A. 7515 2
erated special employment, work-for-pay or
sheltered workshop programs ................ 279,930,000
--------------
§ 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, incurred in the
ordinary course of business, during the
period April 1 through April 3, 2025,
pursuant to existing state law and for
purposes for which the legislature author-
ized 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 accordance with existing
law, and further provided that nothing
contained herein shall be deemed to super-
sede, nullify or modify the provisions of
section 40 of the state finance law
prescribing when appropriations made for
the 2024-2025 state fiscal year shall have
ceased to have force and effect ............. 10,000,000
--------------
§ 4. The amounts specified in this section, or so much thereof as
shall be sufficient to accomplish the purposes designated, is hereby
appropriated and authorized to be paid as hereinafter provided, to the
public officers and for the purposes specified, which amount shall be
available for the state fiscal year beginning April 1, 2025.
MISCELLANEOUS -- ALL STATE DEPARTMENTS AND AGENCIES
GENERAL STATE CHARGES
STATE OPERATIONS
GENERAL STATE CHARGES ...................................... 20,650,000
--------------
General Fund
State Purposes Account - 10050
For employee fringe benefits according to
the following project schedule including
A. 7515 3
those benefits which are related to
employees paid from funds, accounts, or
programs where the division of the budget
has issued waivers .......................... 20,650,000
Project Schedule
PROJECT AMOUNT
--------------------------------------------
For the state's contribution
to the social security
contribution fund ............. 20,300,000
For the payment of the metro-
politan commuter transporta-
tion mobility tax pursuant
to article 23 of the tax
law, as added by chapter 25
of the laws of 2009, on
behalf of the state employ-
ees employed in the metro-
politan commuter transporta-
tion district .................... 350,000
--------------
Project schedule total .... 20,650,000
--------------
§ 5. The amounts specified in this section, or so much thereof as
shall be sufficient to accomplish the purposes designated, is hereby
appropriated and authorized to be paid as hereinafter provided, to the
public officers and for the purposes specified, which amount shall be
available for the state fiscal year beginning April 1, 2025.
DEPARTMENT OF HEALTH
AID TO LOCALITIES
CENTER FOR COMMUNITY HEALTH PROGRAM .......................... 3,210,000
--------------
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) ... 3,210,000
--------------
MEDICAL ASSISTANCE PROGRAM ............................... 1,111,204,000
--------------
General Fund
Local Assistance Account - 10000
For the medical assistance program, includ-
ing administrative expenses, for local
social services districts, and for medical
A. 7515 4
care rates for authorized child care agen-
cies.
Notwithstanding section 40 of the state
finance law or any provision of law to the
contrary, subject to federal approval,
department of health state funds medicaid
spending, excluding payments for medical
services provided at state facilities
operated by the office of mental health,
the office for people with developmental
disabilities and the office of addiction
services and supports and further exclud-
ing any payments which are not appropri-
ated within the department of health, in
the aggregate, for the period April 1,
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
A. 7515 5
to the aggregate limit specified herein
for such period.
Such medicaid savings allocation adjustment
shall be designed, to reduce the expendi-
tures authorized by the appropriations
herein in compliance with the following
guidelines: (1) reductions shall be made
in compliance with applicable federal law,
including the provisions of the Patient
Protection and Affordable Care Act, Public
Law No. 111-148, and the Health Care and
Education Reconciliation Act of 2010,
Public Law No. 111-152 (collectively
"Affordable Care Act") and any subsequent
amendments thereto or regulations promul-
gated thereunder; (2) reductions shall be
made in a manner that complies with the
state medicaid plan approved by the feder-
al centers for medicare and medicaid
services, provided, however, that the
commissioner of health is authorized to
submit any state plan amendment or seek
other federal approval, including waiver
authority, to implement the provisions of
the medicaid savings allocation adjustment
that meets the other criteria set forth
herein; (3) reductions shall be made in a
manner that maximizes federal financial
participation, to the extent practicable,
including any federal financial partic-
ipation that is available or is reasonably
expected to become available, in the
discretion of the commissioner, under the
Affordable Care Act; (4) reductions shall
be made uniformly among categories of
services and geographic regions of the
state, to the extent practicable, and
shall be made uniformly within a category
of service, to the extent practicable,
except where the commissioner determines
that there are sufficient grounds for
non-uniformity, including but not limited
to: the extent to which specific catego-
ries of services contributed to department
of health medicaid state funds spending in
excess of the limits specified herein; the
need to maintain safety net services in
underserved communities; or the potential
benefits of pursuing innovative payment
models contemplated by the Affordable Care
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
A. 7515 6
burdens to medicaid applicants and recipi-
ents or providers.
