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30th Legislature(2017-2018)

Bill Text 30th Legislature


00 Enrolled HB 285                                                                                                         
01 Making appropriations for the operating and capital expenses of the state's integrated                                  
02 comprehensive mental health program; and providing for an effective date.                                               
03                           _______________                                                                               
04                (SECTION 1 OF THIS ACT BEGINS ON PAGE 2)                                                                 
01 * Section 1. The following appropriation items are for operating expenditures from the                                  
02 general fund or other funds as set out in section 2 of this Act to the agencies named for the                           
03 purposes expressed for the fiscal year beginning July 1, 2018 and ending June 30, 2019,                                 
04 unless otherwise indicated. A department-wide, agency-wide, or branch-wide unallocated                                  
05 reduction set out in this section may be allocated among the appropriations made in this                                
06 section to that department, agency, or branch.                                                                          
07                                   Appropriation General      Other                                                      
08                          Allocations   Items      Funds     Funds                                                       
09                       * * * * *                      * * * * *                                                          
10                 * * * * * Department of Administration * * * * *                                                        
11                       * * * * *                      * * * * *                                                          
12 Legal and Advocacy Services         2,414,500  2,134,000   280,500                                                      
13  Office of Public Advocacy 2,039,800                                                                                    
14  Public Defender Agency     374,700                                                                                     
15                        * * * * *                   * * * * *                                                            
16                  * * * * * Department of Corrections * * * * *                                                          
17                        * * * * *                   * * * * *                                                            
18 Population Management  1,000,000 1,000,000                                                                              
19 It is the intent of the legislature that the Commissioner of the Department of Corrections will                         
20 prioritize funding and implement solutions, that may include, but not be limited to transitional                        
21 housing and diversion programs, that reduce the disparity in Alaska Native incarceration                                
22 throughout the state.                                                                                                   
23  Community Residential    1,000,000                                                                                     
24   Centers                                                                                                               
25 Health and Rehabilitation Services  9,242,400  8,854,500   387,900                                                      
26  Behavioral Health Care   6,620,000                                                                                     
27  Substance Abuse Treatment 2,622,400                                                                                    
28   Program                                                                                                               
29                    * * * * *                                       * * * * *                                            
30          * * * * * Department of Education and Early Development * * * * *                                              
31                    * * * * *                                       * * * * *                                            
01 Education Support and Admin Services  427,800   377,800     50,000                                                      
02  Student and School         427,800                                                                                     
03   Achievement                                                                                                           
04                     * * * * *                                  * * * * *                                                
05             * * * * * Department of Health and Social Services * * * * *                                                
06                     * * * * *                                  * * * * *                                                
07 It is the intent of the legislature that the department review fund sources in all allocations and                      
08 reduce excess receipt authority where the department believes the collection of receipts is not                         
09 achievable.                                                                                                             
10 It is the intent of the legislature that the Department of Health and Social Services submit a                          
11 report to the co-chairs of the Finance Committees and the Legislative Finance Division by                               
12 November 15 of 2019 and 2020 on 1) disbursement and use of federal Disproportionate Share                               
13 Hospital (DSH) dollars by community and regional hospitals, 2) the annual amount of federal                             
14 DSH funds which the state is not claiming, and 3) future strategies for claiming those funds,                           
15 including the possibility of hospitals matching those funds, to improve outcomes for patients,                          
16 providers and the public.                                                                                               
17 Alaska Pioneer Homes  16,386,200 16,386,200                                                                             
18  Pioneer Homes            16,386,200                                                                                    
19 The amount allocated for Pioneer Homes includes the unexpended and unobligated balance                                  
20 on June 30, 2018, of the Department of Health and Social Services, Pioneer Homes care and                               
21 support receipts under AS 47.55.030.                                                                                    
22 Behavioral Health  81,411,800 79,857,500 1,554,300                                                                      
23  Behavioral Health Treatment 54,260,200                                                                                 
24   and Recovery Grants                                                                                                   
25  Alcohol Safety Action    1,479,700                                                                                     
26   Program (ASAP)                                                                                                        
27  Behavioral Health        5,675,600                                                                                     
28   Administration                                                                                                        
29  Behavioral Health        5,915,100                                                                                     
30   Prevention and Early                                                                                                  
31   Intervention Grants                                                                                                   
01  Designated Evaluation and 3,794,800                                                                                    
02   Treatment                                                                                                             
03  Alaska Psychiatric       6,468,100                                                                                     
04   Institute                                                                                                             
05  Alaska Mental Health Board 903,300                                                                                     
06   and Advisory Board on                                                                                                 
07   Alcohol and Drug Abuse                                                                                                
