00 SENATE CS FOR CS FOR HOUSE BILL NO. 366(FIN) 01 "An Act making appropriations for the operating and capital expenses of the state's 02 integrated comprehensive mental health program; and providing for an effective date." 03 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: 04 (SECTION 1 OF THIS ACT BEGINS ON PAGE 2) 01 * Section 1. The following appropriation items are for increases in operating expenditures 02 from the general fund or other funds as set out in section 2 of this Act to the agencies named 03 for the fiscal year ending June 30, 2006. 04 Appropriation General Other 05 Allocations Items Funds Funds 06 * * * * * * * * * *  07 * * * * * Department of Administration * * * * *  08 * * * * * * * * * *  09 Legal and Advocacy Services 1,811,400 1,705,300 106,100  10 Office of Public Advocacy 1,554,700 11 Public Defender Agency 256,700 12 * * * * * * * * * *  13 * * * * * Department of Corrections * * * * *  14 * * * * * * * * * *  15 Administration and Support 611,600 565,600 46,000  16 Offender Habilitation 611,600 17 Programs 18 Inmate Health Care 5,856,300 5,621,300 235,000  19 Inmate Health Care 5,856,300 20 * * * * * * * * * *  21 * * * * * Department of Education and Early Development * * * * *  22 * * * * * * * * * *  23 Teaching and Learning Support 344,300 119,300 225,000  24 Student and School 344,300 25 Achievement 26 * * * * * * * * * *  27 * * * * * Department of Health and Social Services * * * * *  28 * * * * * * * * * *  29 No money appropriated in this appropriation may be expended for an abortion that is not a 30 mandatory service required under AS 47.07.030(a). The money appropriated for Health and 31 Social Services may be expended only for mandatory services required under Title XIX of the 01 Social Security Act and for optional services offered by the state under the state plan for 02 medical assistance that has been approved by the United States Department of Health and 03 Human Services. This statement is a statement of the purpose of the appropriation and is 04 neither merely descriptive language nor a statement of legislative intent. 05 It is the intent of the legislature that the Department continues to aggressively pursue 06 Medicaid cost containment initiatives. Efforts should continue where the Department 07 believes additional cost containment is possible including further efforts to contain travel 08 expenses. The Department must continue efforts imposing regulations controlling and 09 materially reducing the cost of Personal Care Attendant (PCA) services. Efforts must be 10 initiated utilizing existing resources to impose regulations screening applicants for Residential 11 Psychiatric Treatment Center (RPTC) services, especially for out-of-state services. The 12 department must address the entire matrix of optional Medicaid services, reimbursement rates 13 and eligibility requirements that are the basis of the Medicaid growth algorithm. This work is 14 to utilize the results of the Medicaid Assessment and Planning analysis. The legislature 15 requests that by January 2007 the Department be prepared to present projections of future 16 Medicaid funding requirements under our existing statute and regulations and be prepared to 17 present and evaluate the consequences of viable policy alternatives that could be implemented 18 to lower growth rates and reducing projections of future costs. 19 It is the intent of the legislature that the Department of Health and Social Services actively 20 participate in the development and growth of Alaska's therapeutic courts. 21 It is the intent of the legislature that the Department of Health and Social Services work 22 cooperatively with the Legislature's professional contractor to assist in providing information 23 needed for the contractor to review Medicaid program and complete its scope of work. 24 Alaskan Pioneer Homes 12,559,200 12,559,200  25 It is the intent of the legislature that the Department establishes regulations requiring all 26 residents of the Pioneer Homes to apply for all appropriate benefit programs prior to a state 27 subsidy being provided for their care from the State Payment Assistance program. 28 It is the intent of the legislature that all pioneers' homes and veterans' homes applicants shall 29 complete any forms to determine eligibility for supplemental program funding, such as 30 Medicaid, Medicare, SSI, and other benefits as part of the application process. If an applicant 31 is not able to complete the forms him/herself, or if relatives or guardians of the applicant are 01 not able to complete the forms, Department of Health and Social Services staff may complete 02 the forms for him/her, obtain the individuals' or designee's signature and submit for eligibility 03 per AS 47.25.120. 