S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   8282
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                                May 8, 2025
                                ___________
 
 Introduced  by  M. of A. PRETLOW -- (at request of the Governor) -- read
   once and referred to the Committee on Ways and Means
 
 AN ACT making appropriations for the support  of  government;  to  amend
   chapter  113 of the laws of 2025 making appropriations for the support
   of government, in relation thereto; to amend chapter 118 of  the  laws
   of  2025  making  appropriations  for  the  support  of government, in
   relation thereto; to amend chapter 119 of  the  laws  of  2025  making
   appropriations for the support of government, 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, 2025 are enacted.
   §  2. Section 2 of chapter 113 of the laws of 2025, relating to making
 appropriations for the support of government, as amended by chapter  125
 of the laws of 2025, 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, 2025.
 
                    ALL STATE DEPARTMENTS AND AGENCIES
 
 For  the  purpose  of  making  payments  for
   personal  service,  including  liabilities
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD12014-01-5
              

 A. 8282                             2
 
   incurred  prior  to  April 1, 2025, on the
   payrolls scheduled to be paid  during  the
   period  April 1 through May [7] 9, 2025 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 ........................ 1,978,430,000
                                             --------------
   § 3. Section 3 of chapter 113 of the laws of 2025, relating to  making
 appropriations  for the support of government, as amended by chapter 126
 of the laws of 2025, 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, 2025.
 
                    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  [7]  9,  2025,  pursuant  to existing
   state law and for purposes for  which  the
   legislature  authorized the expenditure of
   moneys during the 2024-2025  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  2024-2025  state
   fiscal  year  shall  have  ceased  to have
   force and effect ............................ 34,000,000
                                             --------------
 
   § 4. Section 5 of chapter 118 of the laws of 2025, relating to  making
 appropriations  for the support of government, as amended by chapter 126
 of the laws of 2025, 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
 A. 8282                             3
 
 public  officers  and  for the purposes specified, which amount shall be
 available for the state fiscal year beginning April 1, 2025.
 
                                 JUDICIARY
 
 For  the  purpose  of  making  payments  for
   personal  service,  including  liabilities
   incurred  prior  to  April 1, 2025, on the
   payrolls scheduled to be paid  during  the
   period  April 1 through May [7] 9, 2025 to
   officers and employees of the judiciary .... 265,000,000
 For the payment of state operations  nonper-
   sonal  service  liabilities,  the  sum  of
   twenty-five million dollars ($25,000,000),
   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 [7] 9,
   2025 ........................................ 25,000,000
 For the payment of aid to localities liabil-
   ities, the sum of thirty  million  dollars
   ($30,000,000), 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 aid to localities liabilities
   incurred by the  judiciary  from  April  1
   through May [7] 9, 2025 ..................... 30,000,000
 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  three  hundred  million   dollars
   ($300,000,000),  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
 A. 8282                             4
 
   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 [7] 9, 2025 ....... 300,000,000
                                             --------------
 
   § 5. Section 5 of chapter 113 of the laws of 2025, relating to  making
 appropriations  for the support of government, as amended by chapter 126
 of the laws of 2025, 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, 2025.

                           DEPARTMENT OF HEALTH
 
                             AID TO LOCALITIES
 
 CENTER FOR COMMUNITY HEALTH PROGRAM ......... [47,660,000]    48,730,000
                                             --------------
 
   General Fund
   Local Assistance Account - 10000
 
 For services and  expenses  related  to  the
   Indian  health  program.  The money hereby
   appropriated  shall  be  for  payment   of
   financial assistance heretofore accrued or
   hereafter to accrue (26840) .................. 7,000,000
                                             --------------
 
   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)
   ............................. [40,660,000]    41,730,000
                               --------------
 
 CHILD HEALTH INSURANCE PROGRAM ............................. 109,366,000
                                                           --------------
 
   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.
 A. 8282                             5
 
 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) .... 109,366,000
                                             --------------
 
 ELDERLY PHARMACEUTICAL INSURANCE COVERAGE PROGRAM ............ 1,520,000
                                                           --------------
 
   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 assist-
   ance heretofore accrued (26803) .............. 1,520,000
 