08  Suicide Prevention Council 657,700                                                                                     
09  Residential Child Care 2,257,300                                                                                       
10 Children's Services                 2,191,900  2,191,900                                                                
11  Children's Services 69,500                                                                                             
12   Management                                                                                                            
13  Front Line Social Workers 148,500                                                                                      
14  Family Preservation 726,000                                                                                            
15  Foster Care Augmented Rate 500,000                                                                                     
16  Foster Care Special Need 747,900                                                                                       
17 Health Care Services                  424,500   132,300    292,200                                                      
18  Residential Licensing 132,300                                                                                          
19  Medical Assistance 292,200                                                                                             
20   Administration                                                                                                        
21 Juvenile Justice                    1,438,000  1,271,500   166,500                                                      
22  McLaughlin Youth Center 746,600                                                                                        
23  Fairbanks Youth Facility 117,300                                                                                       
24  Bethel Youth Facility 64,300                                                                                           
25  Probation Services 509,800                                                                                             
26 Public Assistance                     13,200     13,200                                                                 
27  Public Assistance 13,200                                                                                               
28   Administration                                                                                                        
29 Public Health                       2,029,600  1,779,600   250,000                                                      
30  Nursing    98,200                                                                                                      
31  Women, Children and Family 798,100                                                                                     
01   Health                                                                                                                
02  Public Health              319,100                                                                                     
03   Administrative Services                                                                                               
04  Emergency Programs         764,200                                                                                     
05  Chronic Disease Prevention 10,000                                                                                      
06   and Health Promotion                                                                                                  
07  Bureau of Vital Statistics 40,000                                                                                      
08 Senior and Disabilities Services  13,339,800 12,147,100 1,192,700                                                       
09  Senior and Disabilities  1,180,600                                                                                     
10   Community Based Grants                                                                                                
11  Early Intervention/Infant 7,424,500                                                                                    
12   Learning Programs                                                                                                     
13  Senior and Disabilities  3,471,300                                                                                     
14   Services Administration                                                                                               
15 It is the intent of the legislature that the Department of Health & Social Services re-examine                          
16 service delivery models to ensure eligible senior and disabled populations receive appropriate                          
17 services irrespective of where they live in Alaska. The Department of Health and Social                                 
18 Services shall submit a report to co-chairs of the Finance Committees and the Legislative                               
19 Finance Division on the status of the service no later than February 15, 2019.                                          
20 It is the intent of the legislature that the State of Alaska proceed expeditiously to establish                         
21 companion services under Section 1915(c) of the Social Security Act to complement and                                   
22 support the services provided through the Medicare/Medicaid waiver programs. The                                        
23 Department of Health and Social Services shall submit a report to co-chairs of the Finance                              
24 Committees and the Legislative Finance Division on the status of the service no later than                              
25 January 31, 2019.                                                                                                       
26 It is the intent of the legislature that funding for day habilitation be sufficient to provide up to                    
27 624 hours annually per recipient. The request for additional day habilitation over the annual                           
28 "soft cap" of 624 hours may be approved to avoid institutional care or for the safety of                                
29 Medicaid recipients.                                                                                                    
30  General Relief/Temporary   740,300                                                                                     
31   Assisted Living                                                                                                       
01  Commission on Aging        119,600                                                                                     
02  Governor's Council on      403,500                                                                                     
03   Disabilities and Special                                                                                              
04   Education                                                                                                             
05 Departmental Support Services         552,300   552,300                                                                 
06  Commissioner's Office      202,300                                                                                     
07 It is the intent of the legislature that the department work with Tribal Health Organizations for                       
08 care coordination agreements with non-tribal providers in order to increase valid referrals for                         
09 Indian Health Service eligible recipients to maximize the 100% FMAP.  It is further the intent                          
10 of the legislature that the department clearly outline requirements for 100% FMAP for                                   
11 services provided to an IHS beneficiary receiving Medicaid benefits thereby reducing general                            
12 fund dependency by approximately $30 million.                                                                           
13  HSS State Facilities Rent  350,000                                                                                     
14 Medicaid Services  84,649,300 82,155,800 2,493,500                                                                      
15 It is the intent of the legislature that the department work with the Legislative Finance                               
16 Division to prepare a template for reports to be delivered to the co-chairs of the finance                              
17 committees and the Legislative Finance Division related to actual Medicaid expenditures and                             
18 projections for the remainder of  FY19 on October 15th, January 15th, March 15th, and June                              
19 15th. It is further the intent that the template provide FY20 expenditure projections.                                  
