A 11465

                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
                                   11465
                           I N  A S S E M B L Y
                               May 20, 2026
                                ___________
 Introduced  by COMMITTEE ON RULES -- (at request of M. of A. Pretlow) --
   (at request of the Governor) -- read once and referred to the  Commit-
   tee on Ways and Means
 AN  ACT  making  appropriations  for the support of government; to amend
   chapter 98 of the laws of 2026, relating to making appropriations  for
   the  support  of government, in relation thereto; to amend chapter 100
   of the laws of 2026, relating to making appropriations for the support
   of government, in relation thereto; to amend chapter 102 of  the  laws
   of  2026, relating to making appropriations for the support of govern-
   ment, in relation thereto;  and  providing  for  the  repeal  of  such
   provisions upon expiration thereof
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
   Section 1.  Legislative  intent.  The  legislature  hereby  finds  and
 declares  that the enactment of these appropriations provides sufficient
 authority to the comptroller for the purpose of making payments for  the
 purposes described herein until such time as appropriation bills submit-
 ted  by  the  governor pursuant to article VII of the state constitution
 for the support of government for the state fiscal year beginning  April
 1, 2026 are enacted.
   §  2.  Section 2 of chapter 98 of the laws of 2026, relating to making
 appropriations for the support of government, as amended by chapter  116
 of the laws of 2026, is amended to read as follows:
   §  2.  The  amounts  specified  in this section, or so much thereof as
 shall be sufficient to accomplish the  purposes  designated,  is  hereby
 appropriated  and  authorized to be paid as hereinafter provided, to the
 public officers and for the purpose specified,  which  amount  shall  be
 available for the state fiscal year beginning April 1, 2026.
                    ALL STATE DEPARTMENTS AND AGENCIES
 For  the  purpose  of  making  payments  for
   personal  service,  including  liabilities
   incurred  prior  to  April 1, 2026, on the
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD12043-01-6
 A. 11465                            2
   payrolls scheduled to be paid  during  the
   period  April  1 through May [20] 26, 2026
   to state officers  and  employees  of  the
   executive  branch, including the governor,
   lieutenant  governor,   comptroller,   and
   attorney  general, and to employees of the
   legislature.   This   appropriation   also
   includes  payments  for services performed
   by mentally ill or  developmentally  disa-
   bled persons who are employed in state-op-
   erated special employment, work-for-pay or
   sheltered workshop programs .............. 2,361,394,522
                                             --------------
   §  3.  Section 3 of chapter 98 of the laws of 2026, relating to making
 appropriations for the support of government, as amended by chapter  116
 of the laws of 2026, is amended to read as follows:
   § 3. The amount specified in this section, or so much thereof as shall
 be  sufficient to accomplish the purpose designated, is hereby appropri-
 ated and authorized to be paid as hereinafter provided,  to  the  public
 officers  and for the purpose specified, which amount shall be available
 for the state fiscal year beginning April 1, 2026.
                    ALL STATE DEPARTMENTS AND AGENCIES
 For the  payment  of  state  operations  non
   personal service liabilities to the execu-
   tive  branch,  including  the comptroller,
   and the attorney general, and legislature,
   incurred in the ordinary course  of  busi-
   ness,  during  the  period April 1 through
   May [20] 26, 2026,  pursuant  to  existing
   state  law  and for purposes for which the
   legislature authorized the expenditure  of
   moneys  during  the 2025-2026 state fiscal
   year;  provided,  however,  that   nothing
   contained  herein shall be deemed to limit
   or restrict  the  power  or  authority  of
   state  departments  or agencies to conduct
   their activities or operations in  accord-
   ance   with   existing  law,  and  further
   provided  that  nothing  contained  herein
   shall  be  deemed to supersede, nullify or
   modify the provisions of section 40 of the
   state finance law prescribing when  appro-
   priations  made  for  the  2025-2026 state
   fiscal year  shall  have  ceased  to  have
   force and effect ............. [88,000,000]  108,000,000
                               --------------
   §  4. Section 4 of chapter 102 of the laws of 2026, relating to making
 appropriations for the support of government, as amended by chapter  116
 of the laws of 2026, is amended to read as follows:
   §  4.  The  amounts  specified  in this section, or so much thereof as
 shall be sufficient to accomplish the  purposes  designated,  is  hereby
 appropriated  and  authorized to be paid as hereinafter provided, to the
 A. 11465                            3
 respective public officers and for the purposes specified, which  amount
 shall be available for the state fiscal year beginning April 1, 2026.
           MISCELLANEOUS - - ALL STATE DEPARTMENTS AND AGENCIES
 The   sum  of  twenty-five  million  dollars
   ($25,000,000), or so much thereof as shall
   be sufficient to  accomplish  the  purpose
   designated,  is  hereby  appropriated  for
   contracts and grants approved for purposes
   for which the legislature  authorized  the
   expenditures of money during the 2025-2026
   fiscal  year.  An amount up to twenty-five
   million  dollars  ($25,000,000)  shall  be
   available   for  the  payment  of  capital
   projects liabilities incurred  during  the
   period  from  April 1 through May [20] 26,
   2026 for  contracts  and  grants  approved
   prior to April 1, 2026, provided, however,
   that  nothing  contained  herein  shall be
   deemed to limit or restrict the  power  or
   authority of state departments or agencies
   to  conduct their activities or operations
   in  accordance  with  existing  law,   and
   further  provided  that  nothing contained
   herein  shall  be  deemed  to   supersede,
   nullify,   or  modify  the  provisions  of
   section  40  of  the  state  finance   law
   prescribing  when  appropriations made for
   the  2025-2026  fiscal  year  shall   have
   ceased to have force and effect ............. 25,000,000
                                             --------------
   §  5. Section 5 of chapter 102 of the laws of 2026, relating to making
 appropriations for the support of government, as amended by chapter  116
 of the laws of 2026, is amended to read as follows:
   §  5.    The  amounts specified in this section, or so much thereof as
 shall be sufficient to accomplish the  purposes  designated,  is  hereby
 appropriated  and  authorized to be paid as hereinafter provided, to the
 respective public officers and for the purposes specified, which  amount
 shall be available for the state fiscal year beginning April 1, 2026.
           MISCELLANEOUS - - ALL STATE DEPARTMENTS AND AGENCIES
 The    sum    of   fifty   million   dollars
   ($50,000,000), or so much thereof as shall
   be sufficient to  accomplish  the  purpose
   designated,  is  hereby  appropriated  for
   contracts and grants approved for purposes
   for which the legislature  authorized  the
   expenditures of money during the 2025-2026
   fiscal year. An amount up to fifty million
   dollars  ($50,000,000)  shall be available
   for  the  payment  of   capital   projects
   liabilities  incurred  during  the  period
   from April 1 through May [20] 26, 2026 for
 A. 11465                            4
   contracts and grants approved after  April
   1,  2026,  provided, however, that nothing
   contained herein shall be deemed to  limit
   or  restrict  the  power  or  authority of
   state departments or agencies  to  conduct
   their  activities or operations in accord-
   ance  with  existing  law,   and   further
   provided  that  nothing  contained  herein
   shall be deemed to supersede, nullify,  or
   modify the provisions of section 40 of the
   state  finance law prescribing when appro-
   priations made for  the  2025-2026  fiscal
   year  shall  have ceased to have force and
   effect ...................................... 50,000,000
                                             --------------
   § 6. Section 4 of chapter 98 of the laws of 2026, relating  to  making
 appropriations  for the support of government, as amended by chapter 116
 of the laws of 2026, is amended to read as follows:
   § 4. The amounts specified in this section,  or  so  much  thereof  as
 shall  be  sufficient  to  accomplish the purposes designated, is hereby
 appropriated and authorized to be paid as hereinafter provided,  to  the
 public  officers  and  for the purposes specified, which amount shall be
 available for the state fiscal year beginning April 1, 2026.
            MISCELLANEOUS -- ALL STATE DEPARTMENTS AND AGENCIES
                           GENERAL STATE CHARGES
                             STATE OPERATIONS
 GENERAL STATE CHARGES .................... [1,345,420,500] 1,347,080,500
                                            --------------
   General Fund
   State Purposes Account - 10050
 For employee fringe  benefits  according  to
   the  following  project schedule including
   those  benefits  which  are   related   to
   employees  paid  from  funds, accounts, or
   programs where the division of the  budget
   has issued waivers (85022) ...............
