§ 2. Subparagraph 5 of paragraph (c) of subdivision 1 of section 366
of the social services law, as amended by chapter 583 of the laws of
2023, is amended to read as follows:
(5) A disabled individual at least sixteen years of age, but under the
age of sixty-five, who: would be eligible for benefits under the supple-
mental security income program but for earnings in excess of the allow-
able limit; has net available income that does not exceed two hundred
fifty percent of the applicable federal income official poverty line, as
defined and updated by the United States department of health and human
services, for a one-person or two-person household, as defined by the
commissioner in regulation; has household resources, as defined in para-
graph (e) of subdivision two of section three hundred sixty-six-c of
this title, other than retirement accounts, that do not exceed [one
hundred fifty percent of the income amount permitted under subparagraph
seven of paragraph (a) of subdivision two of this section, for a one-
person or two-person household] THREE HUNDRED THOUSAND DOLLARS, as
defined by the commissioner in regulation; and contributes to the cost
of medical assistance provided pursuant to this subparagraph in accord-
ance with subdivision twelve of section three hundred sixty-seven-a of
this title; for purposes of this subparagraph, disabled means having a
medically determinable impairment of sufficient severity and duration to
qualify for benefits under section 1902(a)(10)(A)(ii)(xv) of the social
security act.
§ 3. Subparagraphs 2, 3 and 4 of paragraph (a) of subdivision 2 of
section 366 of the social services law are REPEALED.
§ 4. Subparagraphs 5, 6, 7, 9, 10 and 11 of paragraph (a) of subdivi-
sion 2 of section 366 of the social services law, subparagraph 5 as
amended by chapter 576 of the laws of 2007, subparagraph 6 as amended by
chapter 938 of the laws of 1990, subparagraph 7 as amended by section 47
of part C of chapter 58 of the laws of 2008, subparagraph 9 as amended
by chapter 110 of the laws of 1971, subparagraph 10 as added by chapter
705 of the laws of 1988, clauses (i) and (ii) of subparagraph 10 as
amended by chapter 672 of the laws of 2019, clause (iii) of subparagraph
10 as amended by chapter 170 of the laws of 1994 and subparagraph 11 as
added by chapter 576 of the laws of 2015, are renumbered subparagraphs
2, 3, 4, 5, 6 and 7 and clause (iii) of subparagraph 4 is amended to
read as follows:
(iii) No other income [or resources], including federal old-age,
survivors and disability insurance, state disability insurance or other
payroll deductions, whether mandatory or optional, shall be exempt and
all other income [and resources] shall be taken into consideration and
required to be applied toward the payment or partial payment of the cost
of medical care and services available under this title, to the extent
permitted by federal law.
§ 4-a. Subparagraphs 5, 6, 7, 8, 9, 10 and 11 of paragraph (a) of
subdivision 2 of section 366 of the social services law, as amended by
section 3 of part AAA of chapter 56 of the laws of 2022, are renumbered
subparagraphs 2, 3, 4, 5, 6, 7 and 8 and subparagraph 5 is amended to
read as follows:
(5) No other income [or resources], including federal old-age, survi-
vors and disability insurance, state disability insurance or other
payroll deductions, whether mandatory or optional, shall be exempt and
all other income [and resources] shall be taken into consideration and
required to be applied toward the payment or partial payment of the cost
of medical care and services available under this title, to the extent
permitted by federal law.
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§ 5. Subparagraphs 2, 5 and 10 of paragraph (c) of subdivision 1 of
section 366 of the social services law, subparagraphs 2 and 10 as added
by section 1 of part D of chapter 56 of the laws of 2013 and subpara-
graph 5 as amended by section two of this act, are amended to read as
follows:
(2) An individual who, although not receiving public assistance or
care for his or her maintenance under other provisions of this chapter,
has income [and resources], including available support from responsible
relatives, that does not exceed the amounts set forth in paragraph (a)
of subdivision two of this section, and is (i) sixty-five years of age
or older, or certified blind or certified disabled or (ii) for reasons
other than income [or resources], is eligible for federal supplemental
security income benefits and/or additional state payments.