20 It is the intent of the legislature that the department significantly increase its efforts to reduce                    
21 the state share of Medicaid service costs by managing Medicaid utilization to index with the                            
22 national average per enrollee cost. In doing so, the department should take into consideration                          
23 a multiplier to the national average to account for a reasonably higher cost of health care in                          
24 Alaska.                                                                                                                 
25  Behavioral Health Medicaid 84,646,800                                                                                  
26   Services                                                                                                              
27  Health Care Medicaid        2,500                                                                                      
28   Services                                                                                                              
29                    * * * * *                                       * * * * *                                            
30         * * * * * Department of Labor and Workforce Development * * * * *                                               
31                    * * * * *                                       * * * * *                                            
01 Commissioner and Administrative       79,000                79,000                                                      
02  Services                                                                                                               
03  Labor Market Information   79,000                                                                                      
04 Employment and Training Services      125,500              125,500                                                      
05  Workforce Services         125,500                                                                                     
06                          * * * * *           * * * * *                                                                  
07                    * * * * * Department of Law * * * * *                                                                
08                          * * * * *           * * * * *                                                                  
09 Civil Division                        100,200   100,200                                                                 
10  Human Services             100,200                                                                                     
11                       * * * * *                         * * * * *                                                       
12               * * * * * Department of Natural Resources * * * * *                                                       
13                       * * * * *                         * * * * *                                                       
14 Administration & Support Services   4,539,200             4,539,200                                                     
15  Mental Health Trust Lands 4,539,200                                                                                    
16   Administration                                                                                                        
17                       * * * * *                     * * * * *                                                           
18                 * * * * * Department of Public Safety * * * * *                                                         
19                       * * * * *                     * * * * *                                                           
20 Council on Domestic Violence and    2,000,000  2,000,000                                                                
21  Sexual Assault                                                                                                         
22  Council on Domestic      2,000,000                                                                                     
23   Violence and Sexual Assault                                                                                           
24                         * * * * *               * * * * *                                                               
25                   * * * * * Department of Revenue * * * * *                                                             
26                         * * * * *               * * * * *                                                               
27 Alaska Mental Health Trust Authority  5,136,100 1,000,800 4,135,300                                                     
28  Mental Health Trust      4,635,300                                                                                     
29   Operations                                                                                                            
30  Long Term Care Ombudsman   500,800                                                                                     
31   Office                                                                                                                
01                         * * * * *              * * * * *                                                                
02                    * * * * * University of Alaska * * * * *                                                             
03                         * * * * *              * * * * *                                                                
04 University of Alaska                2,483,400   805,800   1,677,600                                                     
05  Anchorage Campus         2,433,400                                                                                     
06  Fairbanks Campus           50,000                                                                                      
07                           * * * * *   * * * * *                                                                         
08                        * * * * * Judiciary * * * * *                                                                    
09                           * * * * *   * * * * *                                                                         
10 Alaska Court System                   227,000   227,000                                                                 
11  Trial Courts               227,000                                                                                     
12 Therapeutic Courts                  3,156,200  2,936,800   219,400                                                      
13  Therapeutic Courts       3,156,200                                                                                     
14            (SECTION 2 OF THIS ACT BEGINS ON THE NEXT PAGE)                                                              
01 * Sec. 2. The following sets out the funding by agency for the appropriations made in sec. 1 of                         
02 this Act.                                                                                                               
03  Funding Source                                            Amount                                                       