   .......................... [1,329,622,500] 1,331,282,500
               Project Schedule
 PROJECT                               AMOUNT
 --------------------------------------------
 For  the  state's contribution
   to the health insurance fund
   and deposit into the retiree
   health  benefit  trust  fund
   pursuant to section 99-aa of
   the  state  finance law. The
   state's  share of the health
   insurance program  dividends
 A. 11465                            5
   shall    be available to pay
   for the premiums in 2026-27 .. 982,761,000
 For  the  state's contribution
   to   the   social   security
   contribution fund ............ 226,000,000
 For   payments  to  the  state
   insurance fund for  workers'
   compensation   benefits  and
   other    related    workers'
   compensation  costs prior to
   or   after    they    become
   incurred  including  but not
   limited  to   the   benefits
   defined  in chapters 302 and
   303 of the laws of 1985 ....... 55,000,000
 For the  state's  contribution
   to   employee  benefit  fund
   programs ...................... 40,500,000
 For the  state's  contribution
   to the dental insurance plan .. 13,524,000
 For  the payment of the metro-
   politan commuter transporta-
   tion mobility  tax  pursuant
   to  article  23  of  the tax
   law, as added by chapter  25
   of  the  laws  of  2009,  on
   behalf of the state  employ-
   ees  employed  in the metro-
   politan commuter transporta-
   tion district ... [7,680,000]    9,340,000
 For  the  state's   share   of
   contributions  to the volun-
   tary  defined   contribution
   plan   made   on  behalf  of
   eligible employees  pursuant
   to  chapter  18  of the laws
   of 2012 who elect to partic-
   ipate in such plan  and  who
   are   not  otherwise  eligi-
   ble to  participate  in  the
   SUNY   optional   retirement
   program ........................ 1,413,500
 For reimbursement to the unem-
   ployment  insurance fund for
   payments made  to  claimants
   formerly employed   by   the
   state of New York .............. 2,000,000
 For  the  state's contribution
   to the vision care plan .......... 744,000
                               --------------
     Project schedule total ...
       ........ [1,329,622,500] 1,331,282,500
                --------------
 For payments in accordance with section 19-a
   of the public lands law (80567) .............. 7,720,000
 A. 11465                            6
 For the payment in-lieu of taxes to the city
   of Albany  for  certain  state-owned  land
   pursuant  to  section  19-a  of the public
   lands law. Provided however, notwithstand-
   ing  paragraph  (4)  of subdivision 2-a of
   section 19-a of the public lands law, such
   funds may be paid prior to October 1, 2026
   (80567) ...................................... 7,720,000
 For payment of claims for damage to personal
   or real property or for bodily injuries or
   wrongful death caused by officers, employ-
   ees, or other authorized persons providing
   service to state government while  provid-
   ing such service, and the state university
   construction  fund while acting within the
   scope of their employment, and while oper-
   ating motor vehicles, and for any individ-
   uals operating motor  vehicles  which  are
   assigned  on  a permanent basis with unre-
   stricted use to state officers and employ-
   ees  when  the   person   is   permanently
   assigned the motor vehicle (80559) ............. 358,000
                                             --------------
   §  7. Section 5 of chapter 100 of the laws of 2026, relating to making
 appropriations for the support of government, as amended by chapter  116
 of the laws of 2026, is amended to read as follows:
   §  5.  The  amounts  specified  in this section, or so much thereof as
 shall be sufficient to accomplish the  purposes  designated,  is  hereby
 appropriated  and  authorized to be paid as hereinafter provided, to the
 public officers and for the purposes specified, which  amount  shall  be
 available for the state fiscal year beginning April 1, 2026.
                                 JUDICIARY
 For  the  purpose  of  making  payments  for
   personal  service,  including  liabilities
   incurred  prior  to  April 1, 2026, on the
   payrolls scheduled to be paid  during  the
   period  April  1 through May [20] 26, 2026
   to officers and employees of the judiciary
   ............................................ 352,000,000
 For the payment of state operations  nonper-
   sonal  service  liabilities,  the  sum  of
   thirty-six million dollars  ($36,000,000),
   or  so much thereof as shall be sufficient
   to accomplish the purpose  designated,  is
   hereby  appropriated  to the judiciary out
   of any moneys in the general fund or other
   funds to the credit of the state  purposes
   account  not  otherwise  appropriated. The
   comptroller  is  hereby   authorized   and
   directed to utilize this appropriation for
   the purpose of making payments for nonper-
   sonal  service liabilities incurred by the
 A. 11465                            7
   judiciary from April 1  through  May  [20]
   26, 2026 .................................... 36,000,000
 For the payment of aid to localities liabil-
   ities,   the  sum  of  thirty-two  million
   dollars ($32,000,000), or so much  thereof
   as  shall  be sufficient to accomplish the
   purpose designated, is hereby appropriated
   to the judiciary out of any moneys in  the
   general  fund or other funds to the credit
   of the state purposes account  not  other-
   wise   appropriated.  The  comptroller  is
   hereby authorized and directed to  utilize
   this  appropriation  for  the  purpose  of
   making  payments  for  aid  to  localities
   liabilities incurred by the judiciary from
   April 1 through May [20] 26, 2026 ........... 32,000,000
 For  the  payment of employee fringe benefit
   programs including, but  not  limited  to,
   the   judiciary's   contributions  to  the
   health  insurance  fund,  the   employees'
   retirement   system  pension  accumulation
   fund,  the  social  security  contribution
   fund,  employee benefit fund programs, the
   dental insurance  plan,  the  vision  care
   plan, the unemployment insurance fund, and
   for  workers'  compensation  benefits, the
   sum of one hundred twenty-two million  two
   hundred     fifty     thousand     dollars
   ($122,250,000),  or  so  much  thereof  as
   shall  be  sufficient  to  accomplish  the
   purpose designated, is hereby appropriated
   to the judiciary out of any moneys in  the
   general  fund or other funds to the credit
   of the state purposes account  not  other-
   wise   appropriated.  The  comptroller  is
   hereby authorized and directed to  utilize
   this  appropriation  for  the  purpose  of
   making payments for employee fringe  bene-
   fit  liabilities incurred by the judiciary
   from April 1 through May [20] 26, 2026 ..... 122,250,000
                                             --------------
   § 8. Section 5 of chapter 98 of the laws of 2026, relating  to  making
 appropriations  for the support of government, as amended by chapter 116
 of the laws of 2026, is amended to read as follows:
   § 5. The amounts specified in this section,  or  so  much  thereof  as
 shall  be  sufficient  to  accomplish the purposes designated, is hereby
 appropriated and authorized to be paid as hereinafter provided,  to  the
 public  officers  and  for the purposes specified, which amount shall be
 available for the state fiscal year beginning April 1, 2026.
                           DEPARTMENT OF HEALTH
                             AID TO LOCALITIES
 A. 11465                            8
 CENTER FOR COMMUNITY HEALTH PROGRAM .......... [62,492,000]   68,912,000
                                             --------------
   General Fund
   Local Assistance Account - 10000
 For  services  and  expenses  related to the
   Indian health program pursuant to  a  plan
   prepared by the commissioner of health and
   approved  by  the  director of the budget.
   The moneys hereby  appropriated  shall  be
   for  payment of financial assistance here-
   tofore  accrued  or  hereafter  to  accrue
   (26840) ..................................... 10,062,000
                                             --------------
   Special Revenue Funds - Federal
   Federal USDA-Food and Nutrition Services Fund
   Federal Food and Nutrition Services Account - 25022
 For  various  federal  food  and nutritional
   services. The moneys  hereby  appropriated
   shall  be  available for payment of finan-
   cial assistance heretofore accrued (26986)
   .............................. [52,430,000]   58,850,000
                               --------------
 CHILD HEALTH INSURANCE PROGRAM ............................. 212,950,000
                                                           --------------
   Special Revenue Funds - Other
   HCRA Resources Fund
   Children's Health Insurance Account - 20810
 The money hereby appropriated  is  available
   for  payment  of aid heretofore accrued or
   hereafter accrued.
 Notwithstanding any other provision of  law,
   the   money  hereby  appropriated  may  be
   increased  or  decreased  by  transfer  or
   suballocation  to  appropriations  of  the
   office of temporary and disability assist-
   ance,  for  the  reimbursement  of   local
   district  administrative  costs related to
   children newly enrolled in medicaid  whose
   household  income  is  between 100 percent
   and 133 percent  of  the  federal  poverty
   level.
 Notwithstanding  any provision of law to the
   contrary, the amounts appropriated  herein
   shall   be   net   of   refunds,  rebates,
   reimbursements,    credits,    repayments,
   and/or disallowances.
 For  services  and  expenses  related to the
   children's   health   insurance    program
 A. 11465                            9
   authorized  pursuant to title 1-A of arti-
   cle 25 of the public health law (26931) .... 212,950,000
                                             --------------
 ELDERLY PHARMACEUTICAL INSURANCE COVERAGE PROGRAM ............ 1,800,000
                                                           --------------
   Special Revenue Funds - Other
   HCRA Resources Fund
   EPIC Premium Account - 20818
 For services and expenses of the program for
   elderly pharmaceutical insurance coverage,
   including   reimbursement   to  pharmacies
   participating in such program.  The moneys
   hereby appropriated shall be available for
   payment of financial assistance heretofore
   accrued (26803) .............................. 1,800,000
                                             --------------
 ESSENTIAL PLAN PROGRAM ................... [1,150,000,000] 2,300,000,000
                                            --------------
   Special Revenue Funds - Federal
   Federal Health and Human Services Fund
   Essential Plan Account - 25186
 For services and  expenses  related  to  the
   essential   plan  program,  in  accordance
   State Innovation Waiver provisions author-
   ized  by  Section  1332  of  the   federal
   patient  protection  and  affordable  care
   act.
