New YorkS 76732025-2026 Regular SessionSenateWALLET

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

Sponsored By: Liz Krueger (Democratic)

Signed by Governor

RULESWAYS AND MEANS

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Bill Overview

Analyzed Economic Effects

18 provisions identified: 16 benefits, 1 costs, 1 mixed.

Medicaid funding supports long-term care

Beginning April 1, 2025, New York provides $396.795 million in federal Medicaid funds for nursing home services. Another $1.323939 billion in federal funds supports long-term care outside nursing homes. The money supports care programs and providers. It does not set a payment amount for each resident or enrollee.

Medicaid funds coordinated care and grants

Beginning April 1, 2025, New York provides $1.50829 billion in federal Medicaid funds for managed care. Within available funds, the health department must make grants supporting accessible primary care, regional and integrated-care planning, and electronic health records. A separate $15.08 million funds health home services, including grants to health homes. These appropriations do not set individual payment amounts.

Bridge funding keeps state workers paid

New York adds $295 million for executive and legislative payrolls scheduled April 1–May 1, 2025, bringing funding to $1.63163 billion. Covered workers include people in special employment, work-for-pay, and sheltered-workshop programs; earlier liabilities can also be paid. General State Charges rise from $575.295 million to $595.945 million, including $588.125 million for employee benefits. State Social Security contributions rise from $99.15 million to $119.45 million. State commuter mobility tax payments rise from $2.25 million to $2.6 million; this funding does not set individual raises.

Housing support for people with disabilities

Beginning April 1, 2025, developmental disability residential services funding rises from $28.333 million to $30.287 million. For April 1–May 1, funds can support direct housing subsidies, day and residential services, provider startup, home changes, adaptive technology, and planning. The state disability office can also provide aid, loans, or grants to develop housing reserved for people with intellectual and developmental disabilities. Loans and grants carry a property lien for up to 30 years, or longer if another regulator requires it. The commissioner sets financing terms; the law does not set individual subsidy amounts.

Bridge funding supports courts and agencies

For April 1–May 1, 2025, New York provides $175 million for judiciary payroll and $300 million for employee benefits. Courts also receive $25 million for operating expenses and $30 million for local aid. Another $34 million covers state agencies' ordinary operating costs incurred during that period. Agency spending must serve purposes authorized in the 2024–25 fiscal year and allowed under existing state law.

Funding supports children's health coverage

New York provides $109.366 million for the Children's Health Insurance Program, including aid already owed. Funds can also reimburse local enrollment administration for children newly enrolled in Medicaid. That use applies to children with household income between 100% and 133% of the federal poverty level. This is an administrative funding rule, not a new eligibility limit or a fixed family payment.

Funding supports disability and behavioral healthcare

Beginning April 1, 2025, listed state and federal Medicaid appropriations each provide $417 million for care at specified state facilities. These facilities serve people with mental health conditions, developmental disabilities, or substance use disorders. Funds also support service needs caused by reductions in Medicaid inpatient behavioral healthcare. Mental health and addiction officials develop those adjustments with the health commissioner, subject to the budget director's approval. Receiving programs need the specified mental hygiene licenses; some also need public health facility licenses.

Medicaid funding supports hospital and clinic care

Beginning April 1, 2025, New York provides federal Medicaid funding for hospital and clinic services. The amounts include $289.07 million for inpatient care and $51.86 million for outpatient and emergency room care. Another $84.835 million supports clinic services. These funds support programs and providers, not fixed payments to each enrollee.

Medicaid funds rides, dental, and school care

Beginning April 1, 2025, Medicaid transportation receives $35.86 million in state funds and $61.175 million in federal funds. Dental services receive $410,000 in state funds and $7.11 million in federal funds. Noninstitutional services and related spending receive $99.01 million in state funds and $688.155 million in federal funds. That state funding can pay accrued bills and additional school health claims submitted by counties or public school districts. These funding lines do not set household payments or change eligibility.

More funding for developmental disability services

Beginning April 1, 2025, developmental disability community services funding rises from $418.159 million to $421.525 million. For April 1–May 1, day program funding rises from $6.96 million to $7.44 million. Family support funding rises from $7.83 million to $8.37 million for that period. FEDCAP services rise from $4.524 million to $4.836 million, and specified additional services rise from $1.16 million to $1.24 million. During that period, state aid can cover up to 100% of qualifying day training and family support programs' net deficits.

