NYS Budget Update: One-House Bills

On March 14th, the New York State Assembly and Senate released one-house versions of the state’s budget legislation for State fiscal year (FY) 2023-24. Each chamber’s proposal is based on the Governor’s Executive Budget, but may include modified appropriations and may include and exclude accompanying Article VII legislative proposals. The three parties will now begin negotiations on reconciling these proposals, with a target date of April 1st to finalize the Enacted Budget for 2024. 

Some key changes proposed by the Assembly and/or Senate include:

  • Capital allocations specifically for community-based providers;
  • Repeal of the Medicaid pharmacy carve-out;
  • Higher increases to Medicaid rates, including 10% for hospitals and nursing homes and 8.5% for most human services agencies;
  • Removal of the proposal for oversight of “material transactions” among non-licensed health care entities;
  • Removal of most of the proposed scope of practice/workforce reforms. 

The attached document is a (non-comprehensive) summary of notable changes, additions, and removals to proposals from the Executive Budget. SPG’s Executive Budget summary is available here. As a reminder, these bills are far from final, and many omitted provisions may return or be modified.