 MEDICAL ASSISTANCE PROGRAM ............................... 8,652,436,000
                                                           --------------
 
   General Fund
   Local Assistance Account - 10000
 
 For  the medical assistance program, includ-
   ing  administrative  expenses,  for  local
   social services districts, and for medical
   care rates for authorized child care agen-
   cies.
 Notwithstanding  section  40  of  the  state
   finance law or any provision of law to the
   contrary,  subject  to  federal  approval,
   department  of health state funds medicaid
   spending, excluding payments  for  medical
   services   provided  at  state  facilities
   operated by the office of  mental  health,
 A. 8282                             6
 
   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,
   2025 through March  31,  2026,  shall  not
   exceed  $33,417,285,000 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.
 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
 A. 8282                             7
 
   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.
 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
 A. 8282                             8
 
   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
   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
 A. 8282                             9
 
   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
   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
 A. 8282                            10
 
   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
   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
 A. 8282                            11
 
   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
   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. 8282                            12
 
   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
   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  2025-26  shall
   supersede  and replace any duplicative (i)
 A. 8282                            13
 
   reappropriation  for  this  item  covering
   fiscal  year  2025-26,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2025-26  set  forth  in  chapter 53 of the
   laws of 2024 (26947) ....................... 121,200,000
 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  2025-26  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2025-26,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2025-26  set  forth  in  chapter 53 of the
   laws of 2024 (26948) ........................ 31,296,000
 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  2025-26  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2025-26,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2025-26  set  forth  in  chapter 53 of the
   laws of 2024 (26949) ........................ 57,078,000
 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  2025-26  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2025-26,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2025-26  set  forth  in  chapter 53 of the
   laws of 2024 (26950) ....................... 152,808,000
 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  2025-26  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2025-26,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2025-26  set  forth  in  chapter 53 of the
   laws of 2024 (26951) ....................... 774,279,000
 For services and  expenses  of  the  medical
   assistance  program including managed care
   services   including   regional   planning
 A. 8282                            14
 
   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 2025-26 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2025-26,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2025-26 set forth in  chapter  53  of  the
   laws of 2024 (26952) ....................... 477,739,000
 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  2025-26  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2025-26,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2025-26  set  forth  in  chapter 53 of the
   laws of 2024 (29548) ........................ 18,096,000
 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 2025-26 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2025-26,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2025-26 set forth in  chapter  53  of  the
   laws of 2024 (26953) ....................... 290,856,000
 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 2025-26 shall
 A. 8282                            15
 
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2025-26,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2025-26 set forth in  chapter  53  of  the
   laws of 2024 (26954) ........................ 43,032,000
 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 2025-26 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2025-26,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2025-26 set forth in  chapter  53  of  the
   laws of 2024 (26955) ........................... 492,000
 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 2025-26 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2025-26,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2025-26 set forth in  chapter  53  of  the
   laws of 2024 (26956) ....................... 118,812,000
 For  services  and  expenses  of the medical
   assistance   program   including   medical
   services   provided  at  state  facilities
   operated by the office of  mental  health,
   the  office  for people with developmental
   disabilities and the office  of  addiction
   services and supports.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2025-26 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2025-26,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2025-26 set forth in  chapter  53  of  the
   laws of 2024 (26961) ....................... 500,400,000
                                             --------------
 A. 8282                            16
 
   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
   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,
 A. 8282                            17
 
   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
   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
 A. 8282                            18
 
   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  direc-
   tor 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 2025-26 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2025-26,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2025-26 set forth in  chapter  53  of  the
   laws of 2024 (26947) ....................... 346,884,000
 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 2025-26 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2025-26,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2025-26 set forth in  chapter  53  of  the
   laws of 2024 (26948) ........................ 62,232,000
 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 2025-26 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2025-26,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2025-26 set forth in  chapter  53  of  the
   laws of 2024 (26949) ....................... 101,802,000
 A. 8282                            19
 
 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 2025-26 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2025-26,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2025-26 set forth in  chapter  53  of  the
   laws of 2024 (26950) ....................... 476,154,000
 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 2025-26 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2025-26,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2025-26 set forth in  chapter  53  of  the
   laws of 2024 (26951) ..................... 1,456,333,000
 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 2025-26 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2025-26,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2025-26 set forth in  chapter  53  of  the
   laws of 2024 (26952) ..................... 1,659,119,000
 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,
 A. 8282                            20
 
