NYS Budget Comparison Chart



Governor’s Budget Senate On-House Assembly One-House               Final Budget

Proposes all funds receipts of $192.8 billion

The Senate has not, at this time, proposed a Fiscal Plan outlining All Fund Spending changes or All Funds Revenue Estimates. Proposes All Funds receipts of $206.2 billion, an increase of $13.4 billion over the Executive Plan including: $3.3 billion in Federal childcare and Medicaid; $3 billion in additional unrestricted Federal aid;  $2.7 billion personal income tax increase; $1.7 billion in additional business and other taxes; and $1.4 billion in consensus revenues.
1% COLA – Defers the COLA Again Rejects 1% COLA deferral – $26.9 million Rejects 1% COLA deferral- $26.9 million and makes COLA permanent
1% MEDICAID RATE CUT -Targeted Restores $10.5 million Restores $10.5 million
5% NON-MEDICAID CUT Restores $12 million Restores $12 million
OPWDD Residential Program Management -$22.7 million Restores $26.6 million
RESIDENTIAL RESERVE FOR REPLACEMENT (RRR) – replaces RRR with Prior Property Approval (PPA) – $6.9 million savings Restores -$6.9 million
Residential FLOW proposal Restores – $8 million
MINIMUM WAGE FUNDING – includes funding to bring DSP salaries up to the minimum wage – $31.6 million Accepts Accepts
Affordable Housing – $15 million Accepts Accepts
CCO Cut -$20.8million Restores $20.8 Restores $20.8
Establishes a new group home pilot program – $10M
$25 million in funding to reimburse OMH, OASAS and OPWDD providers for PPE costs
Provides $200,000 for the Center for Autism Research
Provides $1 million and requires residential facilities to provide high-speed internet Provides $900,000 for state operated residential high-speed internet
Restores $440,000 in Legislative additions
EARLY INTERVENTION -$11.9M administrative services limits/cuts Rejects the cuts and includes language to prohibit blanket service limits.








Rejects the cuts and includes language to prohibit blanket service limits.


Establishes an Early Intervention services pool for payment of EI services thereby eliminating 3rd party billing


Requires the Commissioner to review EI rates for adequacy

TELEHEALTH – Continues flexibilities for originating site and interstate licensure program Accepts and adds continued flexibilities on distant site and creates reimbursement parity for telehealth services Accepts the Originating site flexibilities but rejects interstate licensure
CDPAP FI – Require DOH Re-offer CDPAP FI contracts to ensure FIs are physically located in counties they serve and ensure FIs have experience serving individuals with I/DD & serving racial/ethnic minorities
340B PROVIDERS – Transition from Medicaid Managed Care to Fee for Service & provides $102 million to create reinvestment payment pool for community health centers Rejects the transition of 340B providers to Fee for Service Rejects reinvestment funds; delays transition of the pharmacy benefit from managed care to fee-for-service (enacted 2020) for 3 years for providers that rely on 340B savings
MEDICAID GLOBAL CAP – Extends Cap for two years Rejects the extension of the Medicaid Global Cap & proposes an alternative Rejects & repeals the Medicaid Global Cap
PRESCRIBER PREVAILS –Eliminates “prescriber prevails”; eliminates coverage for certain over-the-counters Rejects the elimination of Prescriber Prevails & elimination of certain over the counter drugs Rejects the elimination of Prescriber Prevails & elimination of certain over the counter drugs
Prohibit TBI & NHTD Waiver services from transitioning to managed care Prohibit TBI & NHTD Waiver services from transitioning to managed care
Allow pediatric nursing homes to continue serving medically fragile young adults after the age of 21
Authorizes DOH to create new facilities specifically for medically fragile young adults
$624 million to increase the minimum wage for home health care workers
Codifies the independent consumer assistance program to assist consumers to file complaints/appeals with health insurers
State-funded school aid would increase to a total of $29.5 billion (a year-to-year increase of 6.6 percent) School Aid increase of $3 billion or 12 percent over the 2020-21 SY, for a total of $29 billion.

4410 and 853 schools hold harmless for enrollment reductions during the 20-21 school year & ensure no tuition rate reduction from federal stimulus aid

Language to protect schools that suffer a 5% or greater enrollment decrease during the 2020-21 and 2021-22 school years by applying an enrollment adjustment factor as part of the tuition rate reconciliation process
Requires tuition increases for 4410 & 853 schools to be commensurate with total school aid increase
Protects 4410 and 853 schools from financial consequences of enrollment reductions by allowing per diem and or tuition rate to be administratively adjusted by SED without DOB approval
Authorizes establishment of a1% per year reserve fund, not to exceed 4% total, for 853 & Special Act schools
Provides $1.25M for SED to redesign the rate setting methodology for 4410 and 853 schools
Provides $500 million to fully fund 4 year-old full day pre-K statewide
Special Emergency Federal Aid- $9 billion lump sum. Rejects $9 billion lump sum Special Federal Emergency Appropriation. Increases the Special Federal Emergency funding for organizations to $13 billion and modifies the language to make spending from the appropriation subject to Section 53 of State Finance Law. Funding is included to provide:

