All Roll Calls
Yes: 200 • No: 1
New YorkA 112952025-2026 Regular SessionHouseWALLET
Provides for emergency appropriation for the period April 1, 2026 through May 14, 2026
Sponsored By: J. Gary Pretlow (Democratic)
Signed by Governor
WAYS AND MEANSRULES
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Bill Overview
Analyzed Economic Effects
24 provisions identified: 23 benefits, 0 costs, 1 mixed.
More funding for developmental disability services
Beginning April 1, 2026, developmental disability community-services funding rises from $769.023 million to $914.076 million. Funding for the state or local share of medical assistance rises from $700.02 million to $840.024 million. Community funding covers local budget periods beginning January 1, April 1, or July 1, 2026, plus January–March 2027 advances. State aid can cover up to 100% of net deficits for day-training and family-support programs. These funds support services and providers, not a new fixed household payment.
More funding for New York Medicaid
Beginning April 1, 2026, New York raises Medicaid program funding from $10.409681 billion to $12.369631 billion. This covers services, local administration, and medical care rates for authorized child care agencies. For April 1–May 14, funding including care at state mental health, disability, and addiction facilities rises from $576.924 million to $673.078 million. A separate 2026–27 appropriation for noninstitutional care and other spending, including unpaid bills, rises from $899.025 million to $1.07883 billion. These funding increases do not themselves change individual eligibility or coverage.
More Medicaid funding for long-term care
For April 1–May 14, 2026, one nursing-home appropriation rises from $214.11 million to $249.795 million. A separate nursing-home appropriation for that period rises from $563.7 million to $676.44 million. Emergency funding for long-term care outside nursing homes rises from $1.019916 billion to $1.189902 billion. Beginning April 1, a separate 2026–27 appropriation for that care rises from $1.608045 billion to $1.929654 billion. These increases support services but do not themselves change eligibility or individual benefit amounts.
More funding for unemployment benefit payments
For the state budget year beginning April 1, 2026, unemployment benefit funding rises from $1.26 billion to $1.455 billion. The money supports payments under New York law and applicable federal unemployment programs. Recipients must qualify under the applicable state or federal program. This appropriation does not itself raise weekly benefits or change eligibility.
Disability support staff can perform more tasks
Beginning April 1, 2026, direct-support staff in specified disability programs can perform tasks set by the state disability office. This includes applicable home- and community-based waiver programs. A registered nurse must provide supervision, training, and periodic inspection. Staff must follow care ordered by an authorized practitioner. The law does not add duties for people receiving services.
More funding for families needing assistance
New York raises state temporary-assistance funding from $58.333 million to $116.666 million for aid already owed or becoming due. Federal Temporary Assistance for Needy Families funding rises from $125 million to $250 million for family and emergency assistance reimbursements. Federal funding covers eligible costs incurred January 1–December 31, 2026, that are otherwise reimbursable by New York starting April 1. Claims are due by March 1, 2027. These increases do not themselves change household eligibility or payment amounts.
More funding for Medicaid hospital care
Beginning April 1, 2026, one Medicaid inpatient appropriation rises from $145.428 million to $169.666 million. It can help hospitals in severe financial distress maintain vital services; safety-net hospital awards must meet the health commissioner's criteria. A separate inpatient appropriation for April 1–May 14 rises from $379.425 million to $455.31 million. Outpatient and emergency-room funding rises from $43.494 million to $50.743 million, with a separate April 1–May 14 appropriation rising from $67.62 million to $81.144 million. These increases fund hospital services, not new patient payments or coverage changes.
More funding for Medicaid prescription services
For April 1–May 14, 2026, one Medicaid pharmacy appropriation rises from $431.556 million to $503.482 million. Beginning April 1, a separate 2026–27 pharmacy appropriation rises from $591.095 million to $709.314 million. Both require budget director approval to fund drugs not specifically authorized by law, rule, or regulation. These appropriations do not themselves change individual eligibility, prescription coverage, or out-of-pocket costs.
More funding for safety-net assistance
New York raises safety-net assistance funding from $262.533 million to $525.066 million. Within that amount, specified reimbursement funding rises from $79.2 million to $158.4 million. The state reimburses 29% of qualifying safety-net assistance costs. Eligible costs must fall between January 1 and December 31, 2026; claims are due by March 1, 2027. The funding increase does not establish new household eligibility or benefit amounts.
More Medicaid clinic and health-home funding
Beginning April 1, 2026, one Medicaid clinic appropriation rises from $85.188 million to $99.386 million. A separate clinic appropriation for April 1–May 14 rises from $109.485 million to $131.382 million. For that same emergency period, health-home services and grants rise from $22.62 million to $26.39 million. The money supports these services without setting new individual benefit amounts or changing eligibility.
More funding for affordable housing services
Beginning April 1, 2026, affordable-housing-related funding rises from $480.77 million to $576.924 million. Funds and available federal matching money can transfer to designated state agencies and housing entities. Transfers require budget director approval and an allocation adjustment submitted by the health commissioner. Spending must consider where grants are located. This funding does not create a household payment or new housing eligibility rule.
More Medicaid funding, tighter therapy rules
For April 1–May 14, 2026, Medicaid managed-care funding rises from $934.26 million to $1.08997 billion. Beginning April 1, a separate 2026–27 appropriation rises from $1.96234 billion to $2.354808 billion. Funding also supports primary-care access, regional planning, care-planning assistance, and electronic health records. Beginning April 1, Medicaid can fund applied behavior analysis only with a recommendation from a legally authorized practitioner. That practitioner must also be designated by the health commissioner as an applied behavior analysis center-of-excellence provider.
