All Roll Calls
Yes: 191 • No: 1
New YorkA 80002025-2026 Regular SessionHouseWALLET
Provides for emergency appropriation for the period April 1, 2025 through April 23, 2025
Sponsored By: J. Gary Pretlow (Democratic)
Signed by Governor
WAYS AND MEANSRULES
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Bill Overview
Analyzed Economic Effects
20 provisions identified: 16 benefits, 1 costs, 3 mixed.
More funding for additional Medicaid services
Beginning April 1, 2025, funding for care at state mental-health, developmental-disability, and addiction facilities rises from $250.2 million to $333.6 million. Separate non-institutional and related spending appropriations rise from $59.406 million to $79.208 million and $412.893 million to $550.524 million. Another Medicaid service item rises from $145.428 million to $193.904 million; the provided description does not name its services. These funds cover fiscal year 2025–26, and non-institutional funding can pay amounts owed from before or after the appropriation. Specified replacement appropriations replace duplicate funding; these increases do not themselves change eligibility or set household payment amounts.
More funding for Medicaid long-term care
Beginning April 1, 2025, separate nursing-home appropriations rise from $76.404 million to $101.872 million and $238.077 million to $317.436 million. Other long-term-care funding rises from $211.167 million to $563.112 million and $397.182 million to $1.059151 billion. The fiscal year 2025–26 replacement appropriations replace duplicate funding for those items. These increases fund Medicaid services; they do not themselves change eligibility or set individual payment amounts.
More funding for Medicaid managed care
Beginning April 1, 2025, separate managed-care appropriations rise from $130.293 million to $347.446 million and $452.487 million to $1.206632 billion. Medicaid health-home services and grants rise from $9.048 million to $12.064 million. Funding also supports regional planning, primary-care grants, technical help, and electronic health records within the amounts set aside. The larger managed-care appropriation covers fiscal year 2025–26. These appropriations do not themselves change eligibility or set household payment amounts.
New spending cap for New York Medicaid
From April 1, 2025, through March 31, 2026, the law caps specified state Medicaid spending at $33.417285 billion. The cap excludes specified state-facility payments and payments outside the Department of Health’s appropriations. The Budget Director can adjust projections for listed factors, including federal matching-rate changes and disaster spending. When projected spending exceeds the applicable cap, state officials must develop savings and reduce spending. Reductions must follow federal law, the state Medicaid plan, and the law’s allocation rules.
More Medicaid funding with spending limits
Beginning April 1, 2025, a New York Medicaid appropriation rises from $3.333612 billion to $6.032985 billion. The law also caps state Medicaid spending and authorizes reductions when projected spending exceeds the cap. The Health Commissioner can change provider payments or reduce benefits, subject to federal rules and required approvals. Reductions must be uniform where practical; exceptions include protecting safety-net services, addressing service-category overspending, and approved care models. Federal approval controls retroactive changes, and public quarterly reports must explain spending, projections, and adjustment impacts.
Funding for New York court employee benefits
The law provides $300 million for New York court employee benefit costs incurred April 1 through April 22, 2025. Covered contributions include health insurance, retirement, Social Security, dental and vision plans, unemployment insurance, and workers’ compensation. The funding supports these benefits but does not set a new benefit amount for each employee.
Housing development help for people with disabilities
Beginning April 1, 2025, New York authorizes funding to help develop supportive housing for people with intellectual and developmental disabilities. The state’s developmental-disability agency can provide state aid, loans, or grants for part of development costs. Units must be set aside for this group, and funding follows terms set by the agency commissioner. The law does not specify the number of homes or a household payment.
Funding keeps state worker paychecks flowing
Executive-branch and legislative payroll funding rises from $986.83 million to $1.33663 billion; judiciary payroll rises from $85 million to $175 million. It covers scheduled paychecks April 1–23, 2025, including amounts owed before April 1 and workers in specified state-run employment programs. Beginning April 1, employee benefit funding rises from $537.121 million to $566.696 million. This includes $422 million for health insurance and the retiree health benefit trust, plus $99.15 million for Social Security contributions. Benefit funding also covers employees paid through funds, accounts, or programs with state budget waivers; these appropriations fund payments, not individual raises.
More funding for unemployed workers’ benefits
Beginning April 1, 2025, New York raises unemployment-benefit funding from $555 million to $660 million. The added $105 million pays benefits under state law and federally authorized unemployment programs. This funding increase does not itself raise any person’s benefit amount.
More funding for developmental disability supports
Beginning April 1, 2025, developmental-disability community-service funding rises from $305.625 million to $406.378 million. State Medicaid funding for people with developmental disabilities rises from $277.014 million to $369.352 million. Community funds reimburse or advance eligible local-government and nonprofit costs under an allocation plan approved by the state budget director. Covered local fiscal periods begin January 1, April 1, or July 1, 2025; advances also cover January–March 2026. The law funds services without setting household payments, changing Medicaid eligibility, or specifying household cost changes.