The commissioner shall seek the input of the
legislature, as well as organizations
representing health care providers,
consumers, businesses, workers, health
insurers, and others with relevant exper-
tise, in developing such medicaid savings
allocation adjustment, to the extent that
all or part of such adjustment, in the
discretion of the commissioner, is likely
to have a material impact on the overall
medicaid program, particular categories of
service or particular geographic regions
of the state.
(a) The commissioner shall post the medicaid
savings allocation adjustment on the
department of health's website and shall
provide written copies of such adjustment
to the chairs of the senate finance and
the assembly ways and means committees at
least 30 days before the date on which
implementation is expected to begin.
(b) The commissioner may revise the medicaid
savings allocation adjustment subsequent
to the provisions of notice and prior to
implementation but needs to provide a new
notice pursuant to subparagraph (i) of
this paragraph only if the commissioner
determines, in his or her discretion, that
such revisions materially alter the
adjustment.
Notwithstanding the provisions of paragraphs
(a) and (b) of this subdivision, the
commissioner need not seek the input
described in paragraph (a) of this subdi-
vision or provide notice pursuant to para-
graph (b) of this subdivision if, in the
discretion of the commissioner, expedited
development and implementation of a medi-
caid savings allocation adjustment is
necessary due to a public health emergen-
cy.
For purposes of this section, a public
health emergency is defined as: (i) a
disaster, natural or otherwise, that
significantly increases the immediate need
for health care personnel in an area of
the state; (ii) an event or condition that
creates a widespread risk of exposure to a
serious communicable disease, or the
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.
A. 7515 7
Nothing in this paragraph shall be deemed to
prevent all or part of such medicaid
savings allocation adjustment from taking
effect retroactively to the extent permit-
ted by the federal centers for medicare
and medicaid services.
In accordance with the medicaid savings
allocation adjustment, the commissioner of
the department of health shall reduce
department of health state funds medicaid
spending by the amount of the projected
overspending through, actions including,
but not limited to modifying or suspending
reimbursement methods, including but not
limited to all fees, premium levels and
rates of payment, notwithstanding any
provision of law that sets a specific
amount or methodology for any such
payments or rates of payment; modifying or
discontinuing medicaid program benefits;
seeking all necessary federal approvals,
including, but not limited to waivers,
waiver amendments; and suspending time
frames for notice, approval or certif-
ication of rate requirements, notwith-
standing any provision of law, rule or
regulation to the contrary, including but
not limited to sections 2807 and 3614 of
the public health law, section 18 of chap-
ter 2 of the laws of 1988, and 18 NYCRR
505.14(h).
The department of health shall prepare a
quarterly report that sets forth: (a)
known and projected department of health
medicaid expenditures as described in
subdivision (1) of this section, and
factors that could result in medicaid
disbursements for the relevant state
fiscal year to exceed the projected
department of health state funds disburse-
ments in the enacted budget financial plan
pursuant to subdivision 3 of section 23 of
the state finance law, including spending
increases or decreases due to: enrollment
fluctuations, rate changes, utilization
changes, MRT investments, and shift of
beneficiaries to managed care; and vari-
ations in offline medicaid payments; and
(b) the actions taken to implement any
medicaid savings allocation adjustment
implemented pursuant to subdivision (4) of
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
A. 7515 8
chairs of the senate finance and the
assembly ways and means committees and
shall be posted on the department of
health's website in a timely manner.
The money hereby appropriated is to be
available for payment of aid heretofore
accrued or hereafter accrued to munici-
palities, and to providers of medical
services pursuant to section 367-b of the
social services law, and for payment of
state aid to municipalities and to provid-
ers of family care where payment systems
through the fiscal intermediaries are not
operational.