(5) A disabled individual at least sixteen years of age, but under the
age of sixty-five, who: would be eligible for benefits under the supple-
mental security income program but for earnings in excess of the allow-
able limit; has net available income that does not exceed two hundred
fifty percent of the applicable federal income official poverty line, as
defined and updated by the United States department of health and human
services, for a one-person or two-person household, as defined by the
commissioner in regulation; [has household resources, as defined in
paragraph (e) of subdivision two of section three hundred sixty-six-c of
this title, other than retirement accounts, that do not exceed three
hundred thousand dollars, as defined by the commissioner in regulation;
and contributes to the cost of medical assistance provided pursuant to
this subparagraph in accordance with subdivision twelve of section three
hundred sixty-seven-a of this title;] for purposes of this subparagraph,
disabled means having a medically determinable impairment of sufficient
severity and duration to qualify for benefits under section
1902(a)(10)(A)(ii)(xv) of the social security act.
(10) A resident of a home for adults operated by a social services
district, or a residential care center for adults or community residence
operated or certified by the office of mental health, and has not,
according to criteria promulgated by the department consistent with this
title, sufficient income, or in the case of a person sixty-five years of
age or older, certified blind, or certified disabled, sufficient income
[and resources], including available support from responsible relatives,
to meet all the costs of required medical care and services available
under this title.
§ 6. Subparagraphs 1 and 2 of paragraph (b) of subdivision 2 of
section 366 of the social services law, subparagraph 1 as amended by
chapter 638 of the laws of 1993, subparagraph 1 as designated and
subparagraph 2 as added by chapter 170 of the laws of 1994, clause (iii)
of subparagraph 2 as amended by chapter 187 of the laws of 2017, clause
(iv) of subdivision 2 as amended by chapter 656 of the laws of 1997 and
as further amended by section 104 of part A of chapter 62 of the laws of
2011, clause (vi) of subparagraph 2 as added by chapter 435 of the laws
of 2018, are amended to read as follows:
(1) In establishing standards for determining eligibility for and
amount of such assistance, the department shall take into account only
such income [and resources], in accordance with federal requirements, as
[are] IS available to the applicant or recipient and as would not be
required to be disregarded or set aside for future needs, and there
shall be a reasonable evaluation of any such income [or resources]. The
department shall not consider the availability of an option for an
accelerated payment of death benefits or special surrender value pursu-
A. 5940--A 4
ant to paragraph one of subsection (a) of section one thousand one
hundred thirteen of the insurance law, or an option to enter into a
viatical settlement pursuant to the provisions of article seventy-eight
of the insurance law, as an available resource in determining eligibil-
ity for an amount of such assistance, provided, however, that the
payment of such benefits shall be considered in determining eligibility
for and amount of such assistance. There shall not be taken into consid-
eration the financial responsibility of any individual for any applicant
or recipient of assistance under this title unless such applicant or
recipient is such individual's spouse or such individual's child who is
under twenty-one years of age. In determining the eligibility of a child
who is categorically eligible as blind or disabled, as determined under
regulations prescribed by the social security act for medical assist-
ance, the income [and resources] of parents or spouses of parents are
not considered available to that child if she/he does not regularly
share the common household even if the child returns to the common
household for periodic visits. In the application of standards of eligi-
bility with respect to income, costs incurred for medical care, whether
in the form of insurance premiums or otherwise, shall be taken into
account. Any person who is eligible for, or reasonably appears to meet
the criteria of eligibility for, benefits under title XVIII of the
federal social security act shall be required to apply for and fully
utilize such benefits in accordance with this chapter.
(2) In evaluating the income [and resources] available to an applicant
for or recipient of medical assistance, for purposes of determining
eligibility for and the amount of such assistance, the department must
consider assets [held in or] paid from trusts created by such applicant
or recipient, as determined pursuant to the regulations of the depart-
ment, in accordance with the provisions of this subparagraph.
(i) In the case of a revocable trust created by an applicant or recip-
ient, as determined pursuant to regulations of the department: [the
trust corpus must be considered to be an available resource;] payments
made from the trust to or for the benefit of such applicant or recipient
must be considered to be available income; and any other payments from
the trust must be considered to be assets disposed of by such applicant
or recipient for purposes of paragraph (d) of subdivision five of this
section.
