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NYS Budget Comparison Chart

Posted on March 17, 2021

BUDGET COMPARISON CHART

 

Governor’s Budget Senate On-House Assembly One-House               Final Budget
TOTAL 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.
OPWDD
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
DOH
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
SED
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.
ENROLLMENT REDUCTION

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
OTHER
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