Notwithstanding any inconsistent provision
of law to the contrary, funds may be used
by the department for outside legal
assistance on issues involving the federal
government, the conduct of preadmission
screening and annual resident reviews
required by the state's medicaid program,
computer matching with insurance carriers
to insure that medicaid is the payer of
last resort and activities related to the
management of the pharmacy benefit avail-
able under the medicaid program.
Notwithstanding any inconsistent provision
of law, in lieu of payments authorized by
the social services law, or payments of
federal funds otherwise due to the local
social services districts for programs
provided under the federal social security
act or the federal food stamp act, funds
herein appropriated, in amounts certified
by the state commissioner of temporary and
disability assistance or the state commis-
sioner of health as due from local social
services districts each month as their
share of payments made pursuant to section
367-b of the social services law may be
set aside by the state comptroller in an
interest-bearing account in order to
ensure the orderly and prompt payment of
providers under section 367-b of the
social services law pursuant to an esti-
mate provided by the commissioner of
health of each local social services
district's share of payments made pursuant
to section 367-b of the social services
law.
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
A. 7515 9
effect during the timeframe of these
appropriations, pursuant to section 652 of
the labor law. Each eligible organization
in receipt of funding made available by
these appropriations may be required to
submit written certification, in such form
and at such time the commissioner may
prescribe, attesting to the total amount
of funds used by the eligible organiza-
tion, how such funding will be or was used
for purposes eligible under these appro-
priations and any other reporting deemed
necessary by the commissioner. The amounts
appropriated herein may include advances
to organizations authorized to receive
such funds to accomplish this purpose.
Notwithstanding any other provision of law,
the money hereby appropriated may be
increased or decreased by interchange or
transfer, with any appropriation of the
department of health and the office of
medicaid inspector general and may be
increased or decreased by transfer or
suballocation between these appropriated
amounts and appropriations of the depart-
ment of health state purpose account, the
office of mental health, office for people
with developmental disabilities, the
office of addiction services and supports,
the department of family assistance office
of temporary and disability assistance,
the department of corrections and communi-
ty supervision, the office of information
technology services, the state university
of New York, and office of children and
family services, the office of medicaid
inspector general, the state education
department, and the state office for the
aging with the approval of the director of
the budget, who shall file such approval
with the department of audit and control
and copies thereof with the chairman of
the senate finance committee and the
chairman of the assembly ways and means
committee.
Notwithstanding any inconsistent provision
of law to the contrary, the moneys hereby
appropriated may be used for payments to
the centers for medicaid and medicare
services for obligations incurred related
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
A. 7515 10
shall not be used for any existing rates,
fees, fee schedule, or procedures which
may affect the cost of care and services
provided by personal care providers, case
managers, health maintenance organiza-
tions, out of state medical facilities
which provide care and services to resi-
dents of the state, providers of transpor-
tation services, that are altered,
amended, adjusted or otherwise changed by
a local social services district unless
previously approved by the department of
health and the director of the budget.
Notwithstanding any inconsistent provision
of law to the contrary, funds shall be
made available to the commissioner of the
office of mental health or the commission-
er of the office of addiction services and
supports, in consultation with the commis-
sioner of health and approved by the
director of the budget, and consistent
with appropriations made therefor, to
implement allocation adjustment developed
by each such commissioner which shall
describe mental health or substance use
disorder services that should be developed
to meet service needs resulting from the
reduction of inpatient behavioral health
services provided under the medicaid
program, by programs licensed pursuant to
article 31 or 32 of the mental hygiene
law. Such programs may include programs
that are licensed pursuant to both article
31 of the mental hygiene law and article
28 of the public health law, or certified
under both article 32 of the mental
hygiene law and article 28 of the public
health law.
Notwithstanding any inconsistent provision
of law, the moneys hereby appropriated may
be available for payments associated with
the resolution by settlement agreement or
judgment of rate appeals and/or litigation
where the department of health is a party.
For services and expenses of the medical
assistance program including hospital
inpatient services and general hospitals
that are safety-net providers that evince
severe financial distress, pursuant to
criteria determined by the commissioner,
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.
