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For services and expenses, including $102,025 for division
of the budget administrative costs, associated with the
conduct of the annual independent audit of federal pro-
grams as required by the federal single audit act
1984. Expenditures from this appropriation are to be
reimbursed by the state departments and agencies respon-
sible for administering federal programs in accordance
with a schedule of federal program audit costs approved
by the director of the budget.
The comptroller is hereby authorized and directed to loan
money by transfer to this fund in accordance with the
provisions set forth in section 1 of this act

[550,050]

652,075

TEMPORARY STATE COMMISSION OF INVESTIGATION

For payment according to the following schedule, including up to $8,500 for obligations incurred prior to April 1, 1991. Notwithstanding any contrary provision of law, annual rates of compensation for the chairman and the commissioners shall' be approved by the director of the budget.

§ 2. Section 1 of chapter 53 of the laws of 1991, enacting the aid to localities budget, as amended by chapters 407 and 408 of the laws of 1991, is amended by repealing the items hereinbelow set forth in brackets and by adding to such section the other items italicized in this section.

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For payment of financial assistance according to the following schedule:

General Fund

All Funds

[418,108,100]

522,908,100

[429,293,100] 534,093,100

be

The moneys hereby appropriated for the payment of grants, awards, scholarships and fellowships and loans shall available for expenses already accrued or to accrue.

STATE GRANT PROGRAMS

SCHEDULE

[395,300,000]

500,800,000

General Fund - Local Assistance Account

For tuition assistance and supplemental tuition assistance awards provided to eligible students as defined in sections 667 and 667-a of the education law and as further defined in rules and regulations adopted by the regents upon the recommendation of the commissioner of education and distributed in accordance with rules and regulations adopted by the trustees of the higher education services corporation upon the recommendation of the president. All such rules and regulations shall be subject to the review and approval of the director of the budget. In addition to the reduced awards prescribed in [a] chapter 409 of the laws of 1991 as proposed in legislative bill numbers S. 6327 - A. 8788], such award amounts for academic year 1991-92 shall be further reduced by $25 for all award recipients

Program account subtotal

[355,800,000] 467,600,000
[389,800,000]

494,800,000

Total for agency aid to localities - all funds

[429,293,100]

534,093,100

DEPARTMENT OF LABOR

For payment of aid according to the following schedule:

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Fiduciary Funds

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481

Unemployment Insurance Benefit Account Fund For payment of unemployment insurance benefits pursuant to article 18 of the labor law [3,024,700,000] 3,774,700,000

Program fund subtotal .. [3,024,700,000] 3,774,700,000

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EXPLANATION-Matter in italics is new; matter in brackets [] is old law

to be omitted.

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For payment of aid according to the following schedule:

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DEPARTMENT OF SOCIAL SERVICES

For aid to municipalities and payments to the federal government for expenditures made pursuant to the social services law and the state plan for the individual and family grant program under the federal disaster relief act of 1974.

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Medical assistance program, exclusive of ex-
penses incurred by local districts on or
after April 1, 1981 for administration of
the medical assistance program and for
medical care rates for authorized child
care agencies. Rates of payment for gen-
eral hospital out-patient and emergency
services shall be computed in accordance
with chapter 922 of the laws of 1990 as
subsequently amended by chapter 938 of the
laws of 1990, except that for the purposes
of computing such rates January 1, 1991
shall mean April 1, 1991 and except fur-
ther that March 31, 1991 shall mean March
31, 1992 and except further that for rates
effective for the period January 1, 1992
through March 31, 1992, 1988 shall mean
1990, and the trend factor shall be deter-
mined in accordance with paragraph (b) of
subdivision 10 of section 2807-c of the
public health law except further that the
provisions of subdivision 7 of section
2807 of the public health law shall not
apply.

Rates of payment for diagnostic and treat-
ment centers shall be computed in accor-
dance with chapter 807 of the laws of 1985
except that for the purpose of computing
such rates 1978 shall mean 1989 1981
shall mean 1991, 1982 shall mean 1992 and
the trend factor shall be determined in
accordance with paragraph (b) of subdivi-
sion 10 of section 2807-c of the public
health law except further that the provi-
sions of subdivision 7 of section 2807 of
the public health law shall not apply.
Of the amount appropriated herein, and sub-
ject to the approval of the director of
the budget, up to $2,000,000 together with
any Federal matching funds obtained shall
be made available for the
purpose of
providing grants for the planning and
development of managed care programs.
Up to $1,700,000 of the amount appropriated
herein shall, subject to the approval of
the director of the division of the
budget, be transferred to the general fund

EXPLANATION-Matter in italics is new; matter in brackets [ ] is old law to be omitted.

state purposes account to support administrative costs relating to medical assistance cost containment initiatives authorized pursuant to the social services law and this chapter. The commissioner of social services is authorized to promulgate on an emergency basis regulations necessary to accomplish the following cost containment objectives: fraud and abuse prevention; and enhanced recovery of overpayments, provided, however, that such regulations are consistent with and authorized by the social services law, and federal law and regulation. Notwithstanding any inconsistent provision of law, no social services district shall alter, amend, adjust, or otherwise change any existing rates, fees, fee schedules, contracts, agreements, or procedures which may affect the cost of care or services provided by personal care providers, case managers, health maintenance organizations, out of state medical facilities which provide care and services to residents of the state, providers of transportation services, without prior approval of the department of social services and the

director of the budget .. [4,092,038,200] 4,616,894,000

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For services and expenses for the medical
assistance program, excluding administra-
tive expenses, pursuant to title XIX of
the federal social security act:

For the grant period October 1, 1991 to
September 30, 1992
[3,411,200,000] 4,161,200,000

....

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For transfer to the general fund on the audit and warrant of the state comptroller on vouchers certified or proved by the director of the division of the budget

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67,000,000

[46,000,000]

$ 3. Section 7 of chapter 52 of the laws of 1991, enacting the state debt service budget, as amended by chapter 53 of the laws of 1991, is amended by repealing the items hereinbelow set forth in brackets and by adding to such section the other items italicized in this section.

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