   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 2025-26 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2025-26,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2025-26 set forth in  chapter  53  of  the
   laws of 2024 (26953) ....................... 555,696,000
 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 2025-26 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2025-26,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2025-26 set forth in  chapter  53  of  the
   laws of 2024 (26954) ........................ 73,410,000
 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 2025-26 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2025-26,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2025-26 set forth in  chapter  53  of  the
   laws of 2024 (26955) ......................... 8,532,000
 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 2025-26 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2025-26,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2025-26 set forth in  chapter  53  of  the
   laws of 2024 (26956) ....................... 825,786,000
 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
 A. 8282                            21
 
   disabilities and the office  of  addiction
   services and supports.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2025-26 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2025-26,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2025-26 set forth in  chapter  53  of  the
   laws of 2024 (26961) ....................... 500,400,000
                                             --------------
 
   §  6. Section 6 of chapter 113 of the laws of 2025, relating to making
 appropriations for the support of government, as amended by chapter  126
 of the laws of 2025, 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, 2025.
 
                            DEPARTMENT OF LABOR
 
                             AID TO LOCALITIES

 UNEMPLOYMENT INSURANCE BENEFIT PROGRAM .. [1,140,000,000]  1,155,000,000
                                             --------------
 
   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) ...... [1,140,000,000] 1,155,000,000
 
   § 7. Section 11 of chapter 119 of the laws of 2025, relating to making
 appropriations for the support of government, as amended by chapter  126
 of the laws of 2025, is amended to read as follows:
   §  11.  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, 2025.
 A. 8282                            22
 
                       DEPARTMENT OF MENTAL HYGIENE
             OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES
 
                             AID TO LOCALITIES
 
 COMMUNITY SERVICES PROGRAM ................. [433,306,000]   434,989,000
                                             --------------

   General Fund
   Local Assistance Account - 10000
 
 For  services  and expenses of the community
   services program,  net  of  disallowances,
   for  community  programs  for  people with
   developmental  disabilities  pursuant   to
   article  41  of  the  mental  hygiene law,
   and/or chapter 620 of the  laws  of  1974,
   chapter  660  of the laws of 1977, chapter
   412 of the laws of 1981, chapter 27 of the
   laws of 1987, chapter 729 of the  laws  of
   1989,  chapter 329 of the laws of 1993 and
   other provisions  of  the  mental  hygiene
   law.   Notwithstanding   any  inconsistent
   provision of law, the following  appropri-
   ation shall be net of prior and/or current
   year refunds, rebates, reimbursements, and
   credits.
 Notwithstanding  any other provision of law,
   advances and reimbursement  made  pursuant
   to  subdivision  (d)  of section 41.15 and
   section 41.18 of the  mental  hygiene  law
   shall  be allocated pursuant to a plan and
   in a manner prescribed by the agency  head
   and  approved by the director of the budg-
   et. The  moneys  hereby  appropriated  are
   available  to reimburse or advance locali-
   ties and voluntary non-profit agencies for
   expenditures  made  during  local   fiscal
   periods  commencing January 1, 2025, April
   1, 2025 or July 1, 2025, and for  advances
   for  the  3 month period beginning January
   1, 2026.
 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
 A. 8282                            23
 
   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 except pursuant to a chapter of the
   laws of 2024 authorizing  a  2.84  percent
   cost  of living adjustment, for the period
   commencing on April  1,  2024  and  ending
   March  31, 2025 the commissioner shall not
   apply any other cost of living  adjustment
 A. 8282                            24
 