A. 7515 11
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)
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) ........................ 20,200,000
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) ......................... 5,216,000
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) ......................... 9,513,000
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) ........................ 25,468,000
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-
A. 7515 12
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) ........................ 70,389,000
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) ........................ 43,431,000
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) ......................... 3,016,000
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
A. 7515 13
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) ........................ 48,476,000
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) ......................... 7,172,000
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) ............................ 82,000
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) ........................ 19,802,000
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.
A. 7515 14
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) ........................ 83,400,000
--------------
Special Revenue Funds - Federal
Federal Health and Human Services Fund
Medicaid Direct Account - 25106
For services and expenses for the medical
assistance program, including administra-
tive expenses for local social services
districts, pursuant to title XIX of the
federal social security act or its succes-
sor program.
The moneys hereby appropriated are to be
available for payment of aid heretofore
accrued or hereafter accrued to munici-
palities, and to providers of medical
services pursuant to section 367-b of the
social services law, and for payment of
state aid to municipalities and to provid-
ers of family care where payment systems
through the fiscal intermediaries are not
operational.
Notwithstanding any inconsistent provision
of law, funding made available by these
appropriations shall support direct salary
costs and related fringe benefits within
the medical assistance program associated
with any minimum wage increase that takes
effect during the timeframe of these
appropriations, pursuant to section 652 of
the labor law. Each eligible organization
in receipt of funding made available by
these appropriations may be required to
submit written certification, in such form
and at such time the commissioner may
prescribe, attesting to the total amount
of funds used by the eligible organiza-
tion, how such funding will be or was used
for purposes eligible under these appro-
priations and any other reporting deemed
necessary by the commissioner. The amounts
appropriated herein may include advances
to organizations authorized to receive
such funds to accomplish this purpose.
Notwithstanding any other provision of law,
the money hereby appropriated may be
increased or decreased by interchange or
A. 7515 15
transfer, with any appropriation of the
department of health and the office of
medicaid inspector general and may be
increased or decreased by transfer or
suballocation between these appropriated
amounts and appropriations of the office
of mental health, office for people with
developmental disabilities, the office of
addiction services and supports, the
department of family assistance office of
temporary and disability assistance,
office of children and family services,
the department of financial services,
department of corrections and community
supervision, the office of information
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
A. 7515 16
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.
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) ........................ 57,814,000
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) ........................ 10,372,000
For services and expenses of the medical
assistance program including clinic
services.
A. 7515 17
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) ........................ 16,967,000
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) ......................... 79,359,000
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) ....................... 132,394,000
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
A. 7515 18
2025-26 set forth in chapter 53 of the
laws of 2024 (26952) ....................... 150,829,000
For services and expenses of the medical
assistance program including pharmacy
services, provided, however, that no funds
shall be made available pursuant to this
appropriation for any drug not explicitly
authorized in any heretofore enacted law,
rule, or regulation without approval from
the director of the budget.
Notwithstanding any provision of law to the
contrary, the portion of this appropri-
ation covering fiscal year 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) ........................ 92,616,000
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) ........................ 12,235,000
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) ......................... 1,422,000
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
A. 7515 19
2025-26 set forth in chapter 53 of the
laws of 2024 (26956) ....................... 137,631,000
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) ........................ 83,400,000
--------------
§ 6. The amounts specified in this section, or so much thereof as
shall be sufficient to accomplish the purposes designated, is hereby
appropriated and authorized to be paid as hereinafter provided, to the
public officers and for the purposes specified, which amount shall be
available for the state fiscal year beginning April 1, 2025.
DEPARTMENT OF LABOR
AID TO LOCALITIES
UNEMPLOYMENT INSURANCE BENEFIT PROGRAM ..................... 165,000,000
--------------
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) ........................ 165,000,000
--------------
§ 7. The amounts specified in this section, or so much thereof as
shall be sufficient to accomplish the purposes designated, is hereby
appropriated and authorized to be paid as hereinafter provided, to the
public officers and for the purposes specified, which amount shall be
available for the state fiscal year beginning April 1, 2025.
A. 7515 20
OFFICE OF MENTAL HEALTH
AID TO LOCALITIES
ADULT SERVICES PROGRAM ...................................... 94,917,000
--------------
General Fund
Local Assistance Account - 10000
For services and expenses of various adult
community mental health services, includ-
ing transfer to the department of health
to reimburse the department for the state
and/or local share of medical assistance
for various community mental health
services.