(ii) In the case of an irrevocable trust created by an applicant or
recipient, as determined pursuant to regulations of the department: any
portion of the trust corpus, and of the income generated by the trust
corpus, from which no payment can under any circumstances be made to
such applicant or recipient must be considered, as of the date of estab-
lishment of the trust, or, if later, the date on which payment to the
applicant or recipient is foreclosed, to be assets disposed of by such
applicant or recipient for purposes of paragraph (d) of subdivision five
of this section; [any portion of the trust corpus, and of the income
generated by the trust corpus, from which payment could be made to or
for the benefit of such applicant or recipient must be considered to be
an available resource;] payments made from the trust to or for the bene-
fit of such applicant or recipient must be considered to be available
income; and any other payments from the trust must be considered to be
assets disposed of by such applicant or recipient for purposes of para-
graph (d) of subdivision five of this section.
(iii) Notwithstanding the provisions of clauses (i) and (ii) of this
subparagraph, in the case of an applicant or recipient who is disabled,
as such term is defined in section 1614(a)(3) of the federal social
A. 5940--A 5
security act, the department must not consider as available income [or
resources] the [corpus or] income of the following trusts which comply
with the provisions of the regulations authorized by clause (iv) of this
subparagraph: (A) a trust containing the assets of such a disabled indi-
vidual which was established for the benefit of the disabled individual
while such individual was under sixty-five years of age by the individ-
ual, a parent, grandparent, legal guardian, or court of competent juris-
diction, if upon the death of such individual the state will receive all
amounts remaining in the trust up to the total value of all medical
assistance paid on behalf of such individual; (B) and a trust containing
the assets of such a disabled individual established and managed by a
non-profit association which maintains separate accounts for the benefit
of disabled individuals, but, for purposes of investment and management
of trust funds, pools the accounts, provided that accounts in the trust
fund are established solely for the benefit of individuals who are disa-
bled as such term is defined in section 1614(a)(3) of the federal social
security act by such disabled individual, a parent, grandparent, legal
guardian, or court of competent jurisdiction, and to the extent that
amounts remaining in the individual's account are not retained by the
trust upon the death of the individual, the state will receive all such
remaining amounts up to the total value of all medical assistance paid
on behalf of such individual. Notwithstanding any law to the contrary,
a not-for-profit corporation may, in furtherance of and as an adjunct to
its corporate purposes, act as trustee of a trust for persons with disa-
bilities established pursuant to this subclause, provided that a trust
company, as defined in subdivision seven of section one hundred-c of the
banking law, acts as co-trustee.
(iv) The department shall promulgate such regulations as may be neces-
sary to carry out the provisions of this subparagraph. Such regulations
shall include provisions for: assuring the fulfillment of fiduciary
obligations of the trustee with respect to the remainder interest of the
department or state; monitoring pooled trusts; applying this subdivision
to legal instruments and other devices similar to trusts, in accordance
with applicable federal rules and regulations; and establishing proce-
dures under which the application of this subdivision will be waived
with respect to an applicant or recipient who demonstrates that such
application would work an undue hardship on him or her, in accordance
with standards specified by the secretary of the federal department of
health and human services. Such regulations may require: notification of
the department of the creation or funding of such a trust for the bene-
fit of an applicant for or recipient of medical assistance; notification
of the department of the death of a beneficiary of such a trust who is a
current or former recipient of medical assistance; in the case of a
trust, the corpus of which exceeds one hundred thousand dollars, notifi-
cation of the department of transactions tending to substantially
deplete the trust corpus; notification of the department of any trans-
actions involving transfers from the trust corpus for less than fair
market value; the bonding of the trustee when the assets of such a trust
equal or exceed one million dollars, unless a court of competent juris-
diction waives such requirement; and the bonding of the trustee when the
assets of such a trust are less than one million dollars, upon order of
a court of competent jurisdiction. The department, together with the
department of financial services, shall promulgate regulations governing
the establishment, management and monitoring of trusts established
pursuant to subclause (B) of clause (iii) of this subparagraph in which
a not-for-profit corporation and a trust company serve as co-trustees.
A. 5940--A 6
(v) Notwithstanding any acts, omissions or failures to act of a trus-
tee of a trust which the department or a local social services official
has determined complies with the provisions of clause (iii) and the
regulations authorized by clause (iv) of this subparagraph, the depart-
ment must not consider the [corpus or] income of any such trust as
available income [or resources] of the applicant or recipient who is
disabled, as such term is defined in section 1614(a)(3) of the federal
social security act. The department's remedy for redress of any acts,
omissions or failures to act by such a trustee which acts, omissions or
failures are considered by the department to be inconsistent with the
terms of the trust, contrary to applicable laws and regulations of the
department, or contrary to the fiduciary obligations of the trustee
shall be the commencement of an action or proceeding under subdivision
one of section sixty-three of the executive law to safeguard or enforce
the state's remainder interest in the trust, or such other action or
proceeding as may be lawful and appropriate as to assure compliance by
the trustee or to safeguard and enforce the state's remainder interest
in the trust.