04 Department of Administration                                                                                            
05  1037  General Fund / Mental Health 2,134,000                                                                           
06  1092  Mental Health Trust Authority Authorized Receipts 280,500                                                        
07  *** Total Agency Funding *** 2,414,500                                                                                 
08 Department of Corrections                                                                                               
09  1037  General Fund / Mental Health                       7,854,500                                                     
10  1092  Mental Health Trust Authority Authorized Receipts 387,900                                                        
11  1246  Recidivism Reduction Fund 2,000,000                                                                              
12  *** Total Agency Funding *** 10,242,400                                                                                
13 Department of Education and Early Development                                                                           
14  1037  General Fund / Mental Health 377,800                                                                             
15  1092  Mental Health Trust Authority Authorized Receipts 50,000                                                         
16  *** Total Agency Funding *** 427,800                                                                                   
17 Department of Health and Social Services                                                                                
18  1037  General Fund / Mental Health 170,862,900                                                                         
19  1092  Mental Health Trust Authority Authorized Receipts 5,949,200                                                      
20  1180  Alcohol and Other Drug Abuse Treatment & Prevention Fund 22,124,500                                              
21  1246  Recidivism Reduction Fund 3,500,000                                                                              
22  *** Total Agency Funding *** 202,436,600                                                                               
23 Department of Labor and Workforce Development                                                                           
24  1092  Mental Health Trust Authority Authorized Receipts 204,500                                                        
25  *** Total Agency Funding *** 204,500                                                                                   
26 Department of Law                                                                                                       
27  1037  General Fund / Mental Health 100,200                                                                             
28  *** Total Agency Funding *** 100,200                                                                                   
29 Department of Natural Resources                                                                                         
30  1092  Mental Health Trust Authority Authorized Receipts 4,539,200                                                      
31  *** Total Agency Funding *** 4,539,200                                                                                 
01 Department of Public Safety                                                                                             
02  1246  Recidivism Reduction Fund                          2,000,000                                                     
03  *** Total Agency Funding ***                             2,000,000                                                     
04 Department of Revenue                                                                                                   
05  1037  General Fund / Mental Health 500,800                                                                             
06  1094  Mental Health Trust Administration 4,135,300                                                                     
07  1180  Alcohol and Other Drug Abuse Treatment & Prevention Fund 500,000                                                 
08  *** Total Agency Funding *** 5,136,100                                                                                 
09 University of Alaska                                                                                                    
10  1037  General Fund / Mental Health 805,800                                                                             
11  1092  Mental Health Trust Authority Authorized Receipts 1,677,600                                                      
12  *** Total Agency Funding *** 2,483,400                                                                                 
13 Judiciary                                                                                                               
14  1037  General Fund / Mental Health 2,645,800                                                                           
15  1092  Mental Health Trust Authority Authorized Receipts 219,400                                                        
16  1180  Alcohol and Other Drug Abuse Treatment & Prevention Fund 518,000                                                 
17  *** Total Agency Funding *** 3,383,200                                                                                 
18 * * * * * Total Budget * * * * * 233,367,900                                                                            
19            (SECTION 3 OF THIS ACT BEGINS ON THE NEXT PAGE)                                                              
01 * Sec. 3. The following sets out the statewide funding for the appropriations made in sec. 1 of                         
02 this Act.                                                                                                               
03  Funding Source                                            Amount                                                       
04 Unrestricted General                                                                                                    
05  1037  General Fund / Mental Health                     185,281,800                                                     
06  *** Total Unrestricted General ***                     185,281,800                                                     
07 Designated General                                                                                                      
08  1180  Alcohol and Other Drug Abuse Treatment & Prevention Fund 23,142,500                                              
09  1246  Recidivism Reduction Fund                          7,500,000                                                     
10  *** Total Designated General ***                        30,642,500                                                     
11 Other Non-Duplicated                                                                                                    
12  1092  Mental Health Trust Authority Authorized Receipts 13,308,300                                                     
13  1094  Mental Health Trust Administration 4,135,300                                                                     
14  *** Total Other Non-Duplicated *** 17,443,600                                                                          