More funding for state employee paychecks
New York increases state payroll funding from about $1.799 billion to about $2.053 billion. This covers paychecks scheduled from April 1 through May 14, 2026. It also covers specified employee pay costs incurred before April 1, 2026. The law increases payroll funding, not employee pay rates.
Funding for mental health service gaps
Beginning April 1, 2026, New York makes funds available for mental health and substance-use services. These services address needs resulting from reduced Medicaid inpatient behavioral-health care. The responsible commissioner must develop the funding plan with the health commissioner, and the budget director must approve it. Spending must stay within funds set aside for this purpose. No individual benefit amount is stated.
Funding keeps state operations and projects running
New York raises non-payroll operating funding from $56 million to $66 million for ordinary business costs. It also provides up to $10 million for capital-project costs, extending the covered period from May 11 to May 14. Both cover costs incurred April 1–May 14, 2026, for purposes authorized in the 2025–2026 budget year. Capital-project contracts or grants must have been approved before April 1, 2026. Neither creates direct household payments.
More disability residential and family-support funding
Beginning April 1, 2026, developmental disability residential-services funding rises from $40.057 million to $42.988 million. Day-program funding rises from $9.84 million to $10.56 million, and family-support funding rises from $11.07 million to $11.88 million. A related services appropriation rises from $1.64 million to $1.76 million. It supports hepatitis B services, the care-at-home waiver, epilepsy services, Special Olympics New York, and voluntary fingerprinting. These increases fund programs without setting individual household payments.
More funding for adoptive family subsidies
New York raises adoption subsidy funding from $20.34 million to $40.68 million. The state continues to reimburse social services districts for 62% of eligible costs. District claims are generally due within 24 months after the state budget year in which costs occurred ends. The commissioner can waive that deadline for good cause with budget director approval. The increase does not set a new household subsidy amount.
More funding for food assistance services
Beginning April 1, 2026, New York raises federal food and nutrition services funding from $43.87 million to $47.08 million. The money supports various food and nutrition services. This provision does not identify changes to household eligibility or individual benefit amounts.
More funding for Medicaid dental care
For April 1–May 14, 2026, one Medicaid dental appropriation rises from $474,000 to $553,000. Beginning April 1, a separate 2026–27 dental appropriation rises from $9.18 million to $11.016 million. The funds support Medicaid dental services. These provisions do not change who qualifies or how much dental coverage each person receives.
More funding for Medicaid transportation services
For April 1–May 14, 2026, one Medicaid transportation appropriation rises from $61.992 million to $72.324 million. Beginning April 1, a separate 2026–27 transportation appropriation rises from $79.41 million to $95.292 million. The money supports transportation services for eligible Medicaid recipients. It does not change eligibility, set individual assistance amounts, or guarantee greater service access.
Financing supportive housing for developmental disabilities
Beginning April 1, 2026, New York's developmental-disability agency can provide state aid, loans, or grants to develop supportive housing. Units must be set aside for people with intellectual and developmental disabilities. For loans or grants, the agency receives a property lien equal to the funding amount. The lien can last up to 30 years, or longer when another regulatory agency requires it. This finances housing development, not direct household payments.
More housing-service funding for homeless veterans
Beginning April 1, 2026, homeless veterans' housing-service funding rises from $246,000 to $264,000. The money comes from the Homeless Veterans Assistance Fund. It supports housing services and related expenses without setting an individual payment amount.
Medicaid funding helps cover wage increases
Beginning April 1, 2026, organizations can use specified Medicaid funds for costs tied to a minimum-wage increase. The increase must take effect during the funding period. Covered costs include direct salaries and related employee benefits. Recipients may need to certify how they use the money and submit reports required by the commissioner. This provision does not set an extra wage amount for workers.
More employment-service funding for disabled people
Beginning April 1, 2026, developmental disability workshop, day-training, and employment funding rises from $6.396 million to $6.864 million. Up to $101,200 can transfer to the Education Department's vocational rehabilitation program. That transfer must support FEDCAP Rehabilitation Services' LongTerm Sheltered Employment program. The money supports services, not direct participant payments or wage increases.
Sponsors & Cosponsors
Sponsor
J. Gary Pretlow
Democratic • House
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 5/11/2026
Assembly floor vote
Yes: 141 • No: 0
Senate vote • 5/11/2026
FLOOR Vote
Yes: 59 • No: 1
Actions Timeline
SIGNED CHAP.112
5/11/2026HouseDELIVERED TO GOVERNOR
5/11/2026HouseRETURNED TO ASSEMBLY
5/11/2026SenatePASSED SENATE
5/11/2026SenateMESSAGE OF NECESSITY - APPROPRIATION
5/11/2026SenateMESSAGE OF NECESSITY - 3 DAY MESSAGE
5/11/2026Senate3RD READING CAL.999
5/11/2026SenateSUBSTITUTED FOR S10262
5/11/2026SenateREFERRED TO RULES
5/11/2026SenateDELIVERED TO SENATE
5/11/2026HousePASSED ASSEMBLY
5/11/2026HouseMESSAGE OF NECESSITY - 3 DAY MESSAGE
5/11/2026HouseMESSAGE OF NECESSITY - APPROPRIATION
5/11/2026HouseORDERED TO THIRD READING RULES CAL.109
5/11/2026HouseRULES REPORT CAL.109
5/11/2026HouseREPORTED
5/11/2026HouseREPORTED REFERRED TO RULES
5/11/2026HouseREFERRED TO WAYS AND MEANS
5/11/2026House
Bill Text
Original
5/11/2026
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