(vi) The department shall provide written notice to an applicant for
or recipient of medical assistance who is or reasonably appears to be
eligible for medical assistance except for having income exceeding
applicable income levels. The notice shall inform the applicant or
recipient, in plain language, that in certain circumstances the medical
assistance program does not count the income of disabled applicants and
recipients if it is placed in a trust described in clause (iii) of this
subparagraph. The notice shall be included with the eligibility notice
provided to such applicants and recipients and shall reference where
additional information may be found on the department's website. This
clause shall not be construed to change any criterion for eligibility
for medical assistance.
§ 7. Paragraph (a) of subdivision 3 of section 366 of the social
services law, as amended by chapter 110 of the laws of 1971, is amended
to read as follows:
(a) Medical assistance shall be furnished to applicants in cases
where, although such applicant has a responsible relative with suffi-
cient income [and resources] to provide medical assistance as determined
by the regulations of the department, the income [and resources] of the
responsible relative are not available to such applicant because of the
absence of such relative or the refusal or failure of such relative to
provide the necessary care and assistance. In such cases, however, the
furnishing of such assistance shall create an implied contract with such
relative, and the cost thereof may be recovered from such relative in
accordance with title six of article three OF THIS CHAPTER and other
applicable provisions of law.
§ 8. Paragraph h of subdivision 6 of section 366 of the social
services law, as amended by section 69-b of part C of chapter 58 of the
laws of 2008, is amended to read as follows:
h. Notwithstanding any other provision of this chapter or any other
law to the contrary, for purposes of determining medical assistance
eligibility for persons specified in paragraph b of this subdivision,
the income [and resources] of responsible relatives shall not be deemed
available for as long as the person meets the criteria specified in this
subdivision.
§ 9. Subparagraph (vii) of paragraph b of subdivision 7 of section 366
of the social services law, as amended by chapter 324 of the laws of
2004, is amended to read as follows:
A. 5940--A 7
(vii) be ineligible for medical assistance because the income [and
resources] of responsible relatives are deemed available to him or her,
causing him or her to exceed the income [or resource] eligibility level
for such assistance;
§ 10. Paragraph j of subdivision 7 of section 366 of the social
services law, as amended by chapter 324 of the laws of 2004, is amended
to read as follows:
j. Notwithstanding any other provision of this chapter other than
subdivision six of this section or any other law to the contrary, for
purposes of determining medical assistance eligibility for persons spec-
ified in paragraph b of this subdivision, the income [and resources] of
a responsible relative shall not be deemed available for as long as the
person meets the criteria specified in this subdivision.
§ 11. Subdivision 8 of section 366 of the social services law, as
added by chapter 41 of the laws of 1992, is amended to read as follows:
8. Notwithstanding any inconsistent provision of this chapter or any
other law to the contrary, income [and resources] which [are] IS other-
wise exempt from consideration in determining a person's eligibility for
medical care, services and supplies available under this title, shall be
considered available for the payment or part payment of the costs of
such medical care, services and supplies as required by federal law and
regulations.
§ 12. Subparagraph (vi) of paragraph b of subdivision 9 of section 366
of the social services law, as added by chapter 170 of the laws of 1994,
is amended to read as follows:
(vi) be eligible or, if discharged, would be eligible for medical
assistance, or are ineligible for medical assistance because the income
[and resources] of responsible relatives are or, if discharged, would be
deemed available to such persons causing them to exceed the income [or
resource] eligibility level for such assistance;
§ 13. Paragraph k of subdivision 9 of section 366 of the social
services law, as added by chapter 170 of the laws of 1994, is amended to
read as follows:
k. Notwithstanding any provision of this chapter other than subdivi-
sion six or seven of this section, or any other law to the contrary, for
purposes of determining medical assistance eligibility for persons spec-
ified in paragraphs b and c of this subdivision, the income [and
resources] of a responsible relative shall not be deemed available for
as long as the person meets the criteria specified in this subdivision.