15            (SECTION 4 OF THIS ACT BEGINS ON THE NEXT PAGE)                                                              
01 * Sec. 4. The following appropriation items are for capital projects and grants from the                                
02 general fund or other funds as set out in section 5 of this Act by funding source to the                                
03 agencies named for the purposes expressed and lapse under AS 37.25.020, unless otherwise                                
04 noted.                                                                                                                  
05                                   Appropriation General      Other                                                      
06                          Allocations   Items      Funds     Funds                                                       
07                     * * * * *                                  * * * * *                                                
08             * * * * * Department of Health and Social Services * * * * *                                                
09                     * * * * *                                  * * * * *                                                
10 MH Essential Program Equipment (HD 1-  500,000 250,000 250,000                                                          
11  40)                                                                                                                    
12 MH Home Modification and Upgrades to  1,050,000 750,000 300,000                                                         
13  Retain Housing (HD 1-40)                                                                                               
14                         * * * * *               * * * * *                                                               
15                   * * * * * Department of Revenue * * * * *                                                             
16                         * * * * *               * * * * *                                                               
17 Alaska Housing Finance Corporation                                                                                      
18 MH: AHFC Beneficiary and Special Needs  1,700,000 1,500,000 200,000                                                     
19  Housing (HD 1-40)                                                                                                      
20 MH: AHFC Homeless Assistance Program  7,800,000 6,850,000 950,000                                                       
21  (HD 1-40)                                                                                                              
22 MH: Housing - Grant 604 Department of  100,000  100,000                                                                 
23  Corrections Discharge Incentive Grants                                                                                 
24  (HD 1-40)                                                                                                              
25                   * * * * *                                            * * * * *                                        
26         * * * * * Department of Transportation and Public Facilities * * * * *                                          
27                   * * * * *                                            * * * * *                                        
28 MH Coordinated Transportation and  1,300,000 1,000,000 300,000                                                          
29  Vehicles (HD 1-40)                                                                                                     
30            (SECTION 5 OF THIS ACT BEGINS ON THE NEXT PAGE)                                                              
01 * Sec. 5. The following sets out the funding by agency for the appropriations made in sec. 4 of                         
02 this Act.                                                                                                               
03  Funding Source                                            Amount                                                       
04 Department of Health and Social Services                                                                                
05  1092  Mental Health Trust Authority Authorized Receipts 550,000                                                        
06  1139  Alaska Housing Finance Corporation Dividend 1,000,000                                                            
07  *** Total Agency Funding *** 1,550,000                                                                                 
08 Department of Revenue                                                                                                   
09  1092  Mental Health Trust Authority Authorized Receipts  1,250,000                                                     
10  1139  Alaska Housing Finance Corporation Dividend        8,350,000                                                     
11  *** Total Agency Funding ***                             9,600,000                                                     
12 Department of Transportation and Public Facilities                                                                      
13  1092  Mental Health Trust Authority Authorized Receipts 300,000                                                        
14  1139  Alaska Housing Finance Corporation Dividend 1,000,000                                                            
15  *** Total Agency Funding *** 1,300,000                                                                                 
16 * * * * * Total Budget * * * * * 12,450,000                                                                             
17            (SECTION 6 OF THIS ACT BEGINS ON THE NEXT PAGE)                                                              
01 * Sec. 6. The following sets out the statewide funding for the appropriations made in sec. 4 of                         
02 this Act.                                                                                                               
03  Funding Source                                            Amount                                                       
04 Unrestricted General                                                                                                    
05  1139  Alaska Housing Finance Corporation Dividend       10,350,000                                                     
06  *** Total Unrestricted General ***                      10,350,000                                                     
07 Other Non-Duplicated                                                                                                    
08  1092  Mental Health Trust Authority Authorized Receipts  2,100,000                                                     
09  *** Total Other Non-Duplicated ***                       2,100,000                                                     
10            (SECTION 7 OF THIS ACT BEGINS ON THE NEXT PAGE)                                                              
01    * Sec. 7. PURPOSE. In accordance with AS 37.14.003 and 37.14.005, the appropriations                                 
02 made in this Act are for the state's integrated comprehensive mental health program.                                    