More funding for Medicaid hospital care
Beginning April 1, 2025, separate inpatient hospital appropriations rise from $60.6 million to $80.8 million and $173.442 million to $231.256 million. Outpatient and emergency-care funding rises from $15.648 million to $20.864 million and $31.116 million to $41.488 million. Clinic funding rises from $28.539 million to $38.052 million and $50.901 million to $67.868 million. Safety-net providers can receive awards to maintain vital services while developing long-term solutions; the Health Commissioner decides which providers qualify. The fiscal year 2025–26 replacement appropriations replace duplicate funding, rather than adding a separate household payment or eligibility right.
School service funding limits for disabled adults
Beginning April 1, 2025, funding is available for private residential schools serving people with developmental disabilities over age 21. It covers residential and day services at schools inside or outside New York. Residential payments are reduced by any Supplemental Security Income for which the person qualifies. Day-service payments cannot exceed the maximum reimbursement for comparable services from other state-certified or approved developmental-disability providers. The Budget Director can authorize higher day-service payments.
More Medicaid drug funding with limits
Beginning April 1, 2025, Medicaid pharmacy funding rises from $277.848 million to $370.464 million for fiscal year 2025–26. The agency needs state budget director approval to fund drugs not explicitly authorized by law, rule, or regulation. This limits agency spending; it does not create a new payment duty for patients.
Funding for eligible state-related injury claims
Beginning April 1, 2025, the law provides $100,000 for eligible property-damage, bodily-injury, and wrongful-death claims. Covered harm must involve specified officers, employees, or authorized people acting in state service. Qualifying claims also include vehicle operation within the described state-assigned duties. The law does not set individual award amounts.
More housing support for homeless veterans
Beginning April 1, 2025, New York raises funding for homeless veterans’ housing services from $238,000 to $308,000. The added $70,000 supports housing-related services. The law does not set an individual payment or specify how many households receive help.
Funding for surrogate decision committee services
Beginning April 1, 2025, New York provides $105,000 for local provider contracts in its surrogate decision-making committee program. The money supports program services. It does not establish household eligibility rules or direct household payments.
Short-term funding for state and courts
Beginning April 1, 2025, the law provides $32 million for state operating costs other than payroll. Covered bodies include state agencies, the Comptroller, Attorney General, and Legislature. Costs must arise in ordinary business April 1–22, 2025, for purposes authorized in the 2024–25 state fiscal year. The judiciary receives $25 million for non-payroll operating costs and $30 million for payments owed to localities from April 1–22. These appropriations pay government obligations rather than creating direct household benefits.
More disability residential and family-service funding
Beginning April 1, 2025, developmental-disability residential funding rises from $16.609 million to $21.494 million. Day-program funding rises from $4.08 million to $5.28 million, and family support rises from $4.59 million to $5.94 million. Workshop, day-training, and employment funding rises from $2.652 million to $3.432 million. Up to $800,000 can transfer to the Education Department's vocational rehabilitation program for FEDCAP Rehabilitation Services' Long-Term Sheltered Employment program. Related service funding rises from $680,000 to $880,000, supporting hepatitis B care, epilepsy services, the care-at-home waiver, Special Olympics New York, and voluntary fingerprinting.
More funding for accrued food assistance
Beginning April 1, 2025, federal food and nutrition service funding rises from $18.19 million to $23.54 million. The money pays assistance that accrued before this appropriation. The law does not name specific programs, change eligibility, or set household benefit amounts.
More Medicaid transportation and dental funding
Beginning April 1, 2025, separate transportation appropriations rise from $21.516 million to $28.688 million and $36.705 million to $48.94 million. Dental funding rises from $246,000 to $328,000 and $4.266 million to $5.688 million. These fiscal year 2025–26 appropriations replace duplicate funding for the same items. They support Medicaid services without changing eligibility or setting individual payment amounts.
Sponsors & Cosponsors
Sponsor
J. Gary Pretlow
Democratic • House
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 4/17/2025
FLOOR Vote
Yes: 50 • No: 1
House vote • 4/17/2025
Assembly floor vote
Yes: 141 • No: 0
Actions Timeline
SIGNED CHAP.121
4/17/2025HouseDELIVERED TO GOVERNOR
4/17/2025HouseRETURNED TO ASSEMBLY
4/17/2025SenatePASSED SENATE
4/17/2025SenateMESSAGE OF NECESSITY - 3 DAY MESSAGE
4/17/2025SenateMESSAGE OF NECESSITY - APPROPRIATION
4/17/2025Senate3RD READING CAL.686
4/17/2025SenateSUBSTITUTED FOR S7459
4/17/2025SenateREFERRED TO RULES
4/17/2025SenateDELIVERED TO SENATE
4/17/2025HousePASSED ASSEMBLY
4/17/2025HouseMESSAGE OF NECESSITY - 3 DAY MESSAGE
4/17/2025HouseMESSAGE OF NECESSITY - APPROPRIATION
4/17/2025HouseORDERED TO THIRD READING RULES CAL.150
4/17/2025HouseRULES REPORT CAL.150
4/17/2025HouseREPORTED
4/17/2025HouseREPORTED REFERRED TO RULES
4/17/2025HouseREFERRED TO WAYS AND MEANS
4/17/2025House
Bill Text
Original
4/17/2025
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