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New YorkA 81152025-2026 Regular SessionHouseWALLET

Provides for emergency appropriation for the period April 1, 2025 through May 7, 2025

Sponsored By: J. Gary Pretlow (Democratic)

Signed by Governor

WAYS AND MEANSRULES

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Bill Overview

Analyzed Economic Effects

15 provisions identified: 13 benefits, 0 costs, 2 mixed.

More funding for coordinated Medicaid care

For April 1, 2025–March 31, 2026, Medicaid managed-care funding rises from $434.308 million to $477.739 million. The law also provides a separate $1.50829 billion managed-care appropriation. Within funded amounts, the Health Department must make grants for primary-care access, integrated-care planning, and electronic health records. Health-home funding, including grants, rises from $15.08 million to $18.096 million. These provisions do not set individual payments or guarantee a specific amount of care.

More funding for Medicaid long-term care

For April 1, 2025–March 31, 2026, Medicaid nursing-home funding rises from $127.34 million to $152.808 million. The law also provides a separate $396.795 million nursing-home appropriation. Other long-term care funding rises from $703.89 million to $774.279 million, alongside a separate $1.323939 billion appropriation. The separate appropriations replace identified duplicate funding from the 2024 law. These provisions fund services, not higher individual benefits or changes in who qualifies.

Medicaid wage funding and spending limits

The law provides $417 million through the Medicaid Direct Account, with funding available for salary and related benefit costs. Eligible costs must be tied to minimum-wage increases taking effect during the funding period; organizations may need certifications and reports. Medicaid's aggregate spending cap is $33.417285 billion for April 1, 2025–March 31, 2026, subject to authorized adjustments. The Budget Director must monitor spending quarterly and can adjust allocations to stay within the cap. Adjustments must follow federal law and the state Medicaid plan, maximize federal matching funds, and minimize administrative burden. They must be broadly uniform unless differences protect safety-net providers or support innovative payment models. Most require website posting and notice to legislative finance chairs at least 30 days before implementation. Declared public health emergencies allow faster action, and retroactive adjustments are allowed only to the extent federal officials permit.

Medicaid care funding at state facilities

For April 1, 2025–March 31, 2026, New York provides $417 million for Medicaid medical care at specified state facilities. These facilities are operated by the state's mental health, developmental disability, and addiction services agencies. The appropriation replaces identified duplicate funding from the 2024 law. It does not change Medicaid eligibility or set an individual payment amount.

More funding for developmental disability services

Beginning April 1, 2025, community-service funding for people with developmental disabilities rises from $421.525 million to $428.257 million. Residential funding rises from $30.287 million to $34.195 million; day-program funding rises from $7.44 million to $8.4 million. Family-support funding rises from $8.37 million to $9.45 million. Funding for listed services rises from $1.24 million to $1.4 million, including care-at-home, epilepsy, hepatitis B, and Special Olympics services. Community funds can support housing subsidies, adaptive technology, home changes, and respite in certified family-care homes for up to 14 days. Advances and reimbursements follow an agency plan approved by the Budget Director; the appropriations do not set individual benefit amounts.

More funding for Medicaid hospital care

For April 1, 2025–March 31, 2026, New York increases several Medicaid care appropriations and establishes separate funding lines. Inpatient hospital funding rises from $101 million to $121.2 million, with a separate $289.07 million appropriation. Outpatient and emergency funding rises from $26.08 million to $31.296 million, with a separate $51.86 million appropriation. Clinic funding rises from $47.565 million to $57.078 million, with a separate $84.835 million appropriation. The separate appropriations replace identified duplicate funding from the 2024 law; these funding provisions do not change eligibility or individual costs.

More Medicaid funding outside care facilities

For April 1, 2025–March 31, 2026, Medicaid noninstitutional and other funding rises from $99.01 million to $118.812 million. This money can also pay counties or public school districts for additional school supportive health-service claims. The law provides a separate $688.155 million appropriation for noninstitutional services and other Medicaid spending. That appropriation can pay costs owed before or after it was made. These provisions do not set household payment amounts or change Medicaid eligibility.

More Medicaid transportation and dental funding

For April 1, 2025–March 31, 2026, Medicaid transportation funding rises from $35.86 million to $43.032 million. The law also provides a separate $61.175 million transportation appropriation. Dental funding rises from $410,000 to $492,000, alongside a separate $7.11 million appropriation. The separate appropriations replace identified duplicate funding from the 2024 law. These provisions do not change eligibility or guarantee a set amount of transportation or dental care.