More funding for unemployment benefit payments

Beginning April 1, 2025, New York increases unemployment benefit funding from $855 million to $945 million. The added $90 million funds eligible state and federally authorized unemployment payments. These include disaster assistance, extended benefits, and federal additional compensation when applicable. Recipients must qualify under the relevant program; the law does not raise each person's benefit amount.

Medicaid drug funding comes with limits

Beginning April 1, 2025, New York provides $242.38 million in state funds and $463.08 million in federal funds for Medicaid pharmacy services. The budget director must approve spending on drugs not explicitly authorized by an enacted law, rule, or regulation. More broadly, agencies need budget director approval for Medicaid expenses not explicitly authorized by law. These limits govern agency spending, not new household payment or reporting duties.

Disability support staff can perform care tasks

For April 1–May 1, 2025, direct support staff in covered disability programs can perform tasks specified by the state disability office. Covered programs include approved home- and community-based services waiver programs. A registered nurse must supervise, train, and periodically inspect the work. Staff must follow an authorized practitioner's orders.

More funding for food assistance owed

New York increases funding for federal food and nutrition services from $31.03 million to $33.17 million. The added $2.14 million can pay financial assistance already owed. The provision does not change household eligibility or set a new individual payment amount.

Personal support for disability care residents

For April 1–May 1, 2025, funds can cover certified family care home services, including up to 14 days of respite. The commissioner sets residents' personal-needs amounts and general service rates; the budget director approves those rates. Operators can also receive payment for client-caused damage under commissioner standards approved by the budget director. Separately, clients in covered residential settings, including qualifying home- and community-based waiver residences, can receive up to $250 yearly for personal needs. Those payments depend on financial need; the commissioner sets timing and method, with budget director approval needed to change advance schedules.

Medicaid payment tools support care providers

Beginning April 1, 2025, Medicaid funds can cover eligible organizations' salary and benefit costs from minimum-wage increases during the appropriation period. Advances are allowed, and the health commissioner can require certifications and reports on that money. The Comptroller can reserve funds in interest-bearing accounts for prompt provider payments, using estimated district shares and certified amounts due. Agencies can shift specified Medicaid funds with budget director approval. Funds can also pay settlements or judgments resolving rate appeals or litigation involving the health department.

More housing funding for homeless veterans

For April 1–May 1, 2025, New York increases homeless veterans' housing services funding from $406,000 to $434,000. The added $28,000 supports housing-related services and expenses. The law does not set a payment or housing assistance amount for each veteran.

Resident funds can pay disability care

For April 1–May 1, 2025, a qualifying facility director can use a resident's managed funds for that resident's care and treatment. The director must be a federally appointed representative payee who manages those funds. The facility must be licensed, but not operated, by New York's developmental disability office. Use of the money must follow federal law and regulations; this is not a general household payment duty.

Sponsors & Cosponsors

Sponsor

  • Liz Krueger

    Democratic • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 226 • No: 5

committee vote • 4/29/2025

Rules Committee Vote

Yes: 20 • No: 1

House vote • 4/29/2025

Assembly floor vote

Yes: 149 • No: 0

Senate vote • 4/29/2025

FLOOR Vote

Yes: 57 • No: 4

Actions Timeline

  1. SIGNED CHAP.124

    4/29/2025Senate
  2. DELIVERED TO GOVERNOR

    4/29/2025Senate
  3. RETURNED TO SENATE

    4/29/2025House
  4. PASSED ASSEMBLY

    4/29/2025House
  5. MESSAGE OF NECESSITY - 3 DAY MESSAGE

    4/29/2025House
  6. MESSAGE OF NECESSITY - APPROPRIATION

    4/29/2025House
  7. ORDERED TO THIRD READING RULES CAL.155

    4/29/2025House
  8. SUBSTITUTED FOR A8095

    4/29/2025House
  9. REFERRED TO WAYS AND MEANS

    4/29/2025House
  10. DELIVERED TO ASSEMBLY

    4/29/2025Senate
  11. PASSED SENATE

    4/29/2025Senate
  12. MESSAGE OF NECESSITY - 3 DAY MESSAGE

    4/29/2025Senate
  13. MESSAGE OF NECESSITY - APPROPRIATION

    4/29/2025Senate
  14. ORDERED TO THIRD READING CAL.713

    4/29/2025Senate
  15. REFERRED TO RULES

    4/29/2025Senate

Bill Text

  • Original

    4/29/2025

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