On April 9th, the New York State (NYS) Legislature passed the Enacted Budget for NYS Fiscal Year (SFY) 2022-23. Total spending across all sources (including NYS and federal funds) is estimated at approximately $221 billion, up from the Executive Budget’s proposal of $216 billion, and a year-over-year increase from SFY 2022 of about $9 billion.
Some notable changes in the Enacted Budget from Governor Hochul’s Executive Budget include:
- Medicaid Procurement: The proposed competitive procurement of Medicaid managed care organizations (MCOs) has been removed, but the Department of Health (DOH) will commission an independent study on this topic to be delivered by October 31st.
- Medicaid Eligibility: The Budget proposed to expand eligibility thresholds and abolish resource limits in Medicaid. The former proposals have been accepted and extended to create new definitions for partial dual eligibles and to include adults over 65 regardless of immigration status. However, the abolition of resource limits has been removed.
- Workforce and Scope of Practice: The Budget does not include the Governor’s proposals to:
- Join the Interstate Medical and Nurse Licensure Compacts;
- Move oversight of health care professions from the State Education Department (SED) to DOH; and
- Reform emergency medical services and implement community paramedicine.
- Home Care Minimum Wage: The Budget includes a commitment to increase minimum wages for home care aides by $3 per hour by October 2023.
Other major proposals have been included, but with modifications. These include:
- Capital Funding: The Budget includes the proposed $1.6 billion for health care capital projects, with a wider array of eligible providers.
- Workforce Bonuses: The Budget includes the proposed $1.2 billion for health care workforce bonuses, with more specific requirements for implementation.
SPG’s detailed summary of the Enacted Budget is attached and available here.