For payment of state financial assistance,
net of disallowances, for community mental
health programs pursuant to article 41 and
other provisions of the mental hygiene
law. The moneys hereby appropriated for
allocation to local governments and volun-
tary agencies for services are available
to reimburse or advance funds to local
governments and voluntary agencies for
expenditures made or to be made during
local program years commencing January 1,
2025 or July 1, 2025 and for advances for
the period beginning January 1, 2026 for
local governments and voluntary agencies
with program years beginning January 1.
Notwithstanding any provision of law to
the contrary, the commissioner of the
office of mental health shall be author-
ized, subject to the approval of the
director of the budget, to continue
contracts and state aid letter payments to
support county contracts which were
executed on or before March 31, 2025 with
entities providing services to persons
with mental illness, without any addi-
tional requirements that such contracts be
subject to competitive bidding, a request
for proposals process or other administra-
tive procedures.
The state comptroller is hereby authorized
to receive funds from the office of mental
health that were returned from providers
in the current fiscal year in respect of a
settlement of local assistance funds from
prior fiscal years, and is authorized to
refund such moneys to the credit of the
local assistance account of the general
fund for the purpose of reimbursing the
2025-26 appropriation.
A. 7515 21
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 of mental
health 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.
Notwithstanding any other provision of law,
the commissioner of mental health shall,
until July 1, 2026, be solely authorized,
in his or her discretion, to designate
those general hospitals, local govern-
mental units and voluntary agencies which
may apply and be considered for the
approval and issuance of an operating
certificate pursuant to article 31 of the
mental hygiene law for the operation of a
comprehensive psychiatric emergency
program.
Notwithstanding any provision of section 21
of chapter 723 of the laws of 1989, as
amended, to the contrary, the provisions
of sections 1, 2 and 4-20 of such chapter
shall remain in full force and effect
until July 1, 2026, when upon such date
the amendments and additions made by such
sections of chapter 723 of the laws of
1989 shall expire and be deemed repealed,
and any provision of law amended by any
such sections shall revert to its text as
it existed prior to the effective date of
chapter 723 of the laws of 1989.
Notwithstanding any other provision of law
to the contrary, any of the amounts appro-
priated herein may be increased or
decreased by interchange or transfer with-
out limit, with any appropriation of the
office of mental health or by transfer or
suballocation to any department, agency or
public authority for expenditures incurred
in the operation of such programs with the
approval of the director of the budget:
For services and expenses of various commu-
nity mental health residential programs,
including but not limited to community
residences pursuant to sections 41.44 and
41.38 of the mental hygiene law. Notwith-
standing the provisions of section 31.03
of the mental hygiene law and any other
inconsistent provision of law, moneys
appropriated for family care shall be
A. 7515 22
available for, but not limited to, the
purchase of substitute caretakers up to a
maximum of 14 days and payments limited to
$774 per year based upon financial need
for the personal needs of each client
residing in the family care home. Provided
further however, notwithstanding any
provision of law to the contrary, the
commissioner of the office of mental
health may appoint a temporary operator in
a manner consistent with part L of chapter
59 of the laws of 2016 to administer any
community mental health residential
program appropriated for herein for the
period for which this appropriation has
effect. Funds appropriated herein will be
made available to support the development
of new transitional stepdown units to help
individuals transitioning from various
levels of care to community-based living
(36911) ..................................... 94,917,000
§ 8. The amounts specified in this section, or so much thereof as
shall be sufficient to accomplish the purposes designated, is hereby
appropriated and authorized to be paid as hereinafter provided, to the
public officers and for the purposes specified, which amount shall be
available for the state fiscal year beginning April 1, 2025.
DEPARTMENT OF VETERANS' SERVICES
AID TO LOCALITIES
VETERANS' BENEFITS ADVISING PROGRAM ............................. 42,000
--------------
Special Revenue Funds - Other
Homeless Veterans Assistance Fund
Homeless Veterans Assistance Account - 20204
For services and expenses related to home-
less veterans' housing (54815) .................. 42,000
§ 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
A. 7515 23
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.