFITS ADVISING PROGRAM ............. [216,000]      246,000
                                             --------------
 
   Special Revenue Funds - Other
   Homeless Veterans Assistance Fund
   Homeless Veterans Assistance Account - 20204
 
 For  services  and expenses related to home-
   less veterans' housing (54815) .. [216,000]      246,000
                               --------------
 
   § 13. 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.
 
                        LOCAL GOVERNMENT ASSISTANCE
                             AID TO LOCALITIES

 AID AND INCENTIVES FOR MUNICIPALITIES ....................... 11,138,869
                                                           --------------
 
   General Fund
   Local Assistance Account - 10000
 
 For payment to local governments as of April
   1, 2026 under the aid and  incentives  for
   municipalities program pursuant to section
   54  of the state finance law in accordance
   with the following:
 For base  level  grants  to  municipalities;
   notwithstanding any other provision of law
   to  the contrary, in the state fiscal year
   commencing April  1,  2026,  each  munici-
   pality shall receive a base level grant in
   an  amount  equal  to the base level grant
   that such  municipality  received  in  the
   state fiscal year commencing April 1, 2025
   pursuant  to paragraph b of subdivision 10
   of section 54 of  the  state  finance  law
   (80511) ..................................... 11,138,869
                                             --------------
 
   §  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.
 
   §  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
 S. 10221                           46
 
 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.
Every fact on this page links to its source, starting with the official bill record.