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New YorkS 105442025-2026 Regular SessionSenateWALLET

Provides for emergency appropriation for the period April 1, 2026 through May 26, 2026

Sponsored By: José M. Serrano (Democratic)

Signed by Governor

RULESWAYS AND MEANS

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Bill Overview

Analyzed Economic Effects

16 provisions identified: 11 benefits, 1 costs, 4 mixed.

Essential Plan health coverage funding doubles

New York doubles Essential Plan funding from $1.15 billion to $2.3 billion. The money supports plan services and expenses under its federal health law waiver. It can cover aid owed before or after the appropriation, after subtracting refunds, rebates, repayments, and similar offsets. The law does not set a new individual benefit amount.

Medicaid funds care, rides, and dental services

Beginning April 1, 2026, Medicaid gets $2.747276 billion for managed care and regional planning for fiscal year 2026–27. Within that funding, the health department must make grants for accessible primary care, integrated-care business planning, and electronic health records. Transportation services get $111.174 million, and dental services get $12.852 million for the same fiscal year. The transportation and dental items replace duplicate carryover funding and specified prior appropriations. These funds support services but do not change eligibility or set individual payment amounts.

Medicaid funds nursing and community care

Beginning April 1, 2026, Medicaid gets $789.18 million for services including nursing home care for fiscal year 2026–27. Another $2.251263 billion supports services including other long-term care. The law also provides $1.258635 billion for noninstitutional services and other Medicaid costs, including obligations owed before or after the appropriation. The nursing-home and long-term-care items replace duplicate carryover funding and specified prior appropriations rather than adding to them. These funding provisions do not change eligibility or set individual benefit amounts.

More Medicaid funding with spending limits

New York adds $609.931 million to Medicaid funding, raising the appropriation from $13.71965 billion to $14.329581 billion. It supports services and administration, including aid owed before or after the appropriation, subject to federal approval. State Medicaid spending is capped at $36.0992 billion for April 1, 2026–March 31, 2027. The Budget Director can adjust that cap for federal matching rates, provider revenues, local administration payments, wages, Essential Plan costs, and disasters. When quarterly reviews project spending above the cap, state officials must develop a savings plan. That plan can change provider payments or modify or end benefits, while following federal law and the state Medicaid plan. The Health Commissioner must post changes online and notify legislative fiscal committee chairs at least 30 days before implementation. Declared public health emergencies allow faster action; federal law limits any retroactive changes.

Temporary funding keeps state operations running

For April 1–May 26, 2026, New York raises ordinary operating-cost funding from $88 million to $108 million. These costs must serve purposes approved by the Legislature during fiscal year 2025–26. Capital-project costs incurred during the same period get two funding pools, also limited to purposes approved that fiscal year. Up to $25 million covers contracts or grants approved before April 1, 2026; up to $50 million covers those approved after that date. The judiciary also gets $36 million for operating costs and $32 million for local-aid obligations incurred during the period.

State agencies get affordable housing funding

Beginning April 1, 2026, New York makes $673.078 million, plus available federal matching money, available for affordable housing services. Specified state agencies can receive transfers after the Health Commissioner submits an allocation change and the Budget Director approves it. Spending must consider where grants are located. This funds agency programs; it does not establish household eligibility or a direct housing payment.

Medicaid behavior therapy needs designated recommendations

Beginning April 1, 2026, Medicaid managed care funds cover applied behavior analysis only with a qualifying practitioner’s recommendation. The practitioner must be authorized under Title 8 of the Education Law. The Health Commissioner must also designate that practitioner as an applied behavior analysis center of excellence provider. Without that recommendation, these funds are not available for the services.

Medicaid drug funding has approval limits

Beginning April 1, 2026, New York provides $827.533 million for Medicaid pharmacy services for fiscal year 2026–27. The money cannot fund a drug unless previously enacted law, rules, or regulations expressly authorize it. Drugs without that authorization require the Budget Director’s approval. This supports pharmacy services while limiting which drugs the appropriation can fund.

Funding for veterans’ checks and housing

Beginning April 1, 2026, New York provides $770,000 for annuity payments to blind veterans and eligible surviving spouses. This covers the state fiscal year beginning that date; up to $15,000 can transfer to program administration. Funding for homeless veterans’ housing services also rises from $294,000 to $330,000, a $36,000 increase. The law does not specify individual annuity or housing assistance amounts.