04 It is the intent of the legislature that the Pioneers' Home program administration review the 05 actual full cost of care for services provided at the Pioneers' Homes and develop a proposal to 06 increase rates to reflect the system wide average of full cost of care at the three different care 07 levels. In order to maximize Medicaid recovery, a proposed rate increase should be 08 considered for implementation July 1, 2007. 09 Alaska Pioneer Homes 64,300 10 Management 11 Pioneer Homes 12,494,900 12 Behavioral Health 83,230,100 60,119,600 23,110,500  13 Alcohol Safety Action 105,000 14 Program (ASAP) 15 Behavioral Health Medicaid 32,156,100 16 Services 17 Behavioral Health Grants 15,182,100 18 It is the intent of the legislature that the department reviews its procedures surrounding the 19 awarding of recurring grants to assure that applicants are regularly evaluated on their 20 performance in achieving the missions of the Department related to their specific grant and 21 that the recipients' performance be measured and incorporated in to the decision whether to 22 continue awarding grants. 23 Behavioral Health 2,369,700 24 Administration 25 Community Action Prevention 408,100 26 & Intervention Grants 27 Rural Services and Suicide 2,115,200 28 Prevention 29 Psychiatric Emergency 6,153,400 30 Services 31 Services to the Seriously 9,837,900 01 Mentally Ill 02 Designated Evaluation and 1,211,900 03 Treatment 04 Services for Severely 6,526,200 05 Emotionally Disturbed Youth 06 It is the intent of the legislature that the Department of Health and Social Services provide a 07 detailed five year plan for the Bring the Kids Home initiative that will include: infrastructure 08 requirements in Alaska, number of beds needed identified by level of intensity, five year 09 funding forecast, and the anticipated improvement of life for clients. 10 Alaska Psychiatric Institute 7,164,500 11 Children's Services 9,718,700 9,718,700  12 Children's Medicaid Services 2,000,000 13 Children's Services 64,200 14 Management 15 Front Line Social Workers 148,600 16 Foster Care Augmented Rate 500,000 17 Foster Care Special Need 747,900 18 Residential Child Care 1,956,300 19 Infant Learning Program 4,301,700 20 Grants 21 Juvenile Justice 370,200 370,200  22 McLaughlin Youth Center 159,500 23 Fairbanks Youth Facility 95,000 24 Bethel Youth Facility 55,700 25 Probation Services 60,000 26 Public Health 217,000 217,000  27 Certification and Licensing 118,700 28 Community Health Grants 98,300 29 Senior and Disabilities 13,761,700 12,908,900 852,800  30  Services  31 It is the intent of the legislature that the department examine their procedure for maintaining 01 the disabilities waitlist to assure that criteria for listing are consistent, objective and 02 meaningful, that the list is accurately maintained without unnecessary action by individuals on 03 the list, that the list identify services already being received by those on the list and that the 04 list be managed to promote parity in the provision of services through out the social services 05 system. 06 It is the intent of the legislature that the department utilize funds referenced as available to 07 begin the Inventory of Client and Agency Planning (ICAP) process as recommended in the 08 Ad Hoc Committee on the Developmental Disability Waitlist Recommendations for Change 09 report. It is further the intent of the legislature that the Department move forward with 10 implementation of the report recommendations as appropriate and submit a progress report to 11 the Legislature by January 15, 2007, which includes information regarding the number of 12 individuals on the waiting list that have had an ICAP completed as well as the Department's 13 recommended action for those recommendations contained in the Ad Hoc report with which 14 they may disagree 15 Senior and Disabilities 2,272,200 16 Services Administration 17 Protection and Community 740,300 18 Services 19 Senior Community Based 2,774,400 20 Grants 21 Community Developmental 7,974,800 22 Disabilities Grants 23 Departmental Support Services 1,263,400 1,213,400 50,000  24 Administrative Support 394,300 25 Services 26 Health Planning and 50,000 27 Infrastructure 28 Information Technology 819,100 29 Services 30 Boards and Commissions 1,284,900 590,800 694,100  31 AK Mental Health & Alcohol 809,200 01 & Drug Abuse Boards 02 Commission on Aging 120,000 03 Governor's Council on 230,000 04 Disabilities and Special 05 Education 06 Suicide Prevention Council 125,700 07 * * * * * * * * * *  08 * * * * * Department of Law * * * * *  09 * * * * * * * * * *  10 Civil Division 76,900 76,900  11 Human Services Section 76,900 12 * * * * * * * * * *  13 * * * * * Department of Natural Resources * * * * *  14 * * * * * * * * * *  15 Resource Development 1,443,900 1,443,900  16 Mental Health Trust Lands 1,443,900 17 Administration 18 * * * * * * * * * *  19 * * * * * Department of Revenue * * * * *  20 * * * * * * * * * *  21 Alaska Mental Health Trust 1,738,100 1,738,100  22  Authority  23 Mental Health Trust 1,738,100 24 Operations 25 * * * * * * * * * *  26 * * * * * University of Alaska * * * * *  27 * * * * * * * * * *  28 It is the intent of the legislature that the University of Alaska continues its partnership with 29 the Department of Education and Early Development in support of the Alaska Statewide 30 Mentor Project. 