§ 14. Paragraph (d) of subdivision 12 of section 366 of the social
services law, as added by section 1 of part E of chapter 58 of the laws
of 2006, is amended to read as follows:
(d) Notwithstanding any provision of this chapter or any other law to
the contrary, for purposes of determining medical assistance eligibility
for persons specified in paragraph (b) of this subdivision, the income
[and resources] of a legally responsible relative shall not be deemed
available for as long as the person meets the criteria specified in this
subdivision; provided, however, that such income shall continue to be
deemed unavailable should responsibility for the care and placement of
the person be returned to his or her parent or other legally responsible
person.
§ 15. Paragraph (b) of subdivision 16 of section 366 of the social
services law, as added by section 1 of part N of chapter 57 of the laws
of 2023, is amended to read as follows:
(b) Individuals eligible for participation in such waiver shall:
A. 5940--A 8
(i) be a disabled individual, defined as having a medically determina-
ble impairment of sufficient severity and duration to qualify for bene-
fits under Titles II or XVI of the social security act;
(ii) be at least sixteen years of age;
(iii) be otherwise eligible for medical assistance benefits, but for
earnings [and/or resources] in excess of the allowable limit;
(iv) have net available income, determined in accordance with subdivi-
sion two of this section, that does not exceed two thousand two hundred
fifty percent of the applicable federal poverty line, as defined and
updated by the United States department of health and human services;
(v) [have resources, as defined in paragraph (e) of subdivision two of
section three hundred sixty-six-c of this title, other than retirement
accounts, that do not exceed three hundred thousand dollars;
(vi)] contribute to the cost of medical assistance provided pursuant
to this paragraph in accordance with paragraph (d) of this subdivision;
and
[(vii)] (VI) meet such other criteria as may be established by the
commissioner as may be necessary to administer the provisions of this
subdivision in an equitable manner.
§ 16. Paragraph (b) of subdivision 2 of section 366-a of the social
services law is REPEALED and paragraphs (c) and (d) of subdivision 2,
paragraph (d) as added by section 29 of part B of chapter 58 of the laws
of 2010, are relettered paragraphs (b) and (c) and paragraph (c) is
amended to read as follows:
(c) Notwithstanding the provisions of paragraph (a) of this subdivi-
sion, an applicant or recipient [whose eligibility under this title is
determined without regard to the amount of his or her accumulated
resources] may attest to the amount of interest income generated by such
resources if the amount of such interest income is expected to be imma-
terial to medical assistance eligibility, as determined by the commis-
sioner of health. In the event there is an inconsistency between the
information reported by the applicant or recipient and any information
obtained by the commissioner of health from other sources and such
inconsistency is material to medical assistance eligibility, the commis-
sioner of health shall request that the applicant or recipient provide
adequate documentation to verify his or her interest income.
§ 17. Paragraph (a) of subdivision 8 of section 366-a of the social
services law, as amended by section 7 of part B of chapter 58 of the
laws of 2010, is amended to read as follows:
(a) Notwithstanding subdivisions two and five of this section, infor-
mation concerning income [and resources] of applicants for and recipi-
ents of medical assistance may be verified by matching client informa-
tion with information contained in the wage reporting system established
by section one hundred seventy-one-a of the tax law and in similar
systems operating in other geographically contiguous states, by means of
an income verification performed pursuant to a memorandum of understand-
ing with the department of taxation and finance pursuant to subdivision
four of section one hundred seventy-one-b of the tax law, and, to the
extent required by federal law, with information contained in the non-
wage income file maintained by the United States internal revenue
service, in the beneficiary data exchange maintained by the United
States department of health and human services, and in the unemployment
insurance benefits file. Such matching shall provide for procedures
which document significant inconsistent results of matching activities.
Nothing in this section shall be construed to prohibit activities the
department reasonably believes necessary to conform with federal
A. 5940--A 9
requirements under section one thousand one hundred thirty-seven of the
social security act.
§ 18. Subdivision 1 of section 366-c of the social services law, as
added by chapter 558 of the laws of 1989, is amended to read as follows:
1. Notwithstanding any other provision of law to the contrary, in
determining the eligibility for medical assistance of a person defined
as an institutionalized spouse, the income [and resources] of such
person and the person's community spouse shall be treated as provided in
this section.
§ 19. Paragraphs (c), (d) and (e) of subdivision 2 of section 366-c of
the social services law are REPEALED and paragraphs (f), (g), (h), (i),
(j) and (k) of subdivision 2 are relettered paragraphs (c), (d), (e),
(f), (g) and (h).