 Notwithstanding any  inconsistent  provision
   of law, the moneys hereby appropriated may
   be  increased  or decreased by interchange
   or transfer with any appropriation of  the
   department  of  health  or for transfer to
   Health Research Incorporated (HRI).
 Notwithstanding any provision of law to  the
   contrary,  the amounts appropriated herein
   shall  be   net   of   refunds,   rebates,
   reimbursements,    credits,    repayments,
   and/or disallowances.
 The money hereby appropriated  is  available
   for  payment  of aid heretofore accrued or
   hereafter accrued (59054) ................
   .......................... [1,150,000,000] 2,300,000,000
                              --------------
 MEDICAL ASSISTANCE PROGRAM ............. [13,719,650,000] 14,329,581,000
                                           --------------
   General Fund
   Local Assistance Account - 10000
 A. 11465                           10
 For the medical assistance program,  includ-
   ing  administrative  expenses,  for  local
   social services districts, and for medical
   care rates for authorized child care agen-
   cies.
 Notwithstanding  section  40  of  the  state
   finance law or any provision of law to the
   contrary,  subject  to  federal  approval,
   department  of health state funds medicaid
   spending, excluding payments  for  medical
   services   provided  at  state  facilities
   operated by the office of  mental  health,
   the  office  for people with developmental
   disabilities and the office  of  addiction
   services  and supports and further exclud-
   ing any payments which are  not  appropri-
   ated  within  the department of health, in
   the aggregate, for  the  period  April  1,
   2026  through  March  31,  2027, shall not
   exceed $36,099,200,000 except as  provided
   below  provided,  however,  such aggregate
   limits may be adjusted by the director  of
   the  budget  to account for any changes in
   the New York state federal medical assist-
   ance percentage amount established  pursu-
   ant  to  the  federal social security act,
   increases in provider revenues, reductions
   in local social services district payments
   for  medical  assistance   administration,
   minimum   wage  increases,  and  beginning
   April 1, 2012 the operational costs of the
   New York  state  medical  indemnity  fund,
   pursuant  to  chapter  59  of  the laws of
   2011, and state costs or savings from  the
   essential  plan  program. Such projections
   may be adjusted by  the  director  of  the
   budget  to  account for increased or expe-
   dited department  of  health  state  funds
   medicaid  expenditures  as  a  result of a
   natural or other type of disaster, includ-
   ing a governmental declaration of emergen-
   cy.
 The director of the budget, in  consultation
   with  the  commissioner  of  health, shall
   assess on  a  quarterly  basis  known  and
   projected medicaid expenditures by catego-
   ry of service and by geographic region, as
   defined by the commissioner, incurred both
   prior to and subsequent to such assessment
   for  each such period, and if the director
   of the budget determines that such expend-
   itures  are  expected  to  cause  medicaid
   spending  for  such  period  to exceed the
   aggregate limit specified herein for  such
   period,  the  state  medicaid director, in
   consultation  with  the  director  of  the
 A. 11465                           11
   budget  and  the  commissioner  of health,
   shall develop  a  medicaid  savings  allo-
   cation  adjustment  to limit such spending
   to  the  aggregate  limit specified herein
   for such period.
 Such medicaid savings allocation  adjustment
   shall  be designed, to reduce the expendi-
   tures  authorized  by  the  appropriations
   herein  in  compliance  with the following
   guidelines: (1) reductions shall  be  made
   in compliance with applicable federal law,
   including  the  provisions  of the Patient
   Protection and Affordable Care Act, Public
   Law No. 111-148, and the Health  Care  and
   Education   Reconciliation  Act  of  2010,
   Public  Law  No.   111-152   (collectively
   "Affordable  Care Act") and any subsequent
   amendments thereto or regulations  promul-
   gated  thereunder; (2) reductions shall be
   made in a manner that  complies  with  the
   state medicaid plan approved by the feder-
   al   centers  for  medicare  and  medicaid
   services,  provided,  however,  that   the
   commissioner  of  health  is authorized to
   submit any state plan  amendment  or  seek
   other  federal  approval, including waiver
   authority, to implement the provisions  of
   the medicaid savings allocation adjustment
   that  meets  the  other criteria set forth
   herein; (3) reductions shall be made in  a
   manner  that  maximizes  federal financial
   participation, to the extent  practicable,
   including  any  federal  financial partic-
   ipation that is available or is reasonably
   expected  to  become  available,  in   the
   discretion  of the commissioner, under the
   Affordable Care Act; (4) reductions  shall
   be  made  uniformly  among  categories  of
   services and  geographic  regions  of  the
   state,  to  the  extent  practicable,  and
   shall be made uniformly within a  category
   of  service,  to  the  extent practicable,
   except where the  commissioner  determines
   that  there  are  sufficient  grounds  for
   non-uniformity, including but not  limited
   to:  the  extent to which specific catego-
   ries of services contributed to department
   of health medicaid state funds spending in
   excess of the limits specified herein; the
   need to maintain safety  net  services  in
   underserved  communities; or the potential
   benefits of  pursuing  innovative  payment
   models contemplated by the Affordable Care
   Act,  in  which case such grounds shall be
   set forth in the  medicaid  savings  allo-
   cation   adjustment;  and  (5)  reductions
 A. 11465                           12
   shall be made in a manner  that  does  not
   unnecessarily     create    administrative
   burdens to medicaid applicants and recipi-
   ents or providers.
 The commissioner shall seek the input of the
   legislature,   as  well  as  organizations
   representing   health   care    providers,
   consumers,   businesses,  workers,  health
   insurers, and others with relevant  exper-
   tise,  in developing such medicaid savings
   allocation adjustment, to the extent  that
   all  or  part  of  such adjustment, in the
   discretion of the commissioner, is  likely
   to  have  a material impact on the overall
   medicaid program, particular categories of
   service or particular  geographic  regions
   of the state.
 (a) The commissioner shall post the medicaid
   savings   allocation   adjustment  on  the
   department of health's website  and  shall
   provide  written copies of such adjustment
   to the chairs of the  senate  finance  and
   the  assembly ways and means committees at
   least 30 days before  the  date  on  which
   implementation is expected to begin.
 (b) The commissioner may revise the medicaid
   savings  allocation  adjustment subsequent
   to the provisions of notice and  prior  to
   implementation  but needs to provide a new
   notice pursuant  to  subparagraph  (i)  of
   this  paragraph  only  if the commissioner
   determines, in his or her discretion, that
   such  revisions   materially   alter   the
   adjustment.
 Notwithstanding the provisions of paragraphs
   (a)  and  (b)  of  this  subdivision,  the
   commissioner  need  not  seek  the   input
   described  in paragraph (a) of this subdi-
   vision or provide notice pursuant to para-
   graph (b) of this subdivision if,  in  the
   discretion  of the commissioner, expedited
   development and implementation of a  medi-
   caid   savings  allocation  adjustment  is
   necessary due to a public health  emergen-
   cy.
 For  purposes  of  this  section,  a  public
   health emergency  is  defined  as:  (i)  a
   disaster,   natural   or  otherwise,  that
   significantly increases the immediate need
   for health care personnel in  an  area  of
   the state; (ii) an event or condition that
   creates a widespread risk of exposure to a
   serious   communicable   disease,  or  the
   potential  for  such  widespread  risk  of
   exposure;  or  (iii)  any  other  event or
   condition determined by  the  commissioner
 A. 11465                           13
   to constitute an imminent threat to public
   health.
 Nothing in this paragraph shall be deemed to
   prevent  all  or  part  of  such  medicaid
   savings allocation adjustment from  taking
   effect retroactively to the extent permit-
   ted  by  the  federal centers for medicare
   and medicaid services.
 In  accordance  with  the  medicaid  savings
   allocation adjustment, the commissioner of
   the  department  of  health  shall  reduce
   department of health state funds  medicaid
   spending  by  the  amount of the projected
   overspending through,  actions  including,
   but not limited to modifying or suspending
   reimbursement  methods,  including but not
   limited to all fees,  premium  levels  and
   rates   of  payment,  notwithstanding  any
   provision of  law  that  sets  a  specific
   amount   or   methodology   for  any  such
   payments or rates of payment; modifying or
   discontinuing medicaid  program  benefits;
   seeking  all  necessary federal approvals,
   including, but  not  limited  to  waivers,
   waiver  amendments;  and  suspending  time
   frames for  notice,  approval  or  certif-
   ication  of  rate  requirements,  notwith-
   standing any provision  of  law,  rule  or
   regulation  to the contrary, including but
   not limited to sections 2807 and  3614  of
   the public health law, section 18 of chap-
   ter  2  of  the laws of 1988, and 18 NYCRR
   505.14(h).