03    * Sec. 8. NONGENERAL FUND RECEIPTS. (a) Alaska Mental Health Trust Authority                                         
04 authorized receipts (AS 37.14.036) or administration receipts (AS 37.14.036) that exceed the                            
05 amounts appropriated in this Act are appropriated conditioned upon compliance with the                                  
06 program review provisions of AS 37.07.080(h).                                                                           
07       (b)  If Alaska Mental Health Trust Authority authorized receipts (AS 37.14.036) or                                
08 administration receipts (AS 37.14.036) fall short of the estimates used as the basis of the                             
09 appropriation, the affected appropriation is reduced by the amount of the shortfall in receipts.                        
10    * Sec. 9. SALARY AND BENEFIT ADJUSTMENTS. (a) The appropriations made in sec.                                        
11 1 of this Act include amounts for salary and benefit adjustments for public officials, officers,                        
12 and employees of the executive branch, Alaska Court System employees, employees of the                                  
13 legislature, and legislators and to implement the terms for the fiscal year ending June 30,                             
14 2019, of the following collective bargaining agreements:                                                                
15            (1)  Alaska State Employees Association, for the general government unit;                                    
16 (2)  Alaska Vocational Technical Center Teachers' Association, National                                                 
17 Education Association, representing the employees of the Alaska Vocational Technical                                    
18 Center;                                                                                                                 
19            (3)  Confidential Employees Association, representing the confidential unit;                                 
20 (4)  Public Safety Employees Association, representing the regularly                                                    
21 commissioned public safety officers unit;                                                                               
22            (5)  Public Employees Local 71, for the labor, trades, and crafts unit;                                      
23            (6)  Alaska Public Employees Association, for the supervisory unit.                                          
24 (b)  The appropriations made to the University of Alaska in sec. 1 of this Act include                                  
25 amounts for salary and benefit adjustments for the fiscal year ending June 30, 2019, for                                
26 university employees who are not members of a collective bargaining unit and to implement                               
27 the terms for the fiscal year ending June 30, 2019, of the following collective bargaining                              
28 agreements:                                                                                                             
29            (1)  University of Alaska Federation of Teachers (UAFT);                                                     
30            (2)  Alaska Higher Education Crafts and Trades Employees, Local 6070;                                        
31            (3)  Fairbanks Firefighters Union, IAFF Local 1324;                                                          
01            (4)  United Academic - Adjuncts - American Association of University                                         
02 Professors, American Federation of Teachers;                                                                            
03            (5)  United Academics - American Association of University Professors,                                       
04 American Federation of Teachers.                                                                                        
05 (c)  If a collective bargaining agreement listed in (a) of this section is not ratified by                              
06 the membership of the respective collective bargaining unit, the appropriations made in this                            
07 Act applicable to the collective bargaining unit's agreement are adjusted proportionately by                            
08 the amount for that collective bargaining agreement, and the corresponding funding source                               
09 amounts are adjusted accordingly.                                                                                       
10 (d)  If a collective bargaining agreement listed in (b) of this section is not ratified by                              
11 the membership of the respective collective bargaining unit and approved by the Board of                                
12 Regents of the University of Alaska, the appropriations made in this Act applicable to the                              
13 collective bargaining unit's agreement are adjusted proportionately by the amount for that                              
14 collective bargaining agreement, and the corresponding funding source amounts are adjusted                              
15 accordingly.                                                                                                            
16 (e)  Appropriations made in sec. 1 of this Act for salary and benefit adjustments as                                    
17 described in (a) and (b) of this section are for the benefit of the state's integrated                                  
18 comprehensive mental health program only and do not necessarily affect every group of                                   
19 noncovered employees or every collective bargaining unit listed in (a) and (b) of this section.                         
20    * Sec. 10. This Act takes effect July 1, 2018.                                                                       
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