§ 20. Subdivisions 5 and 6 of section 366-c of the social services law
are REPEALED and subdivisions 7 and 8, as added by chapter 558 of the
laws of 1989, are renumbered subdivisions 5 and 6 and amended to read as
follows:
5. (a) At the beginning or after the commencement of a continuous
period of institutionalization, either spouse may request [an assessment
of the total value of their resources or] a determination of the commu-
nity spouse monthly income allowance, the amount of the family allow-
ance, or the method of computing the amount of the family allowance, or
the method of computing the amount of the community spouse income allow-
ance.
(b) [(i) Upon receipt of a request pursuant to paragraph (a) of this
subdivision together with all relevant documentation of the resources of
both spouses, the social services district shall assess and document the
total value of the spouses' resources and provide each spouse with a
copy of the assessment and the documentation upon which it was based. If
the request is not part of an application for medical assistance bene-
fits, the social services district may charge a fee for the assessment
which is related to the cost of preparing and copying the assessment and
documentation which fee may not exceed twenty-five dollars.
(ii)] The social services district shall [also] notify each requesting
spouse of the community spouse monthly income allowance, of the amount,
if any, of the family allowances, and of the method of computing the
amount of the community spouse monthly income allowance.
(c) The social services district shall also provide to the spouse a
notice of the right to a fair hearing at the time of provision of the
information requested under paragraph (a) of this subdivision or after a
determination of eligibility for medical assistance. Such notice shall
be in the form prescribed or approved by the commissioner and include a
statement advising the spouse of the right to a fair hearing under this
section.
6. (a) If, after a determination on an application for medical assist-
ance has been made, either spouse is dissatisfied with the determination
of the community spouse monthly allowance[,] OR the amount of monthly
income otherwise available to the community spouse[, the computation of
the spousal share of resources, the attribution of resources or the
determination of the community spouse's resource allocation], the spouse
may request a fair hearing to dispute such determination. Such hearing
shall be held within thirty days of the request therefor.
(b) If either spouse establishes that the community spouse needs
income above the level established by the social services district as
the minimum monthly maintenance needs allowance, based upon exceptional
circumstances which result in significant financial distress (as defined
A. 5940--A 10
by the commissioner in regulations), the department shall substitute an
amount adequate to provide additional necessary income from the income
otherwise available to the institutionalized spouse.
[(c) If either spouse establishes that income generated by the commu-
nity spouse resource allowance, established by the social services
district, is inadequate to raise the community spouse's income to the
minimum monthly maintenance needs allowance, the department shall estab-
lish a resource allowance for the spousal share of the institutionalized
spouse adequate to provide such minimum monthly maintenance needs allow-
ance.]
§ 21. The commissioner of health shall, expeditiously and as neces-
sary, submit any state plan amendment or waiver requests necessary to
maintain federal financial participation under this act.
§ 22. This act shall take effect immediately; provided however, that
sections one and two of this act shall take effect January 1, 2025;
provided, further, however, that sections three, four, five, six, seven,
eight, nine, ten, eleven, twelve, thirteen, fourteen, fifteen, sixteen,
seventeen, eighteen, nineteen and twenty of this act shall take effect
January 1, 2026; provided, further, however, that if section 3 of part
AAA of chapter 56 of the laws of 2022 shall not have taken effect on or
before such dates then sections one-a and four-a of this act shall take
effect on the same date and in the same manner as such section of such
part of such chapter of the laws of 2022, takes effect; provided,
further, however, that the amendments to subdivision 6 of section 366 of
the social services law made by section eight of this act shall not
affect the repeal of such subdivision and shall be deemed repealed ther-
ewith; provided, further, however, that if section 1 of part N of chap-
ter 57 of the laws of 2023 shall not have taken effect on or before such
date then section fifteen of this act shall take effect on the same date
and in the same manner as such section of such part of such chapter of
the laws of 2023, takes effect; provided, further, however, that the
effectiveness of sections one through twenty of this act shall be
subject to federal financial participation; provided, further, however,
that the commissioner of health shall notify the legislative bill draft-
ing commission upon the occurrence of federal financial participation in
order that the commission may maintain an accurate and timely effective
data base of the official text of the laws of the state of New York in
furtherance of effectuating the provisions of section 44 of the legisla-
tive law and section 70-b of the public officers law. Effective imme-
diately, the addition, amendment and/or repeal of any rule or regulation
necessary for the implementation of this act on its effective date are
authorized to be made and completed on or before such effective date.