 The department of  health  shall  prepare  a
   quarterly  report  that  sets  forth:  (a)
   known and projected department  of  health
   medicaid   expenditures  as  described  in
   subdivision  (1)  of  this  section,   and
   factors  that  could  result  in  medicaid
   disbursements  for  the   relevant   state
   fiscal   year   to  exceed  the  projected
   department of health state funds disburse-
   ments in the enacted budget financial plan
   pursuant to subdivision 3 of section 23 of
   the state finance law, including  spending
   increases  or decreases due to: enrollment
   fluctuations,  rate  changes,  utilization
   changes,  MRT  investments,  and  shift of
   beneficiaries to managed care;  and  vari-
   ations  in  offline medicaid payments; and
   (b) the actions  taken  to  implement  any
   medicaid   savings  allocation  adjustment
   implemented pursuant to subdivision (4) of
   this   section,   including    information
   concerning  the  impact of such actions on
   each  category   of   service   and   each
 A. 11465                           14
   geographic  region of the state. Each such
   quarterly report shall be provided to  the
   chairs  of  the  senate  finance  and  the
   assembly  ways  and  means  committees and
   shall  be  posted  on  the  department  of
   health's website in a timely manner.
 The  money  hereby  appropriated  is  to  be
   available for payment  of  aid  heretofore
   accrued  or  hereafter  accrued to munici-
   palities,  and  to  providers  of  medical
   services  pursuant to section 367-b of the
   social services law, and  for  payment  of
   state aid to municipalities and to provid-
   ers  of  family care where payment systems
   through the fiscal intermediaries are  not
   operational.
 Notwithstanding  any  inconsistent provision
   of law to the contrary, funds may be  used
   by   the   department  for  outside  legal
   assistance on issues involving the federal
   government, the  conduct  of  preadmission
   screening   and  annual  resident  reviews
   required by the state's medicaid  program,
   computer  matching with insurance carriers
   to insure that medicaid is  the  payer  of
   last  resort and activities related to the
   management of the pharmacy benefit  avail-
   able under the medicaid program.
 Notwithstanding  any  inconsistent provision
   of law, in lieu of payments authorized  by
   the  social  services  law, or payments of
   federal funds otherwise due to  the  local
   social  services  districts  for  programs
   provided under the federal social security
   act or the federal food stamp  act,  funds
   herein  appropriated, in amounts certified
   by the state commissioner of temporary and
   disability assistance or the state commis-
   sioner of health as due from local  social
   services  districts  each  month  as their
   share of payments made pursuant to section
   367-b of the social services  law  may  be
   set  aside  by the state comptroller in an
   interest-bearing  account  in   order   to
   ensure  the  orderly and prompt payment of
   providers  under  section  367-b  of   the
   social  services  law pursuant to an esti-
   mate  provided  by  the  commissioner   of
   health   of  each  local  social  services
   district's share of payments made pursuant
   to section 367-b of  the  social  services
   law.
 Notwithstanding  any  inconsistent provision
   of law, funding made  available  by  these
   appropriations shall support direct salary
   costs  and  related fringe benefits within
 A. 11465                           15
   the medical assistance program  associated
   with  any minimum wage increase that takes
   effect  during  the  timeframe  of   these
   appropriations, pursuant to section 652 of
   the  labor law. Each eligible organization
   in receipt of funding  made  available  by
   these  appropriations  may  be required to
   submit written certification, in such form
   and at  such  time  the  commissioner  may
   prescribe,  attesting  to the total amount
   of funds used by  the  eligible  organiza-
   tion, how such funding will be or was used
   for  purposes  eligible under these appro-
   priations and any other  reporting  deemed
   necessary by the commissioner. The amounts
   appropriated  herein  may include advances
   to  organizations  authorized  to  receive
   such funds to accomplish this purpose.
 Notwithstanding  any other provision of law,
   the  money  hereby  appropriated  may   be
   increased  or  decreased by interchange or
   transfer, with any  appropriation  of  the
   department  of  health  and  the office of
   medicaid  inspector  general  and  may  be
   increased  or  decreased  by  transfer  or
   suballocation between  these  appropriated
   amounts  and appropriations of the depart-
   ment of health state purpose account,  the
   office of mental health, office for people
   with   developmental   disabilities,   the
   office of addiction services and supports,
   the department of family assistance office
   of temporary  and  disability  assistance,
   the department of corrections and communi-
   ty  supervision, the office of information
   technology services, the state  university
   of  New  York,  and office of children and
   family services, the  office  of  medicaid
   inspector  general,  the  state  education
   department, and the state office  for  the
   aging with the approval of the director of
   the  budget,  who shall file such approval
   with the department of audit  and  control
   and  copies  thereof  with the chairman of
   the  senate  finance  committee  and   the
   chairman  of  the  assembly ways and means
   committee.
 Notwithstanding any  inconsistent  provision
   of  law to the contrary, the moneys hereby
   appropriated may be used for  payments  to
   the  centers  for  medicaid  and  medicare
   services for obligations incurred  related
   to  the  pharmaceutical  costs  of  dually
   eligible  medicare/medicaid  beneficiaries
   participating in the medicare drug benefit
   authorized by P.L. 108-173.
 A. 11465                           16
 Notwithstanding  any  inconsistent provision
   of law,  the  moneys  hereby  appropriated
   shall  not be used for any existing rates,
   fees, fee schedule,  or  procedures  which
   may  affect  the cost of care and services
   provided by personal care providers,  case
   managers,   health  maintenance  organiza-
   tions, out  of  state  medical  facilities
   which  provide  care and services to resi-
   dents of the state, providers of transpor-
   tation   services,   that   are   altered,
   amended,  adjusted or otherwise changed by
   a local social  services  district  unless
   previously  approved  by the department of
   health and the director of the budget.
 Notwithstanding any  inconsistent  provision
   of  law  to  the  contrary, funds shall be
   made available to the commissioner of  the
   office of mental health or the commission-
   er of the office of addiction services and
   supports, in consultation with the commis-
   sioner  of  health  and  approved  by  the
   director of  the  budget,  and  consistent
   with   appropriations  made  therefor,  to
   implement allocation adjustment  developed
   by  each  such  commissioner  which  shall
   describe mental health  or  substance  use
   disorder services that should be developed
   to  meet  service needs resulting from the
   reduction of inpatient  behavioral  health
   services   provided   under  the  medicaid
   program, by programs licensed pursuant  to
   article  31  or  32  of the mental hygiene
   law. Such programs  may  include  programs
   that are licensed pursuant to both article
   31  of  the mental hygiene law and article
   28 of the public health law, or  certified
   under   both  article  32  of  the  mental
   hygiene law and article 28 of  the  public
   health law.
 Notwithstanding  any  inconsistent provision
   of law, the moneys hereby appropriated may
   be available for payments associated  with
   the  resolution by settlement agreement or
   judgment of rate appeals and/or litigation
   where the department of health is a party.
 For services and  expenses  of  the  medical
   assistance   program   including  hospital
   inpatient services and  general  hospitals
   that  are safety-net providers that evince
   severe  financial  distress,  pursuant  to
   criteria  determined  by the commissioner,
   shall be eligible for awards  for  amounts
   appropriated   herein,   to   enable  such
   providers to maintain operations and vital
   services  while  establishing  long   term
 A. 11465                           17
   solutions  to  achieve  sustainable health
   services.
 Notwithstanding  any inconsistent provisions
   of law, no expenditures shall be used  for
   the  medical  assistance  program  for any
   expenses not explicitly authorized in  law
   without  the  approval  of the director of
   the budget.
 Notwithstanding any provision of law to  the
   contrary,  the  portion  of this appropri-
   ation covering fiscal year  2026-27  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2026-27,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2026-27  set  forth  in  chapter 53 of the
   laws of 2025 (26947) ........ [169,666,000]  193,904,000
 For services and  expenses  of  the  medical
   assistance   program   including  hospital
   outpatient and emergency room services.
 Notwithstanding any provision of law to  the
   contrary,  the  portion  of this appropri-
   ation covering fiscal year  2026-27  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2026-27,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2026-27  set  forth  in  chapter 53 of the
   laws of 2025 (26948) ......... [50,743,000]   57,992,000
 For services and  expenses  of  the  medical
   assistance    program   including   clinic
   services.
 Notwithstanding any provision of law to  the
   contrary,  the  portion  of this appropri-
   ation covering fiscal year  2026-27  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2026-27,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2026-27  set  forth  in  chapter 53 of the
   laws of 2025 (26949) ......... [99,386,000]  113,584,000
 For services and  expenses  of  the  medical
   assistance  program including nursing home
   services.