31 University of Alaska 1,025,800 200,800 825,000  01 Budget Reductions/Additions 45,000 02 - Systemwide 03 Statewide Services 100,000 04 Anchorage Campus 488,500 05 Fairbanks Campus 287,300 06 Juneau Campus 105,000 07 * * * * * * * * * *  08 * * * * * Alaska Court System * * * * *  09 * * * * * * * * * *  10 Alaska Court System 693,100 227,800 465,300  11 Budget requests from agencies of the Judicial Branch are transmitted as requested. 12 Trial Courts 693,100 13 (SECTION 2 OF THIS ACT BEGINS ON PAGE 9) 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 1,705,300 06 1092 Mental Health Trust Authority Authorized 106,100 07 Receipts 08 *** Total Agency Funding *** $1,811,400 09 Department of Corrections  10 1037 General Fund / Mental Health 6,186,900 11 1092 Mental Health Trust Authority Authorized 281,000 12 Receipts 13 *** Total Agency Funding *** $6,467,900 14 Department of Education and Early Development  15 1037 General Fund / Mental Health 119,300 16 1092 Mental Health Trust Authority Authorized 225,000 17 Receipts 18 *** Total Agency Funding *** $344,300 19 Department of Health and Social Services  20 1037 General Fund / Mental Health 97,697,800 21 1092 Mental Health Trust Authority Authorized 7,515,100 22 Receipts 23 1180 Alcohol and Other Drug Abuse Treatment & 17,192,300 24 Prevention Fund 25 *** Total Agency Funding *** $122,405,200 26 Department of Law  27 1037 General Fund / Mental Health 76,900 28 *** Total Agency Funding *** $76,900 29 Department of Natural Resources  30 1092 Mental Health Trust Authority Authorized 1,443,900 31 Receipts 01 *** Total Agency Funding *** $1,443,900 02 Department of Revenue  03 1094 Mental Health Trust Administration 1,738,100 04 *** Total Agency Funding *** $1,738,100 05 University of Alaska  06 1037 General Fund / Mental Health 200,800 07 1092 Mental Health Trust Authority Authorized 825,000 08 Receipts 09 *** Total Agency Funding *** $1,025,800 10 Alaska Court System  11 1037 General Fund / Mental Health 227,800 12 1092 Mental Health Trust Authority Authorized 465,300 13 Receipts 14 *** Total Agency Funding *** $693,100 15 * * * * * Total Budget * * * * * $136,006,600 16 (SECTION 3 OF THIS ACT BEGINS ON PAGE 11) 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 General Funds 05 1037 General Fund / Mental Health 106,214,800 06 ***Total General Funds*** $106,214,800 07 Federal Funds 08 ***Total Federal Funds*** $0 09 Other Non-Duplicated Funds 10 1092 Mental Health Trust Authority Authorized 10,861,400 11 Receipts 12 1094 Mental Health Trust Administration 1,738,100 13 1180 Alcohol and Other Drug Abuse Treatment & 17,192,300 14 Prevention Fund 15 ***Total Other Non-Duplicated Funds*** $29,791,800 16 Duplicated Funds 17 ***Total Duplicated Funds*** $0 18 (SECTION 4 OF THIS ACT BEGINS ON PAGE 12) 01 * Section 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 Natural Resources * * * * *  09 * * * * * * * * * *  10 Mental Health Trust Land 550,000 550,000 11 Development (HD 1-40) 12 (SECTION 5 OF THIS ACT BEGINS ON PAGE 13) 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 Natural Resources 05 1092 Mental Health Trust Authority Authorized Receipts 550,000 06 *** Total Agency Funding *** $550,000 07 * * * * * Total Budget * * * * * $550,000 08 (SECTION 6 OF THIS ACT BEGINS ON PAGE 14) 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 General Funds 05 ***Total General Funds*** $0 06 Federal Funds 07 ***Total Federal Funds*** $0 08 Other Non-Duplicated Funds 09 1092 Mental Health Trust Authority Authorized 550,000 10 Receipts 11 ***Total Other Non-Duplicated Funds*** $550,000 12 Duplicated Funds 13 ***Total Duplicated Funds*** $0 14 (SECTION 7 OF THIS ACT BEGINS ON PAGE 15) 01  * Sec. 7. In accordance with AS 37.14.003 and 37.14.005, the appropriations made by this 02 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 by 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 appropriated in this Act, the 09 affected appropriation is reduced by the amount of the shortfall in receipts. 10 * Sec. 9. This Act takes effect July 1, 2006.