   for  the  purpose of establishing rates of
   payments, contracts or any other  form  of
   reimbursement;  provided  that  this shall
   not prevent the commissioner from applying
   prior   adjustments  for  the  purpose  of
   establishing rates resulting from a rebas-
   ing of base year costs.
 Notwithstanding section 6908 of  the  educa-
   tion  law  and any other provision of law,
   rule or regulation to the contrary, direct
   support staff  in  programs  certified  or
   approved  by  the  office  for people with
   developmental disabilities, including  the
   home  and  community based services waiver
   programs that the office for  people  with
   developmental  disabilities  is authorized
   to administer with federal approval pursu-
   ant to subdivision (c) of section 1915  of
   the   federal  social  security  act,  are
   authorized to provide such tasks as  OPWDD
   may   specify  when  performed  under  the
   supervision,   training    and    periodic
   inspection  of  a  registered professional
   nurse and in accordance with an authorized
   practitioner's ordered care.
 Notwithstanding any other provision  of  law
   to   the  contrary,  and  consistent  with
   section 33.07 of the mental  hygiene  law,
   the  directors  of facilities licensed but
   not operated by the office for people with
   developmental  disabilities  who  act   as
   federally-appointed  representative payees
   and who assume  management  responsibility
   over  the funds of a resident may continue
   to use such funds  for  the  cost  of  the
   resident's  care and treatment, consistent
   with federal law and regulations.
 Funds appropriated herein shall be available
   in accordance with the following:
 Notwithstanding any  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
 A. 8282                            25
 
   other  inconsistent  provision   of   law,
   moneys from this appropriation may be used
   for  payment  up  to  $250  per  year  per
   client,  at  such times and in such manner
   as determined by the commissioner  on  the
   basis  of  financial need for the personal
   needs of each client residing in voluntar-
   y-operated community residences and volun-
   tary-operated community residential alter-
   natives,     including      individualized
   residential  alternatives  under  the home
   and community based services  waiver.  The
   commissioner   shall,   subject   to   the
   approval of the director  of  the  budget,
   alter  existing  advance payment schedules
   for  voluntary-operated  community   resi-
   dences  established  pursuant  to  section
   41.36 of the mental hygiene law.
 Notwithstanding any  inconsistent  provision
   of law, moneys from this appropriation may
   be  used  for  the  operation  of  clinics
   licensed pursuant to  article  16  of  the
   mental  hygiene  law  including,  but  not
   limited to,  supportive  and  habilitative
   services  consistent  with  the  home  and
   community based services waiver.
 For the state share  of  medical  assistance
   services  expenses incurred by the depart-
   ment  of  health  for  the  provision   of
   medical assistance services to people with
   developmental disabilities (37835) ......... 369,352,000
 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-
 A. 8282                            26
 
   ties and voluntary non-profit agencies for
   expenditures  made  during  local   fiscal
   periods  commencing January 1, 2025, April
   1,  2025 or July 1, 2025, and for advances
   for the 3 month period  beginning  January
   1, 2026.
 Notwithstanding the provisions of article 41
   of  the  mental  hygiene  law or any other
   inconsistent provision  of  law,  rule  or
   regulation,  the commissioner, pursuant to
   such contract and in the  manner  provided
   therein,  may  pay all or a portion of the
   expenses incurred by such voluntary  agen-
   cies arising out of loans which are funded
   from  the  proceeds  of  bonds  and  notes
   issued by the dormitory authority  of  the
   state of New York.
 Notwithstanding  any other provision of law,
   the  money  hereby  appropriated  may   be
   transferred to state operations and/or any
   appropriation  of  the  office  for people
   with developmental disabilities  with  the
   approval of the director of the budget.
 Notwithstanding  any  inconsistent provision
   of law, moneys from this appropriation may
   be used for state aid of up to 100 percent
   of the net deficit costs of  day  training
   programs and family support services.
 Notwithstanding  the  provisions  of section
   16.23 of the mental hygiene  law  and  any
   other  inconsistent provision of law, with
   relation to  the  operation  of  certified
   family  care  homes, including family care
   homes sponsored by voluntary  not-for-pro-
   fit  agencies,  moneys from this appropri-
   ation may be used for payments to purchase
   general services including but not limited
   to respite providers, up to a  maximum  of
   14 days, at rates to be established by the
   commissioner  and approved by the director
   of the budget in consideration of  factors
   including,  but not limited to, geographic
   area and number of clients  cared  for  in
   the  home  and  for  payment  in an amount
   determined by  the  commissioner  for  the
   personal  needs of each client residing in
   the family care home.
 Notwithstanding the provisions  of  subdivi-
   sion  12 of section 8 of the state finance
   law and any other  inconsistent  provision
   of law, moneys from this appropriation may
   be  used for expenses of family care homes
   including payments to operators of  certi-
   fied  family care homes for damages caused
   by clients to personal and  real  property
   in  accordance  with standards established
 A. 8282                            27
 