 Notwithstanding any provision of law to  the
   contrary,  the  portion  of this appropri-
   ation covering fiscal year  2026-27  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2026-27,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2026-27  set  forth  in  chapter 53 of the
   laws of 2025 (26950) ........ [249,795,000]  285,480,000
 For services and  expenses  of  the  medical
   assistance  program  including  other long
   term care services.
 A. 11465                           18
 Notwithstanding any provision of law to  the
   contrary,  the  portion  of this appropri-
   ation covering fiscal year  2026-27  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal year 2026-27,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26951) ..... [1,189,902,000] 1,359,888,000
 For  services  and  expenses  of the medical
   assistance program including managed  care
   services   including   regional   planning
   activities  of  the  finger  lakes  health
   systems  agency, including statewide coor-
   dination and demonstration of  best  prac-
   tices.  The  department  shall make grants
   within amounts appropriated  therefor,  to
   assure high-quality and accessible primary
   care,  to  provide technical assistance to
   support financial  and  business  planning
   for  integrated  systems  of  care, and to
   assist  primary  care  providers  in   the
   adoption,  implementation,  and meaningful
   use of electronic health record  technolo-
   gy.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2026-27 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2026-27,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26952) ..... [1,089,970,000] 1,245,680,000
 For  services  and expenses for health homes
   including grants to health homes.
 Notwithstanding any provision of law to  the
   contrary,  the  portion  of this appropri-
   ation covering fiscal year  2026-27  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2026-27,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2026-27  set  forth  in  chapter 53 of the
   laws of 2025 (29548) ......... [26,390,000]   30,160,000
 For services and  expenses  of  the  medical
   assistance   program   including  pharmacy
   services provided, however, that no  funds
   shall  be  made available pursuant to this
   appropriation for any drug not  explicitly
   authorized  in  any  enacted law, rule, or
   regulation  without  approval   from   the
   director of the budget.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2026-27 shall
 A. 11465                           19
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2026-27,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26953) ........ [503,482,000]  575,408,000
 For  services  and  expenses  of the medical
   assistance program  including  transporta-
   tion services.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2026-27 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2026-27,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26954) ......... [72,324,000]   82,656,000
 For  services  and  expenses  of the medical
   assistance   program   including    dental
   services.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2026-27 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2026-27,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26955) ............ [553,000]      632,000
 For  services  and  expenses  of the medical
   assistance program including  non-institu-
   tional and other spending.
 The  money  hereby appropriated is available
   for  payment  of  liabilities   heretofore
   accrued or hereafter accrued.
 Notwithstanding  any  inconsistent provision
   of law, the money hereby appropriated  may
   be available for payments to any county or
   public  school  districts  associated with
   additional claims  for  school  supportive
   health services.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2026-27 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2026-27,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26956) ........ [144,228,000]  164,832,000
 For  services  and  expenses  of the medical
   assistance   program   including   medical
   services   provided  at  state  facilities
   operated by the office of  mental  health,
   the  office  for people with developmental
 A. 11465                           20
   disabilities and the office  of  addiction
   services and supports.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2026-27 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2026-27,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26961) ........ [673,078,000]  769,232,000
                               --------------
   Special Revenue Funds - Federal
   Federal Health and Human Services Fund
   Medicaid Direct Account - 25106
 For  services  and  expenses for the medical
   assistance program, including  administra-
   tive  expenses  for  local social services
   districts, pursuant to title  XIX  of  the
   federal social security act or its succes-
   sor program.
 The  moneys  hereby  appropriated  are to be
   available for payment  of  aid  heretofore
   accrued  or  hereafter  accrued to munici-
   palities,  and  to  providers  of  medical
   services  pursuant to section 367-b of the
   social services law, and  for  payment  of
   state aid to municipalities and to provid-
   ers  of  family care where payment systems
   through the fiscal intermediaries are  not
   operational.
 Notwithstanding  any  inconsistent provision
   of law, funding made  available  by  these
   appropriations shall support direct salary
   costs  and  related fringe benefits within
   the medical assistance program  associated
   with  any minimum wage increase that takes
   effect  during  the  timeframe  of   these
   appropriations, pursuant to section 652 of
   the  labor law. Each eligible organization
   in receipt of funding  made  available  by
   these  appropriations  may  be required to
   submit written certification, in such form
   and at  such  time  the  commissioner  may
   prescribe,  attesting  to the total amount
   of funds used by  the  eligible  organiza-
   tion, how such funding will be or was used
   for  purposes  eligible under these appro-
   priations and any other  reporting  deemed
   necessary by the commissioner. The amounts
   appropriated  herein  may include advances
   to  organizations  authorized  to  receive
   such funds to accomplish this purpose.
 A. 11465                           21
 Notwithstanding  any other provision of law,
   the  money  hereby  appropriated  may   be
   increased  or  decreased by interchange or
   transfer, with any  appropriation  of  the
   department  of  health  and  the office of
   medicaid  inspector  general  and  may  be
   increased  or  decreased  by  transfer  or
   suballocation between  these  appropriated
   amounts  and  appropriations of the office
   of mental health, office for  people  with
   developmental  disabilities, the office of
   addiction  services  and   supports,   the
   department  of family assistance office of
   temporary   and   disability   assistance,
   office  of  children  and family services,
   the  department  of  financial   services,
   department  of  corrections  and community
   supervision,  the  office  of  information
   technology  services, the state university
   of New York, the state  education  depart-
   ment,  and  the state office for the aging
   with the approval of the director  of  the
   budget,  who shall file such approval with
   the department of audit  and  control  and
   copies  thereof  with  the chairman of the
   senate finance committee and the  chairman
   of the assembly ways and means committee.
 Notwithstanding  any  inconsistent provision
   of law, in lieu of payments authorized  by
   the  social  services  law, or payments of
   federal funds otherwise due to  the  local
   social  services  districts  for  programs
   provided under the federal social security
   act or the federal food stamp  act,  funds
   herein  appropriated, in amounts certified
   by the state commissioner of temporary and
   disability assistance or the state commis-
   sioner of health as due from local  social
   services  districts  each  month  as their
   share of payments made pursuant to section
   367-b of the social services  law  may  be
   set  aside  by the state comptroller in an
   interest-bearing  account  in   order   to
   ensure  the  orderly and prompt payment of
   providers  under  section  367-b  of   the
   social  services  law pursuant to an esti-
   mate  provided  by  the  commissioner   of
   health   of  each  local  social  services
   district's share of payments made pursuant
   to section 367-b of  the  social  services
   law.
 Notwithstanding  any  inconsistent provision
   of law to the  contrary,  funds  shall  be
   made  available to the commissioner of the
   office of mental health or the commission-
   er of the office of addiction services and
 A. 11465                           22
   supports, in consultation with the commis-
   sioner  of  health  and  approved  by  the
   director  of  the  budget,  and consistent
   with   appropriations  made  therefor,  to
   implement allocation adjustment  developed
   by  each  such  commissioner  which  shall
   describe mental health  or  substance  use
   disorder services that should be developed
   to  meet  service needs resulting from the
   reduction of inpatient  behavioral  health
   services   provided   under  the  medicaid
   program, by programs licensed pursuant  to
   article  31  or  32  of the mental hygiene
   law. Such programs  may  include  programs
   that are licensed pursuant to both article
   31  of  the mental hygiene law and article
   28 of the public health law, or  certified
   under   both  article  32  of  the  mental
   hygiene law and article 28 of  the  public
   health law.
 Notwithstanding  any  inconsistent provision
   of law, the moneys hereby appropriated may
   be available for payments associated  with
   the  resolution by settlement agreement or
   judgment of rate appeals and/or litigation
   where the department of health is a party.
 Notwithstanding any inconsistent  provisions
   of  law, no expenditures shall be used for
   the medical  assistance  program  for  any
   expenses  not explicitly authorized in law
   without the approval of  the  director  of
   the budget.
 For  services  and  expenses  of the medical
   assistance  program   including   hospital
   inpatient services.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2026-27 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2026-27,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26947) ....................... 531,195,000
 For  services  and  expenses  of the medical
   assistance  program   including   hospital
   outpatient and emergency room services.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2026-27 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2026-27,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26948) ........................ 94,668,000
 A. 11465                           23
 For  services  and  expenses  of the medical
   assistance   program   including    clinic
   services.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2026-27 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2026-27,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26949) ....................... 153,279,000
 For  services  and  expenses  of the medical
   assistance program including nursing  home
   services.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2026-27 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2026-27,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26950) ....................... 789,180,000
 For  services  and  expenses  of the medical
   assistance program  including  other  long
   term care services.