More approved supports for disability self-direction

Beginning April 1, 2026, more types of support can be funded for developmental disability self-direction participants. They include continuity-of-care services, family-reimbursed respite, direct housing subsidies, and costs other than personal services. Each funded cost must appear in a self-direction budget approved by the Office for People With Developmental Disabilities. The law does not set an individual payment amount.

More funding for developmental disability services

Beginning April 1, 2026, residential-service funding rises from $47.873 million to $53.735 million for people with developmental disabilities. Day-program funding rises from $11.76 million to $13.2 million; family-support funding rises from $13.23 million to $14.85 million. Workshop, day-training, and employment funding rises from $7.644 million to $8.58 million. Up to $126,500 can transfer to the state’s vocational rehabilitation program for FEDCAP’s LongTerm Sheltered Employment program. Funding for additional services rises from $1.96 million to $2.2 million. These include hepatitis B care, the care at home waiver, epilepsy services, Special Olympics New York, and voluntary fingerprinting. The increases fund services, not fixed payments to individuals or families.

More funding keeps unemployment benefits payable

Beginning April 1, 2026, New York adds $135 million for unemployment benefit payments. The appropriation rises from $1.575 billion to $1.71 billion. Recipients must qualify under Article 18 of the state Labor Law or an applicable federally funded unemployment program. The law does not change individual benefit amounts or eligibility rules.

State workers’ pay and benefits stay funded

For April 1–May 26, 2026, New York funds about $2.361 billion in executive and legislative payroll. This includes participants in state-run special employment, work-for-pay, and sheltered-workshop programs. Judiciary payroll gets $352 million, and judiciary employee benefits get $122.25 million for that period. State fringe-benefit funding rises from $1.3454205 billion to $1.3470805 billion. Within that total, the state’s commuter-district payroll tax contribution rises from $7.68 million to $9.34 million. These funds support existing pay and benefit obligations, not individual raises or benefit increases.

More funding for food assistance obligations

New York raises funding for federal food and nutrition services from $52.43 million to $58.85 million. The $6.42 million increase supports payment of assistance owed before the appropriation. The provision does not identify specific programs, change household eligibility, or set individual benefit amounts.

Adult disability school funding has limits

Beginning April 1, 2026, New York funds private residential school services for people with developmental disabilities over age 21. Both in-state and out-of-state schools can receive payment for residential and day services. Residential payments must subtract any Supplemental Security Income benefit for which the person qualifies. Day-service payments cannot exceed the maximum for appropriate services from other certified or approved disability providers. The Budget Director can approve higher day-service payments.

Disability housing aid carries property liens

Beginning April 1, 2026, New York can help fund supportive housing development for people with intellectual and developmental disabilities. State aid, loans, or grants can cover part of development costs for units reserved for this group. The disability services office receives a property lien equal to the loan or grant. The lien lasts up to 30 years, or longer when another regulatory agency requires it. This funds housing development rather than direct payments to residents.

Sponsors & Cosponsors

Sponsor

  • José M. Serrano

    Democratic • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 222 • No: 3

committee vote • 5/20/2026

Rules Committee Vote

Yes: 20 • No: 0

Senate vote • 5/20/2026

FLOOR Vote

Yes: 59 • No: 2

House vote • 5/20/2026

Assembly floor vote

Yes: 143 • No: 1

Actions Timeline

  1. SIGNED CHAP.117

    5/20/2026Senate

  2. DELIVERED TO GOVERNOR

    5/20/2026Senate

  3. RETURNED TO SENATE

    5/20/2026House

  4. PASSED ASSEMBLY

    5/20/2026House

  5. MESSAGE OF NECESSITY - 3 DAY MESSAGE

    5/20/2026House

  6. MESSAGE OF NECESSITY - APPROPRIATION

    5/20/2026House

  7. ORDERED TO THIRD READING RULES CAL.170

    5/20/2026House

  8. SUBSTITUTED FOR A11465

    5/20/2026House

  9. REFERRED TO WAYS AND MEANS

    5/20/2026House

  10. DELIVERED TO ASSEMBLY

    5/20/2026Senate

  11. PASSED SENATE

    5/20/2026Senate

  12. MESSAGE OF NECESSITY - 3 DAY MESSAGE

    5/20/2026Senate

  13. MESSAGE OF NECESSITY - APPROPRIATION

    5/20/2026Senate

  14. ORDERED TO THIRD READING CAL.1283

    5/20/2026Senate

  15. REFERRED TO RULES

    5/20/2026Senate

Bill Text

  • Original

    5/20/2026

    PDF

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