NY A06312

Requires medical assistance expenditure amounts for social services districts to be reduced by 10 percent annually starting January 1, 2020, with a cap preventing reductions of more than $2.3 billion for cities with a population of one million or more.

Mandates that any reduction in county contributions to the medical assistance program resulting from changes in federal or state law must be applied as an equal dollar reduction to the county's property tax levy.

Establishes a tax levy limitation for cities with a population of one million or more, capping annual real property tax increases at the lesser of 1.02 percent or the inflation factor, effective for fiscal years beginning in 2020.

Allows cities to override the tax levy limitation only through a two-thirds vote of the city council and requires the state comptroller to calculate and notify each affected city of its tax levy limit by the 120th day before the fiscal year begins.

Requires any medical assistance program cost changes to be adjusted separately in the tax levy limitation calculation, and allows adjustments for approved capital expenditures and large tort settlements exceeding 10 percent of prior year property taxes.