 Notwithstanding  any provision of law to the
   contrary, the portion  of  this  appropri-
   ation  covering  fiscal year 2026-27 shall
   supersede and replace any duplicative  (i)
   reappropriation  for  this  item  covering
   fiscal year 2026-27,  and  (ii)  appropri-
   ation  for  this item covering fiscal year
   2026-27 set forth in  chapter  53  of  the
   laws of 2025 (26951) ..................... 2,251,263,000
 For  services  and  expenses  of the medical
   assistance program including managed  care
   services   including   regional   planning
   activities  of  the  finger  lakes  health
   systems  agency, including statewide coor-
   dination and demonstration of  best  prac-
   tices.  The  department  shall make grants
   within amounts appropriated  therefor,  to
   assure high-quality and accessible primary
   care,  to  provide technical assistance to
   support financial  and  business  planning
   for  integrated  systems  of  care, and to
   assist  primary  care  providers  in   the
   adoption,  implementation,  and meaningful
   use of electronic health record  technolo-
   gy.
 Notwithstanding  any  inconsistent provision
   of law, rule, or regulation to the contra-
   ry, funds appropriated herein shall not be
 A. 11465                           24
   subject to  article  6  of  the  financial
   services law.
 Notwithstanding  any  inconsistent provision
   of law, rule, or regulation to the contra-
   ry, funds appropriated herein  shall  only
   be  made  available  for  applied behavior
   analysis services  if  such  services  are
   recommended  by  a  health  care or mental
   health care practitioner authorized  under
   title  eight  of the education law who has
   been designated  as  an  applied  behavior
   analysis  center of excellence provider by
   the commissioner of health.
 Notwithstanding any provision of law to  the
   contrary,  the  portion  of this appropri-
   ation covering fiscal year  2026-27  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2026-27,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2026-27  set  forth  in  chapter 53 of the
   laws of 2025 (26952) ..................... 2,747,276,000
 For services and  expenses  of  the  medical
   assistance   program   including  pharmacy
   services, provided, however, that no funds
   shall be made available pursuant  to  this
   appropriation  for any drug not explicitly
   authorized in any heretofore enacted  law,
   rule,  or regulation without approval from
   the director of the budget.
 Notwithstanding any provision of law to  the
   contrary,  the  portion  of this appropri-
   ation covering fiscal year  2026-27  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2026-27,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2026-27  set  forth  in  chapter 53 of the
   laws of 2025 (26953) ....................... 827,533,000
 For services and  expenses  of  the  medical
   assistance  program  including transporta-
   tion services.
 Notwithstanding any provision of law to  the
   contrary,  the  portion  of this appropri-
   ation covering fiscal year  2026-27  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2026-27,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2026-27  set  forth  in  chapter 53 of the
   laws of 2025 (26954) ....................... 111,174,000
 For services and  expenses  of  the  medical
   assistance    program   including   dental
   services.
 Notwithstanding any provision of law to  the
   contrary,  the  portion  of this appropri-
 A. 11465                           25
   ation covering fiscal year  2026-27  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2026-27,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2026-27  set  forth  in  chapter 53 of the
   laws of 2025 (26955) ........................ 12,852,000
 For services and  expenses  of  the  medical
   assistance  program  including noninstitu-
   tional and other spending.
 The money hereby appropriated  is  available
   for   payment  of  liabilities  heretofore
   accrued or hereafter accrued.
 Notwithstanding any provision of law to  the
   contrary,  the  portion  of this appropri-
   ation covering fiscal year  2026-27  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2026-27,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2026-27  set  forth  in  chapter 53 of the
   laws of 2025 (26956) ..................... 1,258,635,000
 Notwithstanding any  inconsistent  provision
   of  law,  subject  to  the approval of the
   director of the budget, upon submission of
   an allocation adjustment from the  commis-
   sioner  of health, the amount appropriated
   herein, together with any available feder-
   al matching funds, may be  transferred  or
   suballocated   to  the  office  of  mental
   health, office of addiction  services  and
   supports,  office for people with develop-
   mental disabilities, division  of  housing
   and  community  renewal,  New  York  state
   housing trust fund corporation, and office
   of temporary and disability assistance for
   services and expenses related to providing
   affordable  housing.  Any  such   spending
   shall  consider  the geographical location
   of the grants.
 Notwithstanding any provision of law to  the
   contrary,  the  portion  of this appropri-
   ation covering fiscal year  2026-27  shall
   supersede  and replace any duplicative (i)
   reappropriation  for  this  item  covering
   fiscal  year  2026-27,  and (ii) appropri-
   ation for this item covering  fiscal  year
   2026-27  set  forth  in  chapter 53 of the
   laws of 2025 (29521) ....................... 673,078,000
                                             --------------
   § 9. Section 6 of chapter 98 of the laws of 2026, relating  to  making
 appropriations  for the support of government, as amended by chapter 116
 of the laws of 2026, is amended to read as follows:
   § 6. The amounts specified in this section,  or  so  much  thereof  as
 shall  be  sufficient  to  accomplish the purposes designated, is hereby
 A. 11465                           26
 appropriated and authorized to be paid as hereinafter provided,  to  the
 public  officers  and  for the purposes specified, which amount shall be
 available for the state fiscal year beginning April 1, 2026.
                            DEPARTMENT OF LABOR
                             AID TO LOCALITIES
 UNEMPLOYMENT INSURANCE BENEFIT PROGRAM ... [1,575,000,000] 1,710,000,000
                                            --------------
   Enterprise Funds
   Unemployment Insurance Benefit Fund
   Unemployment Insurance Benefit Account - 50650
 For  payment of unemployment insurance bene-
   fits pursuant to article 18 of  the  labor
   law   or  as  authorized  by  the  federal
   government through the disaster  unemploy-
   ment  assistance  program,  the  emergency
   unemployment  compensation  program,   the
   extended   benefit  program,  the  federal
   additional  compensation  program  or  any
   other  federally funded unemployment bene-
   fit program (34787) ...... [1,575,000,000] 1,710,000,000
                              --------------
   § 10. Section 7 of chapter 98 of the laws of 2026, relating to  making
 appropriations  for the support of government, as amended by chapter 116
 of the laws of 2026, is amended to read as follows:
   § 7. The amounts specified in this section,  or  so  much  thereof  as
 shall  be  sufficient  to  accomplish the purposes designated, is hereby
 appropriated and authorized to be paid as hereinafter provided,  to  the
 public  officers  and  for the purposes specified, which amount shall be
 available for the state fiscal year beginning April 1, 2026.
                       DEPARTMENT OF MENTAL HYGIENE
             OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES
                             AID TO LOCALITIES
 COMMUNITY SERVICES PROGRAM ............... [1,062,495,000] 1,072,593,000
                                            --------------
   General Fund
   Local Assistance Account - 10000
 For services and expenses of  the  community
   services  program,  net  of disallowances,
   for community  programs  for  people  with
   developmental   disabilities  pursuant  to
   article 41  of  the  mental  hygiene  law,
   and/or  chapter  620  of the laws of 1974,
   chapter 660 of the laws of  1977,  chapter
   412 of the laws of 1981, chapter 27 of the
 A. 11465                           27
   laws  of  1987, chapter 729 of the laws of
   1989, chapter 329 of the laws of 1993  and
   other  provisions  of  the  mental hygiene
   law.   Notwithstanding   any  inconsistent
   provision of law, the following  appropri-
   ation shall be net of prior and/or current
   year refunds, rebates, reimbursements, and
   credits.
 Notwithstanding  any other provision of law,
   advances and reimbursement  made  pursuant
   to  subdivision  (d)  of section 41.15 and
   section 41.18 of the  mental  hygiene  law
   shall  be allocated pursuant to a plan and
   in a manner prescribed by the agency  head
   and  approved by the director of the budg-
   et. The  moneys  hereby  appropriated  are
   available  to reimburse or advance locali-
   ties and voluntary non-profit agencies for
   expenditures  made  during  local   fiscal
   periods  commencing January 1, 2026, April
   1, 2026 or July 1, 2026, and for  advances
   for  the  3 month period beginning January
   1, 2027.
 Notwithstanding the provisions of article 41
   of the mental hygiene  law  or  any  other
   inconsistent  provision  of  law,  rule or
   regulation, the commissioner, pursuant  to
   such  contract  and in the manner provided
   therein, may pay all or a portion  of  the
   expenses  incurred by such voluntary agen-
   cies arising out of loans which are funded
   from  the  proceeds  of  bonds  and  notes
   issued  by  the dormitory authority of the
   state of New York.
 Notwithstanding any other provision of  law,
   the   money  hereby  appropriated  may  be
   transferred to state operations and/or any
   appropriation of  the  office  for  people
   with  developmental  disabilities with the
   approval of the director of the budget.
 Notwithstanding any  inconsistent  provision
   of law, moneys from this appropriation may
   be used for state aid of up to 100 percent
   of  the  net deficit costs of day training
   programs and family support services.