·        COLA -$51.8 million to restore the human services COLA starting on April 1, 2021 including OPWDD –$26.9 million, OMH -$15 million, OASAS-$4.3 million, OCFS – $2.54 million, SOFA -$2.02 and OTADA –$1 million

·        PPE – $25 million in funding to reimburse OMH, OASAS and OPWDD community-based providers for Personal Protective Equipment (PPE) costs as a result of the COVID- 19 pandemic;

·        Nonprofits -$100 million to support operating costs for nonprofit agencies statewide;

OTHER State workforce Salary increases – $175 million
Early Retirement Incentive –for public employees. Early Retirement Incentive for public employees




CP State developing clinician training program to improve treatment of patients with I/DD


Funded by a $440,000 grant from The Mother Cabrini Health Foundation, Cerebral Palsy Association of New York State will establish a best-practices training program for clinicians to ensure healthcare equity for people with disabilities.

“The unique characteristics and needs of people with intellectual and developmental disabilities (I/DD) makes optimal healthcare very challenging,” said Mike Alvaro, Executive Director of CP State. “We hope to create an accessible training series that will increase clinicians’ ability to evaluate, diagnose and treat patients with I/DD — making a giant step forward in the disability community’s access to quality care.”

Research has shown that people with disabilities fare much worse across a range of health indicators than individual without disabilities.  The Centers for Disease Control and Prevention reports that one in three people ages 18 to 44 with disabilities did not have a usual health care provider and had a health care need that went unmet in the last year due to cost.

CP State will spend the next six months developing the clinician training series. A steering committee of doctors, clinicians and others healthcare officials will take inventory of existing training sessions, then develop material to fill in the gaps. After the committee assesses the need for material and how they will be developed, we will announce a start date for the trainings.

The award is part of Cabrini’s more-than 400 year-end 2020 grants totaling $115 million to support organizations and programs addressing the health-related needs of low-income residents and underserved communities across New York State.

This is in addition to $50 million in funding authorized for emergency COVID-19 programs earlier in 2020. In all, the Foundation’s $165 million in 2020 funding has or will support 650 programs to improve health and human services during a time of unprecedented need. In the two years since its inception, the Foundation has awarded grants totaling $315 million.

The $115 million in new grants will support programs in 2021, including $5 million in a three-year strategic effort focused on improving oral health access and outcomes in underserved communities.

“These grants demonstrate our continued commitment to support a wide range of organizations improving the health and well-being of New York’s most vulnerable.  Our grantees are providing crucial support at a pivotal moment, when so many across the State face challenges that are complicated by the impacts of COVID-19.” said Alfred F. Kelly, Jr., Chief Executive Officer of Visa and Chair of the Mother Cabrini Health Foundation Board.

“We’re very appreciative of the support we’ve gotten from The Mother Cabrini Health Foundation,” said Alvaro. “They’ve been a wonderful partner in realizing our Community Health Outreach Program grants and we’re thrilled to begin work on this important training program.  The mission of CP State is to make life better for people with disabilities.  The Mother Cabrini Health Foundation helps us do that.”

Seven-day COVID-19 positive average under 4%

Today’s Governor Cuomo Press Briefing took place at the State Capitol. The Governor was joined by:

·       Melissa DeRosa, Secretary to the Governor;

·       Robert Mujica, Budget Director;

·       Dr. Howard Zucker, NYS Department of Health Commissioner;

·       Elizabeth Garvey, Special Counsel and Senior Advisor to the Governor; and

·       Gareth Rhodes, Deputy Superintendent & Special Counsel at NYS Department of Financial Services.

·       COVID-19 DATA FROM 2/14:

·       Statewide Positivity Rate: 3.53%

·       Seven-day Average Positivity Rate: 3.74%

·       Test Results Reported: 180,504

·       Current Hospitalizations: 6,623 (+30)

·       Patients Currently in ICU: 1,270 (-15)

·       Patients Currently Intubated: 875 (-6)

·       Deaths: 103

·       Total NY Pandemic Deaths: 37,221



    • Capital Region

§  248 hospitalized

§  2.34% positivity rate

    • Central New York

§  129 hospitalized

§  1.67% positivity rate

    • Finger Lakes

§  325 hospitalized

§  2.31% positivity rate

    • Long Island

§  1,115 hospitalized

§  4.62% positivity rate

    • Mid-Hudson

§  688 hospitalized

§  4.53% positivity rate

    • Mohawk Valley

§  140 hospitalized

§  2.23% positivity rate

    • New York City

§  3,476 hospitalized

§  4.47% positivity rate

    • North Country

§  68 hospitalized

§  3.98% positivity rate

    • Southern Tier

§  154 hospitalized

§  0.82% positivity rate

    • Western New York

§  280 hospitalized

§  3.25% positivity rate

·       POST-HOLIDAY SURGE: Today marks the 38th straight day of decline in the statewide seven-day average COVID-19 positivity rate. Additionally, the number of patients hospitalized due to COVID-19 continues to decrease.


