Legislature(2007 - 2008)

2008-05-30 House Journal

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2008-05-30                     House Journal                      Page 3020
HB 312                                                                                                                        
The following was engrossed and enrolled, signed by the Speaker and                                                             
Chief Clerk, President and Secretary of the Senate, and the engrossed                                                           
and enrolled copies were transmitted to the Office of the Governor at                                                           
3:58 p.m., May 1, 2008:                                                                                                         
                                                                                                                                
     CONFERENCE CS FOR HOUSE BILL NO. 312                                                                                       
     "An Act making appropriations for the operating and capital                                                                
     expenses of the state's integrated comprehensive mental health                                                             
     program; and providing for an effective date."                                                                             
                                                                                                                                
Also transmitted was a copy of the following letter dated April 29,                                                             
2008, to Dr. William Doolittle, MD, Chair, Alaska Mental Health                                                                 
Trust Authority:                                                                                                                
                                                                                                                                
"Dear Dr. Doolittle:                                                                                                            
                                                                                                                                
AS 37.14.005(c) requires the mental health bill (HB 312) to be                                                                  
accompanied by a report explaining the differences between the                                                                  
appropriations in the bill and the Mental Health Trust Authority's                                                              
recommendations for expenditures from the general fund for the state's                                                          
integrated comprehensive mental health program. This letter (with                                                               
enclosed reports) meets that requirement.                                                                                       
                                                                                                                                

2008-05-30                     House Journal                      Page 3021
Thanks to the hard work the Authority put into presenting its                                                                   
recommendations as transactions in the state's budget system, the                                                               
process of identifying differences between recommendations and                                                                  
appropriations is far more efficient and accurate than in the past. For                                                         
reporting purposes, we have added salary adjustments associated with                                                            
bargaining agreements to the Authority's recommendations. Although                                                              
the adjustments could not be included in the Authority's                                                                        
recommendations because they were not known until after the                                                                     
recommendations were approved, we consider the $2.4 million in                                                                  
adjustments to be a technical issue without policy implications. The                                                            
$29,200 difference in the enclosed report on salary adjustments is                                                              
attributable to Labor Trades and Crafts increases that were approved                                                            
too late to include in the mental health bill (they were added to the                                                           
capital bill).                                                                                                                  
                                                                                                                                
Operating Appropriations                                                                                                      
                                                                                                                                
This letter and enclosures describe changes made by the Governor and                                                            
the legislature to the FY09 Mental Health Trust Authority's budget                                                              
recommendations for operating expenditures. Recommendations affect                                                              
four fund sources:                                                                                                              
     1. Administrative funds (MHT Admin), which cover Authority                                                                 
         operations;                                                                                                            
     2. Authority receipts (MHTAAR), which the Authority provides                                                               
         to state agencies at the option of the Authority;                                                                      
     3. Alcohol and other drug abuse treatment funds (A/D T&P),                                                                 
         which are classified in the mental health fund group; and                                                              
     4. General funds for programs that support Trust beneficiaries                                                             
         (GF/MH).                                                                                                               
                                                                                                                                
Although providing information on the first three of the above four                                                             
fund sources is not a legal requirement, the Authority expressed                                                                
interest in receiving reports showing differences all mental health                                                             
funds.                                                                                                                          
                                                                                                                                
The Authority's recommendations for administrative and alcohol/drug                                                             
abuse funds were accepted as submitted. The legislature authorized                                                              
expenditure of $1.6 million more in Trust Receipts than recommended                                                             
by the Authority and appropriated $11.9 million more in GF/MH than                                                              
recommended by the Authority.                                                                                                   
                                                                                                                                

2008-05-30                     House Journal                      Page 3022
Detailed changes appear in the attached component and transaction                                                               
reports. Allocation reports (one for each fund source in the mental                                                             
health group and one for the group as a whole) can be used to identify                                                          
where changes occurred; the transaction detail report provides more                                                             
specific information. Highlights include                                                                                        
                                                                                                                                
Increases                                                                                                                       
     · ProShare replacement of federal receipts with GF: $9.3                                                                   
         million;                                                                                                               
     · FMAP replacement of federal receipts with GF: $5.3 million;                                                              
     · Health care provider rate increases $4.2 million;                                                                        
     · Health care program $3.3 million;                                                                                        
     · Medicaid growth $3.0 million;                                                                                            
     · SCHIP (Denali KidCare) $900,000                                                                                          
                                                                                                                                
Reductions                                                                                                                      
The Legislature did not accept (and the Governor did not request) the                                                           
Authority's recommendations for the following programs:                                                                         
                                                                                                                                
       · $2,080,000 for Behavioral Health Provider grant increases;                                                            
     · $2,000,000 for Enhanced Behavioral Health Services.                                                                      
                                                                                                                                
Capital Appropriations                                                                                                        
                                                                                                                                
General Fund Mental Health Funds                                                                                                
                                                                                                                                
The Governor's request was $2.1 million less than the Authority's $6.7                                                          
million Mental Health capital request. The legislature reduced the                                                              
capital budget by an additional $2.5 million. The major difference-                                                             
$4.6 million-is attributable to items that were not included in the                                                             
Governor's budget and not considered by the legislature.  Those                                                                 
projects include the Family and Community Elder Supports (FACES)                                                                
$2.0 million, Deferred maintenance and ADA improvements grants                                                                  
$2.0 million, and Detox, Enhanced Detox and Residential Treatment                                                               
service in Anchorage (Clithroe) $500,000.  The Essential Program                                                                
Equipment to Service Providers capital request was reduced by                                                                   
$100,000 in the capital budget.                                                                                                 
                                                                                                                                
All Funds (MHTAAR, GF/MH, AHFC Dividends)                                                                                       
                                                                                                                                

2008-05-30                     House Journal                      Page 3023
The Authority recommended a $12.4 million capital budget. The                                                                   
Governor increased the capital budget to $17.6 million, and the                                                                 
legislature reduced the request to $13.6 million. Details are in the                                                            
attached capital project report.                                                                                                
                                                                                                                                
Future Reporting                                                                                                              
                                                                                                                                
FY09 marks the first year the Authority used the budget system to                                                               
record its recommendations. Our goal is not only to use the budget                                                              
system to comply with statutory reporting requirements, but also to                                                             
provide status reports as the budget moves through the legislature.                                                             
                                                                                                                                
There is a great deal of room for improvement; we had some                                                                      
difficulties with the transactions entered by the Authority, which                                                              
precluded reporting as the bill moved through the budget process. The                                                           
situation meant the legislature may not have been aware of Authority                                                            
recommendations that were not forwarded by the Governor;                                                                        
recommendations not considered by the legislature cannot be funded.                                                             
                                                                                                                                
We appreciate the good working relationship that has been established                                                           
between the Authority and the legislature, and believe this relationship                                                        
will build as we assist the Authority to use the budget system as                                                               
efficiently as possible to submit an integrated, comprehensive plan.                                                            
                                                                                                                                
If you have any questions, please contact Gary Zepp of the Legislative                                                          
Finance Division at 465-5410.                                                                                                   
                                                                                                                                
                                Sincerely,                                                                                     
                                /s/                                                                                             
                                Senator Lyman Hoffman                                                                           
                                Chair                                                                                           
                                /s/                                                                                             
                                Representative Mike Chenault                                                                    
                                Vice Chair                                                                                     
                                                                                                                                
Enclosure"                                                                                                                      
                                                                                                                                
Enclosed reports were transmitted to the Office of the Governor, and                                                            
they are on file in the Chief Clerk's office.