 Notwithstanding the  provisions  of  section
   16.23  of  the  mental hygiene law and any
   other inconsistent provision of law,  with
   relation  to  the  operation  of certified
   family care homes, including  family  care
   homes  sponsored by voluntary not-for-pro-
   fit agencies, moneys from  this  appropri-
   ation may be used for payments to purchase
   general services including but not limited
   to  respite  providers, up to a maximum of
   14 days, at rates to be established by the
 A. 11465                           28
   commissioner and approved by the  director
   of  the budget in consideration of factors
   including, but not limited to,  geographic
   area  and  number  of clients cared for in
   the home and  for  payment  in  an  amount
   determined  by  the  commissioner  for the
   personal needs of each client residing  in
   the family care home.
 Notwithstanding  the  provisions of subdivi-
   sion 12 of section 8 of the state  finance
   law  and  any other inconsistent provision
   of law, moneys from this appropriation may
   be used for expenses of family care  homes
   including  payments to operators of certi-
   fied family care homes for damages  caused
   by  clients  to personal and real property
   in accordance with  standards  established
   by  the  commissioner  and approved by the
   director of the budget.
 Notwithstanding any  inconsistent  provision
   of law, moneys from this appropriation may
   be   used   for  appropriate  day  program
   services and residential services  includ-
   ing,  but  not  limited to, direct housing
   subsidies   to    individuals,    start-up
   expenses  for family care providers, envi-
   ronmental modifications, adaptive technol-
   ogies,   appraisals,   property   options,
   feasibility   studies  and  preoperational
   expenses.
 Notwithstanding any  inconsistent  provision
   of law except pursuant to a chapter of the
   laws  of  2025  authorizing  a 2.6 percent
   targeted inflationary  increase,  for  the
   period  commencing  on  April  1, 2025 and
   ending March  31,  2026  the  commissioner
   shall  not  apply  any  other inflationary
   increases, cost of living type  increases,
   inflation  factors,  or  trend factors for
   the  purpose  of  establishing  rates   of
   payments,  contracts  or any other form of
   reimbursement; provided  that  this  shall
   not prevent the commissioner from applying
   prior   adjustments  for  the  purpose  of
   establishing rates resulting from a rebas-
   ing of base year costs.
 Notwithstanding section 6908 of  the  educa-
   tion  law  and any other provision of law,
   rule or regulation to the contrary, direct
   support staff  in  programs  certified  or
   approved  by  the  office  for people with
   developmental disabilities, including  the
   home  and  community based services waiver
   programs that the office for  people  with
   developmental  disabilities  is authorized
   to administer with federal approval pursu-
 A. 11465                           29
   ant to subdivision (c) of section 1915  of
   the   federal  social  security  act,  are
   authorized to provide such tasks as  OPWDD
   may   specify  when  performed  under  the
   supervision,   training    and    periodic
   inspection  of  a  registered professional
   nurse and in accordance with an authorized
   practitioner's ordered care.
 Notwithstanding any other provision  of  law
   to   the  contrary,  and  consistent  with
   section 33.07 of the mental  hygiene  law,
   the  directors  of facilities licensed but
   not operated by the office for people with
   developmental  disabilities  who  act   as
   federally-appointed  representative payees
   and who assume  management  responsibility
   over  the funds of a resident may continue
   to use such funds  for  the  cost  of  the
   resident's  care and treatment, consistent
   with federal law and regulations.
 Funds appropriated herein shall be available
   in accordance with the following:
 Notwithstanding any  inconsistent  provision
   of  law,  the  director  of  the budget is
   authorized  to  make  suballocations  from
   this  appropriation  to  the department of
   health medical assistance program.
 Notwithstanding any  inconsistent  provision
   of  law,  and  pursuant to criteria estab-
   lished by the commissioner of  the  office
   for people with developmental disabilities
   and  approved by the director of the budg-
   et, expenditures may  be  made  from  this
   appropriation  for  residential facilities
   which  are  pending   recertification   as
   intermediate  care  facilities  for people
   with developmental disabilities.
 Notwithstanding the  provisions  of  section
   41.36  of  the  mental hygiene law and any
   other  inconsistent  provision   of   law,
   moneys from this appropriation may be used
   for  payment  up  to  $250  per  year  per
   client, at such times and in  such  manner
   as  determined  by the commissioner on the
   basis of financial need for  the  personal
   needs of each client residing in voluntar-
   y-operated community residences and volun-
   tary-operated community residential alter-
   natives,      including     individualized
   residential alternatives  under  the  home
   and  community  based services waiver. The
   commissioner   shall,   subject   to   the
   approval  of  the  director of the budget,
   alter existing advance  payment  schedules
   for   voluntary-operated  community  resi-
 A. 11465                           30
   dences  established  pursuant  to  section
   41.36 of the mental hygiene law.
 Notwithstanding  any  inconsistent provision
   of law, moneys from this appropriation may
   be  used  for  the  operation  of  clinics
   licensed  pursuant  to  article  16 of the
   mental  hygiene  law  including,  but  not
   limited  to,  supportive  and habilitative
   services  consistent  with  the  home  and
   community based services waiver.
 For  the state and/or local share of medical
   assistance services expenses  incurred  by
   the department of health for the provision
   of  medical  assistance services to people
   with developmental disabilities (37835) .... 980,028,000
 For services and expenses of  the  community
   services  program,  net  of disallowances,
   for community  programs  for  people  with
   developmental   disabilities  pursuant  to
   article 41  of  the  mental  hygiene  law,
   and/or  chapter  620  of the laws of 1974,
   chapter 660 of the laws of  1977,  chapter
   412 of the laws of 1981, chapter 27 of the
   laws  of  1987, chapter 729 of the laws of
   1989, chapter 329 of the laws of 1993  and
   other  provisions  of  the  mental hygiene
   law.  Notwithstanding   any   inconsistent
   provision  of law, the following appropri-
   ation shall be net of prior and/or current
   year refunds, rebates, reimbursements, and
   credits.
 Notwithstanding any other provision of  law,
   advances  and  reimbursement made pursuant
   to subdivision (d) of  section  41.15  and
   section  41.18  of  the mental hygiene law
   shall be allocated pursuant to a plan  and
   in  a manner prescribed by the agency head
   and approved by the director of the  budg-
   et.    The  moneys hereby appropriated are
   available to reimburse or advance  locali-
   ties and voluntary non-profit agencies for
   expenditures   made  during  local  fiscal
   periods commencing January 1, 2026,  April
   1,  2026 or July 1, 2026, and for advances
   for the 3 month period  beginning  January
   1, 2027.
 Notwithstanding the provisions of article 41
   of  the  mental  hygiene  law or any other
   inconsistent provision  of  law,  rule  or
   regulation,  the commissioner, pursuant to
   such contract and in the  manner  provided
   therein,  may  pay all or a portion of the
   expenses incurred by such voluntary  agen-
   cies arising out of loans which are funded
   from  the  proceeds  of  bonds  and  notes
 A. 11465                           31
   issued by the dormitory authority  of  the
   state of New York.
 Notwithstanding  any other provision of law,
   the  money  hereby  appropriated  may   be
   transferred to state operations and/or any
   appropriation  of  the  office  for people
   with developmental disabilities  with  the
   approval of the director of the budget.
 Notwithstanding  any  inconsistent provision
   of law, moneys from this appropriation may
   be used for state aid of up to 100 percent
   of the net deficit costs of  day  training
   programs and family support services.
 Notwithstanding  the  provisions  of section
   16.23 of the mental hygiene  law  and  any
   other  inconsistent provision of law, with
   relation to  the  operation  of  certified
   family  care  homes, including family care
   homes sponsored by voluntary  not-for-pro-
   fit  agencies,  moneys from this appropri-
   ation may be used for payments to purchase
   general services including but not limited
   to respite providers, up to a  maximum  of
   14 days, at rates to be established by the
   commissioner  and approved by the director
   of the budget in consideration of  factors
   including,  but not limited to, geographic
   area and number of clients  cared  for  in
   the  home  and  for  payment  in an amount
   determined by  the  commissioner  for  the
   personal  needs of each client residing in
   the family care home.
 Notwithstanding the provisions  of  subdivi-
   sion  12 of section 8 of the state finance
   law and any other  inconsistent  provision
   of law, moneys from this appropriation may
   be  used for expenses of family care homes
   including payments to operators of  certi-
   fied  family care homes for damages caused
   by clients to personal and  real  property
   in  accordance  with standards established
   by the commissioner and  approved  by  the
   director of the budget.
 Notwithstanding  any  inconsistent provision
   of law, moneys from this appropriation may
   be  used  for  appropriate   day   program
   services  and residential services includ-
   ing, but not limited  to,  direct  housing
   subsidies    to    individuals,   start-up
   expenses for family care providers,  envi-
   ronmental modifications, adaptive technol-
   ogies,   appraisals,   property   options,
   feasibility  studies  and   preoperational
   expenses.
