New York 2025-2026 Regular Session

New York Senate Bill S09818

Introduced
4/6/26  
Refer
4/6/26  
Engrossed
4/7/26  
Refer
4/7/26  
Engrossed
4/7/26  
Enrolled
4/7/26  
Chaptered
4/7/26  

Caption

Provides for emergency appropriation through April 14, 2026 for the support of government.

Impact

The implications of S09818 on state laws and Medicaid operations will be significant. By providing the commissioner with broad authority to revise reimbursement processes and potentially reduce benefits, the bill aims to keep Medicaid spending within approved limits. This could alter how services are delivered, particularly affecting low-income populations who rely on Medicaid for healthcare. Moreover, the process for reporting and assessing Medicaid expenditures is outlined, emphasizing a quarterly reporting structure to ensure transparency and oversight.

Summary

S09818 is a legislative bill aimed at managing and adjusting Medicaid expenditures in New York State for the fiscal year 2026-27. The bill empowers the Commissioner of the Department of Health to take various actions to control Medicaid overspending, which includes modifying reimbursement methods, suspending certain Medicaid program benefits, and seeking federal approvals for changes required to implement these adjustments. These efforts aim to reduce expenditures to match the budgetary constraints while maintaining necessary health services.

Conclusion

Overall, S09818 seeks to balance the need for fiscal responsibility in state healthcare spending against the imperative to provide adequate health services to New Yorkers. As discussions move forward, stakeholders will likely continue to debate the implications of increased executive powers for budget adjustments and the inherent risks to service quality.

Contention

A contentious aspect of the bill is the level of authority it grants to the Department of Health. Some stakeholders may view the bill as a necessary step towards fiscal responsibility, while others might consider it an overreach that threatens the quality and accessibility of healthcare for vulnerable populations. Concerns include the potential for reduced access to services and the impact on community health programs, especially those focused on developmental disabilities.

Companion Bills

NY A10850

Replaces Provides for emergency appropriation through April 14, 2026 for the support of government.

Previously Filed As

NY A10850

Provides for emergency appropriation through April 14, 2026 for the support of government.

NY S09630

Provides for emergency appropriation through April 7, 2026 for the support of government.

NY A10760

Provides for emergency appropriation through April 7, 2026 for the support of government.

NY S09963

Provides for emergency appropriation through April 22, 2026 for the support of government.

NY A11010

Provides for emergency appropriation through April 22, 2026 for the support of government.

NY S10060

Provides for emergency appropriation through April 30, 2026 for the support of government.

NY A11150

Provides for emergency appropriation through April 30, 2026 for the support of government.

NY S09999

Provides for emergency appropriation through April 27, 2026 for the support of government.

NY A11020

Provides for emergency appropriation through April 27, 2026 for the support of government.

NY S09918

Provides for emergency appropriation through April 20, 2026 for the support of government.

Similar Bills

MD HB390

Budget Bill (Fiscal Year 2027)

MD SB282

Budget Bill (Fiscal Year 2027)

MD HB350

Budget Bill (Fiscal Year 2026)

MD SB319

Budget Bill (Fiscal Year 2026)

PA HB1330

To provide appropriations from the General Fund for the expenses of certain agencies of the Executive Department for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2025.

PA SB160

To provide appropriations from the General Fund for the expenses of the Executive, Legislative and Judicial Departments of the Commonwealth, the public debt and the public schools for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2025; to provide appropriations from special funds and accounts to the Executive and Judicial Departments for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2025; to provide for the appropriation of Federal funds to the Executive and Judicial Departments for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2025; and to provide for the additional appropriation of Federal and State funds to the Executive and Legislative Departments for the fiscal year July 1, 2024, to June 30, 2025, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2024.

PA SB280

To provide appropriations from the General Fund for the expenses of the Executive, Legislative and Judicial Departments of the Commonwealth, the public debt and the public schools for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2025; to provide appropriations from special funds and accounts to the Executive and Judicial Departments for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2025; to provide for the appropriation of Federal funds to the Executive and Judicial Departments for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2025; and to provide for the additional appropriation of Federal and State funds to the Executive and Legislative Departments for the fiscal year July 1, 2024, to June 30, 2025, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2024.

PA SB1161

To provide appropriations from the General Fund for the expenses of the Executive, Legislative and Judicial Departments of the Commonwealth, the public debt and the public schools for the fiscal year July 1, 2026, to June 30, 2027, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2026; to provide appropriations from special funds and accounts to the Executive and Judicial Departments for the fiscal year July 1, 2026, to June 30, 2027, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2026; to provide for the appropriation of Federal funds to the Executive and Judicial Departments for the fiscal year July 1, 2026, to June 30, 2027, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2026; and to provide for the additional appropriation of Federal and State funds to the Executive and Legislative Departments for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2025.