This plan amendment proposes to extend additional medical assistance payments to State and County hospitals for the periods April 1, 2025, through March 31, 2028, and as part of FY 2026 Enacted Budget, discontinue the Indigent Care Pool (ICP) for public general hospitals in New York City operated by New York City Health and Hospitals, which would provide a total Global Cap savings of $113.4 million ($56.7 million State share).