 Notwithstanding  any  inconsistent provision
   of law, moneys from this appropriation may
 A. 11465                           32
   be  used  to  fund  continuity   of   care
   services, family reimbursed respite, other
   than  personal services and direct housing
   subsidies  for  people who are enrolled in
   OPWDD's self-direction  program,  provided
   any  or all such costs are identified in a
   self-direction budget approved by OPWDD.
 Notwithstanding any  inconsistent  provision
   of law except pursuant to a chapter of the
   laws  of  2025  authorizing  a 2.6 percent
   targeted inflationary  increase,  for  the
   period  commencing  on  April  1, 2025 and
   ending March  31,  2026  the  commissioner
   shall  not  apply  any  other inflationary
   increases, cost of living type  increases,
   inflation  factors,  or  trend factors for
   the  purpose  of  establishing  rates   of
   payments,  contracts  or any other form of
   reimbursement; provided  that  this  shall
   not prevent the commissioner from applying
   prior   adjustments  for  the  purpose  of
   establishing rates resulting from a rebas-
   ing of base year costs.
 Notwithstanding section 6908 of  the  educa-
   tion  law  and any other provision of law,
   rule or regulation to the contrary, direct
   support staff  in  programs  certified  or
   approved  by  the  office  for people with
   developmental disabilities, including  the
   home  and  community based services waiver
   programs that the office for  people  with
   developmental  disabilities  is authorized
   to administer with federal approval pursu-
   ant to subdivision (c) of section 1915  of
   the   federal  social  security  act,  are
   authorized to provide such tasks as  OPWDD
   may   specify  when  performed  under  the
   supervision,   training    and    periodic
   inspection  of  a  registered professional
   nurse and in accordance with an authorized
   practitioner's ordered care.
 Notwithstanding any other provision  of  law
   to   the  contrary,  and  consistent  with
   section 33.07 of the mental  hygiene  law,
   the  directors  of facilities licensed but
   not operated by the office for people with
   developmental  disabilities  who  act   as
   federally-appointed  representative payees
   and who assume  management  responsibility
   over  the funds of a resident may continue
   to use such funds  for  the  cost  of  the
   resident's  care and treatment, consistent
   with federal law and regulations.
 Funds appropriated herein shall be available
   in accordance with the following:
 A. 11465                           33
 Notwithstanding any other provision  of  law
   to the contrary, funds appropriated herein
   are    available  to    reimburse  in- and
   out-of-state private residential  schools,
   pursuant  to  subdivision  (c)  of section
   13.37-a and  subdivision  (g)  of  section
   13.38 of the mental hygiene law, for costs
   of  supporting  the  residential  and  day
   program services available to  individuals
   who  are  over the age of 21 years of age,
   provided that the amount paid for residen-
   tial services and/or maintenance costs  is
   net  of  any  supplemental security income
   benefit to which the individual  receiving
   services is eligible, and provided further
   that  funding  for nonresidential services
   will be in an amount  not  to  exceed  the
   maximum  reimbursement for appropriate day
   services  delivered  by  the  office   for
   people   with  developmental  disabilities
   certified or approved providers other than
   in- and out-of-state  private  residential
   schools,  unless  otherwise  authorized by
   the director of the budget.
 Notwithstanding section  163  of  the  state
   finance  law,  section 142 of the economic
   development law, and  article  41  of  the
   mental  hygiene  law,  the commissioner of
   the office for people  with  developmental
   disabilities  may make the funds appropri-
   ated herein available as state aid, a loan
   or a grant, pursuant to terms  and  condi-
   tions  established  by the commissioner of
   the office for people  with  developmental
   disabilities,  to  cover  a portion of the
   development  costs  of   private,   public
   and/or non-profit organizations, including
   corporations  and partnerships established
   pursuant to the  private  housing  finance
   law and/or any other statutory provisions,
   for  supportive  housing  units  that have
   been set aside for individuals with intel-
   lectual  and  developmental  disabilities.
   Further, the office for people with devel-
   opmental disabilities shall have a lien on
   the  real  property  developed  with  such
   state aid, loans or grants, which shall be
   in the amount of the loan or grant, for  a
   maximum  term of 30 years, or other longer
   term consistent with the  requirements  of
   another regulatory agency.
 For  services  and  expenses  related to the
   provision  of  residential   services   to
   people   with  developmental  disabilities
   (37802) ...................... [47,873,000]   53,735,000
 A. 11465                           34
 For services and  expenses  related  to  the
   provision   of  day  program  services  to
   people   with  developmental  disabilities
   (37803) ...................... [11,760,000]   13,200,000
 For services and  expenses  related  to  the
   provision  of  family  support services to
   people  with  developmental   disabilities
   (37804) ...................... [13,230,000]   14,850,000
 For  services  and  expenses  related to the
   provision of workshop,  day  training  and
   employment  services to people with devel-
   opmental disabilities. Notwithstanding any
   other provision of law, up  to  [$112,700]
   $126,500  of  this  appropriation  may  be
   transferred to the New York  State  Educa-
   tion Departments' Adult Career and Contin-
   uing Education Services - Vocational Reha-
   bilitation  (ACCES-VR)  program to support
   the LongTerm Sheltered Employment  program
   operated    by    FEDCAP    Rehabilitation
   Services, Inc.  (37805) ....... [7,644,000]    8,580,000
 For other services and expenses provided  to
   people   with  developmental  disabilities
   including but not limited to hepatitis  B,
   care  at  home  waiver, epilepsy services,
   Special Olympics New York, Inc. and volun-
   tary fingerprinting (37806) ... [1,960,000]    2,200,000
                               --------------
   § 11. Section 8 of chapter 98 of the laws of 2026, relating to  making
 appropriations  for the support of government, as amended by chapter 116
 of the laws of 2026, is amended to read as follows:
   § 8. The amounts specified in this section,  or  so  much  thereof  as
 shall  be  sufficient  to  accomplish the purposes designated, is hereby
 appropriated and authorized to be paid as hereinafter provided,  to  the
 public  officers  and  for the purposes specified, which amount shall be
 available for the state fiscal year beginning April 1, 2026.
                     DEPARTMENT OF VETERANS' SERVICES
                             AID TO LOCALITIES
 BLIND VETERAN ANNUITY ASSISTANCE PROGRAM ....................... 770,000
                                                           --------------
   General Fund
   Local Assistance Account - 10000
 For payment of annuities to  blind  veterans
   and  eligible  surviving  spouses.  Up  to
   $15,000  of  this  appropriation  may   be
   transferred to state operations for admin-
   istrative   costs   associated  with  this
   program (54606) ................................ 770,000
                                             --------------
 A. 11465                           35
 VETERANS' BENEFITS ADVISING PROGRAM ............. [294,000]      330,000
                                             --------------
   Special Revenue Funds - Other
   Homeless Veterans Assistance Fund
   Homeless Veterans Assistance Account - 20204
 For  services  and expenses related to home-
   less veterans' housing (54815) .. [294,000]      330,000
                               --------------
   § 12. No expenditure may be made from any appropriation in  this  act,
 until  a  certificate of approval has been issued by the director of the
 budget and a copy of such certificate shall have  been  filed  with  the
 state  comptroller, the chairman of the senate finance committee and the
 chairman of the assembly ways and  means  committee  provided,  however,
 that  any  expenditures  from  any appropriation in this act made by the
 legislature or judiciary shall not require such certificate.
   § 13. All expenditures and disbursements made  against  the  appropri-
 ations in this act shall, upon final action by the legislature on appro-
 priation  bills submitted by the governor pursuant to article VII of the
 state constitution for the support of government for  the  state  fiscal
 year  beginning  April  1,  2026,  be  transferred by the comptroller as
 expenditures and disbursements to  such  appropriations  for  all  state
 departments and agencies, as applicable, in amounts equal to the amounts
 charged against the appropriations in this act for each such department,
 agency, and the legislature and the judiciary.
   §  14. Severability clause. If any clause, sentence, paragraph, subdi-
 vision, section or part of this act shall be adjudged by  any  court  of
 competent  jurisdiction  to  be invalid, such judgment shall not affect,
 impair, or invalidate the remainder thereof, but shall  be  confined  in
 its  operation  to the clause, sentence, paragraph, subdivision, section
 or part thereof directly involved in the controversy in which such judg-
 ment shall have been rendered. It is hereby declared to be the intent of
 the legislature that this act would  have  been  enacted  even  if  such
 invalid provisions had not been included herein.
   §  15.  This  act shall take effect immediately and shall be deemed to
 have been in full force and effect on and after April 1, 2026; provided,
 however, that upon the transfer of expenditures and disbursements by the
 comptroller as provided in section thirteen of this act,  the  appropri-
 ations  made  by  this  act  and subject to such section shall be deemed
 repealed.