·       NEW VARIANTS: The Governor announced there is a patient in a New York City hospital who has tested positive for the South African variant. The patient, who is not a New York State resident, was transferred from Connecticut directly to the New York City hospital for a procedure. There is no evidence at this time of any spread of the South African variant in New York State.


·       VACCINE: New York has administered a total of 3,206,914 vaccinations statewide, including 2,199,688 first doses and 1,007,226 second doses. Over one million New Yorkers are now fully vaccinated.


·       VACCINE DISTRIBUTION: The National Vaccine Distribution System has grown to include many different types of distribution points receiving vaccines through a complex allocation scheme. The Governor indicated that while this system results in many different options for individuals to find a distribution site, it also causes confusion. Since there is currently a low supply of vaccines, the system can be frustrating. However, as supply increases, the large amount of distribution points will help maximize the number of dosages that can be administered as quickly as possible.

    • Today, the National Governor’s Association sent a letter to President Biden asking for there to be coordination between the Federal Government and the states on the direct vaccine allocations to pharmacies and Federally Qualified Health Centers (FQHCs). The letter can be found here.


·       METROPOLITAN TRANSPORTATION AUTHORITY (MTA): Patrick Foye, Chairman and CEO of the MTA, and Sarah Feinberg, Interim President of the New York City Transit Authority, joined the briefing via teleconference. Chairman Foye addressed the violence over the weekend in the New York City transit system which impacted four total victims and resulted in two fatalities. Chairman Foye has asked New York City for an additional 1,000 New York Police Department (NYPD) officers to be assigned to patrol the subways and mass transit systems.


  • Chairman Foye announced that the MTA is pursuing a goal of beginning a phased reopening of the New York City subway system starting on Monday, February 22nd. Subways have been closed from 1:00 a.m. to 5:00 a.m. since May 6th to facilitate deep cleaning protocols. Under the new plan, subways will stay open until 2:00 a.m. and reopen at 4:00 a.m. During the close-down period, the subway trains and stations will continue to undergo deep cleaning and sanitation protocols to protect passengers from COVID-19.


·       RECREATIONAL ADULT-USE CANNABIS: Governor Cuomo announced that he will submit amendments this week to the proposed adult-use cannabis program that was included in the Executive Budget. Since authorizing an adult-use cannabis program is seen as a controversial topic, Governor Cuomo stated that the issue needs to be settled as part of the State Budget. If it is not settled as part of the budget, the Governor predicted it will not get done at all, which he believes would be a mistake.


·       EMERGENCY POWERS: Governor Cuomo addressed recent calls for the revocation of the emergency powers that were authorized by the legislature in order to combat COVID-19. The Governor stated these powers have nothing to do with nursing homes and that he has taken hundreds of actions and not one has been reversed by the Legislature. He said these decisions are made for the public health, and should not be made through politics or at the local level.

  • A reporter asked the Governor for a reaction to reports that some lawmakers have suggested using subpoenas and a revocation of the emergency powers as leverage in budget negotiations. Governor Cuomo said it is a crime to threaten subpoenas or an investigation to gain leverage over a person. This would be an abuse of process and extortion.


·       NURSING HOMES: Governor Cuomo addressed the ongoing discussion of the State’s handling of nursing home residents during the pandemic. The Governor said that losing a loved one is very painful and providing facts for grieving families is essential. Over the past year this issue has been distorted by politics. Below is a timeline of events laid out by the Governor:


  • The Governor stated that New York State voluntarily complied with the United States Department of Justice (DOJ) request for information. Meanwhile, the State paused the request for information from the State Legislature while they complied with the Federal request. He stated that staff in both Houses of the Legislature were informed that the DOJ request would be given preference.

  • Governor Cuomo stressed that throughout the pandemic New York State has consulted with the leading medical experts from around the globe. All deaths in nursing homes and hospitals were fully, publicly, and accurately reported. However, lessons were learned as the State navigated the pandemic and hospital and nursing home care must be improved before the next surge or pandemic.

  • In his 30-day amendments, due by Thursday February 18th, the Governor stated he will include reforms to the private hospital and nursing home systems. These reforms will focus on “for-profit” nursing homes. According to the Governor, there is tension in these facilities between patient care and profit.