   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 2024 authorizing  a  2.84  percent
   cost  of living adjustment, for the period
   commencing on April  1,  2024  and  ending
   March  31, 2025 the commissioner shall not
   apply any other cost of living  adjustment
   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
 A. 8282                            28
 
   resident's care and treatment,  consistent
   with federal law and regulations.
 Funds appropriated herein shall be available
   in accordance with the following:
 Notwithstanding  any  other provision of law
   to the contrary, funds appropriated herein
   are available to reimburse in- and out-of-
   state private residential schools,  pursu-
   ant  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   residential
   services  and/or  maintenance costs is net
   of any supplemental security income  bene-
   fit  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 develop-
   mental  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.
 A. 8282                            29
 
 For services and  expenses  related  to  the
   provision   of   residential  services  to
   people   with  developmental  disabilities
   (37802) ..................... [37,126,000]    38,103,000
 For services and  expenses  related  to  the
   provision   of  day  program  services  to
   people  with  developmental   disabilities
   (37803) ...................... [9,120,000]     9,360,000
 For  services  and  expenses  related to the
   provision of family  support  services  to
   people   with  developmental  disabilities
   (37804) ..................... [10,260,000]    10,530,000
 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 $800,000 of
   this appropriation may be  transferred  to
   the  New York State Education Departments'
   Adult  Career  and  Continuing   Education
   Services   -   Vocational   Rehabilitation
   (ACCES-VR) program to  support  the  Long-
   Term Sheltered Employment program operated
   by  FEDCAP  Rehabilitation  Services, Inc.
   (37805) ...................... [5,928,000]     6,084,000
 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) .. [1,520,000]     1,560,000
                               --------------
 
   § 8. Section 8 of chapter 113 of the laws of 2025, relating to  making
 appropriations  for the support of government, as amended by chapter 126
 of the laws of 2025, 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, 2025.
 
                     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-
 A. 8282                            30

   istrative   costs   associated  with  this
   program (54606) ................................ 385,000
 
 VETERANS' BENEFITS ADVISING PROGRAM ............. [532,000]      546,000
                                             --------------
 
   Special Revenue Funds - Other
   Homeless Veterans Assistance Fund
   Homeless Veterans Assistance Account - 20204
 
 For  services  and expenses related to home-
   less veterans' housing (54815) .. [532,000]      546,000
 
   § 9. No expenditure may be made from any appropriation  in  this  act,
 until  a  certificate of approval has been issued by the director of the
 budget and a copy of such certificate shall have  been  filed  with  the
 state  comptroller, the chairman of the senate finance committee and the
 chairman of the assembly ways and  means  committee  provided,  however,
 that  any  expenditures  from  any appropriation in this act made by the
 legislature or judiciary shall not require such certificate.
 
   § 10. All expenditures and disbursements made  against  the  appropri-
 ations in this act shall, upon final action by the legislature on appro-
 priation  bills submitted by the governor pursuant to article VII of the
 state constitution for the support of government for  the  state  fiscal
 year  beginning  April  1,  2025,  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.
 
   §  11. Severability clause. If any clause, sentence, paragraph, subdi-
 vision, section or part of this act shall be adjudged by  any  court  of
 competent  jurisdiction  to  be invalid, such judgment shall not affect,
 impair, or invalidate the remainder thereof, but shall  be  confined  in
 its  operation  to the clause, sentence, paragraph, subdivision, section
 or part thereof directly involved in the controversy in which such judg-
 ment shall have been rendered. It is hereby declared to be the intent of
 the legislature that this act would  have  been  enacted  even  if  such
 invalid provisions had not been included herein.
 
   §  12.  This  act shall take effect immediately and shall be deemed to
 have been in full force and effect on and after April 1, 2025; provided,
 however, that upon the transfer of expenditures and disbursements by the
 comptroller as provided in section ten of this act,  the  appropriations
 made by this act and subject to such section shall be deemed repealed.