More funding for unemployment benefit checks

For the fiscal year beginning April 1, 2025, New York increases unemployment benefit funding from $945 million to $975 million. The extra $30 million supports benefits under state unemployment law and listed federally authorized programs. The appropriation does not change who qualifies or how much each person receives.

More Medicaid drug funding with limits

For April 1, 2025–March 31, 2026, Medicaid pharmacy funding rises from $242.38 million to $290.856 million. The law also provides a separate $463.08 million pharmacy appropriation. These funds cannot pay for a drug unless enacted law, rules, or regulations expressly authorize it, or the Budget Director approves. The funding does not guarantee coverage of any particular drug.

State workers' pay and benefits funded

New York increases funding for covered state payrolls scheduled April 1–May 7, 2025, from $1.63163 billion to $1.97843 billion. This covers executive and legislative workers and participants in listed state employment programs, including amounts owed before April 1. Judiciary payroll funding rises from $175 million to $265 million for the same scheduled payment dates. Up to $300 million covers judiciary benefit costs incurred April 1–May 6, including health insurance, retirement, and workers' compensation. These appropriations fund scheduled pay and benefits; they do not change individual pay rates or benefit amounts.

Temporary funding keeps state offices running

The law takes effect immediately and applies on and after April 1, 2025. It provides $34 million for qualifying agency operating costs incurred April 1–May 6, for purposes authorized in 2024–25. Judiciary funding includes up to $25 million for operating costs and $30 million for aid-to-localities costs incurred during those dates. The Comptroller has interim payment authority until the Governor's 2025–26 appropriation bills are enacted. Those spending amounts are later transferred to the enacted appropriations.

Veterans' annuities and housing services funded

For the fiscal year beginning April 1, 2025, New York provides $385,000 for blind veterans' and eligible surviving spouses' annuities. Up to $15,000 of that money can cover state administrative costs. Funding for homeless veterans' housing services rises from $434,000 to $490,000. The law does not set individual annuity amounts or guarantee a specific housing payment.

More funding for food assistance payments

New York increases funding for various federal food and nutrition services from $33.17 million to $37.45 million. The money can pay assistance that was already owed. The provision does not identify specific programs, household eligibility rules, or individual payment amounts.

More funding for rehabilitation program services

For the fiscal year beginning April 1, 2025, New York increases funding for the FEDCAP Rehabilitation Services program. The appropriation rises from $4.836 million to $5.46 million. The extra $624,000 supports program services, but the provision does not set an individual payment or service amount.

Sponsors & Cosponsors

Sponsor

  • J. Gary Pretlow

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 190 • No: 4

Senate vote • 5/1/2025

FLOOR Vote

Yes: 50 • No: 4

House vote • 5/1/2025

Assembly floor vote

Yes: 140 • No: 0

Actions Timeline

  1. SIGNED CHAP.125

    5/1/2025House

  2. DELIVERED TO GOVERNOR

    5/1/2025House

  3. RETURNED TO ASSEMBLY

    5/1/2025Senate

  4. PASSED SENATE

    5/1/2025Senate

  5. MESSAGE OF NECESSITY - 3 DAY MESSAGE

    5/1/2025Senate

  6. MESSAGE OF NECESSITY - APPROPRIATION

    5/1/2025Senate

  7. 3RD READING CAL.912

    5/1/2025Senate

  8. SUBSTITUTED FOR S7707

    5/1/2025Senate

  9. REFERRED TO RULES

    5/1/2025Senate

  10. DELIVERED TO SENATE

    5/1/2025House

  11. PASSED ASSEMBLY

    5/1/2025House

  12. MESSAGE OF NECESSITY - 3 DAY MESSAGE

    5/1/2025House

  13. MESSAGE OF NECESSITY - APPROPRIATION

    5/1/2025House

  14. ORDERED TO THIRD READING RULES CAL.177

    5/1/2025House

  15. RULES REPORT CAL.177

    5/1/2025House

  16. REPORTED

    5/1/2025House

  17. REPORTED REFERRED TO RULES

    5/1/2025House

  18. REFERRED TO WAYS AND MEANS

    5/1/2025House

Bill Text

  • Original

    5/1/2025

    PDF

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