Budget & Taxes (Audits & Accountability)

Limits the reimbursement amount of certain overpayment claims and reviews where such overpayment was due to the provider's submission of records which were not in accordance with program requirements at the time but which were in accordance with current requirements as a result of changes to guidelines or regulations.

Limits the reimbursement amount of certain overpayment claims and reviews where such overpayment was due to the provider's submission of records which were not in accordance with program requirements at the time but which were in accordance with current requirements as a result of changes to guidelines or regulations.

Requires the state comptroller to procure the services of one or more independent private professional services firms with expertise in accounting, auditing, and fraud detection to conduct a comprehensive audit of state government programs receiving state funds; requires the auditing firm to report fraud, abuse or other unlawful conduct to appropriate law enforcement agencies; requires the audit to be made publicly available.

This bill establishes a program to help school districts and eligible public buildings (like housing or hospitals) with structures over 20,000 square feet reduce energy costs through mechanical insulation upgrades. It requires free, qualified energy audits to identify needed insulation work and provides competitive grants covering 50% to 75% of approved insulation costs for HVAC systems, piping, and equipment. Grants are issued on a first-come basis after an approved audit, with the program to be implemented within one year of enactment. The law defines specific requirements for qualified contractors and insulation standards to ensure energy savings.

This bill establishes a New York State program allowing small businesses (with 1-100 employees) to offer employees a payroll-deducted savings option for child and dependent care expenses. Employees can contribute pre-tax income through their employer’s payroll system, with contributions limited to IRS Section 125/129 guidelines. Businesses must set up a payroll arrangement for employees to enroll, choose contribution amounts (as a percentage or fixed dollar amount), and allow annual enrollment changes. The program is administered by the state comptroller and labor commissioner, aiming to provide a low-cost, portable savings tool for small business employees.

This bill creates a dedicated $200 million capital fund to support municipal water and wastewater infrastructure. The fund, established within the state comptroller's office, will receive money from the general fund and be used for capital projects like constructing, repairing, or upgrading water treatment systems. Municipalities statewide can apply for grants from this fund to finance these infrastructure improvements. The bill specifies that funds will be distributed through a grant program managed by the comptroller and tax commissioner, with payments made via state audit processes.

Enacts into law major components of legislation necessary to implement the state health and mental hygiene budget for the 2025-2026 state fiscal year; requires the commissioner of health to provide a quarterly report on known and expected department of health state funds Medicaid expenditures through state fiscal year 2026-2027 (Part A); extends the effectiveness of various provisions relating to social services and healthcare including medical reimbursement and welfare reform (Part B); relates to supplemental hospital payments (Part D); shifts long-term nursing home stays from managed care to fee for service; authorizes penalties for managed care plans that do not meet contractual obligations (Part E); requires a health plan to pay the MCO provider tax for each calendar year; requires every health plan subject to the approved MCO provider tax to submit reports; imposes penalties for failure to submit such timely payments; grants the commissioner of health audit powers; relates to the healthcare stability fund; relates to Medicaid payment increases for certain medical services; makes certain Medicaid payment increases contingent upon the availability of funds within the healthcare stability fund (Part F); relates to insurance coverage for medical malpractice paid for by funds from the hospital excess liability pool; extends portions of the New York Health Care Reform Act of 1996 (Part G); eliminates the fees paid by funeral directors for permits for burials and removals which are used to support the electronic death registration system; repeals certain provisions of such law relating thereto (Part I); relates to extending the time for awards to be granted to applications for the statewide health care facility transformation III program (Part J); requires general hospitals to report community benefit spending by July 1 of each calendar year (Part M); requires hospitals to provide stabilizing care to pregnant individuals; defines terms; repeals provisions relating to required protocols for fetal demise (Part P); relates to improving access to and increasing coverage for infertility treatments (Part Q); requires hospitals to have sexual assault forensic examiners (Part T); extends the provisions relating to preferred sources for entities that provide employment to certain persons (Part Z); extends certain provisions relating to clarifying the authority of the commissioners in the department of mental hygiene to design and implement time-limited demonstration programs to 03/31/2028 (Part AA); extends the effectiveness of certain provisions relating to the appointment of temporary operators for the continued operation of programs and the provision of services for persons with serious mental illness and/or developmental disabilities and/or chemical dependence (Part BB); extends certain provisions relating to services for individuals with developmental disabilities (Part CC); amends the definition of minor to exclude certain homeless youth for purposes of allowing such homeless youth to consent to certain medical, dental, health and hospital services, including behavioral health services (Part DD); relates to involuntary admission and assisted outpatient treatment; establishes the behavioral health crisis technical assistance center; relates to required training and maintaining of records relating to persons dealing with mental health and substance use crises (Part EE); provides that director of the budget, the commissioners of the office of mental health, office for people with developmental disabilities, office of addiction services and supports, office of temporary and disability assistance, office of children and family services, and the state office for the aging shall establish a state fiscal year 2025-2026 targeted inflationary increase, effective April 1, 2025, for projecting for the effects of inflation upon rates of payments, contracts, or any other form of reimbursement for the programs and services (Part FF); relates to the composition and work of mental health incident review panels (Part GG); provides that school-based health centers shall not be provided to medical assistance recipients through managed care programs until at least April 1, 2026 (Part HH); requires any New York subdivision that directly received funds pursuant to a statewide opioid settlement agreement to publicly post on their website information regarding how such funding was utilized and submit such information to the office of addiction services and supports (Part II); relates to clarifying which entities handle the reporting of pregnancy loss; and the responsibilities of health care providers and penalties for not protecting the identities of individuals who suffered a pregnancy loss (Part JJ); extends the authorization for certain fees and charges related to emergency medical services (Part KK); relates to the modernization and revitalization of the Nassau health care corporation (Part LL); extends certain provisions relating to the NYS medical indemnity fund (Part MM).

Prohibits the New York Department of State from issuing a certificate of dissolution and filing a judgment or final order of dissolution for the pension fund for employees of the former St. Clare's Hospital in the city of Schenectady, county of Schenectady, until an investigation and/or audit by the New York State Department of Health, the New York State Attorney General or the New York State Comptroller has been conducted to ascertain whether there was any impropriety in the handling and management of funds in such pension plan.

Establishes the mechanical insulation energy savings program to provide grants for qualified mechanical insulation expenditures to school districts, public hospitals, public housing buildings, and political subdivisions that have completed a qualified audit.

Enacts the "tenant repair reconciliation act"; requires landlords of certain multiple dwellings to repair certain conditions within thirty days of notice of such conditions; allows a tenant to repair such conditions and seek repayment of expenses incurred, or to deduct such expenses from future rent; directs the NYC comptroller to collect fines for violations and distribute such funds for citywide preservation and upgrades of certain multiple dwellings.