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CSHB 377(FIN): "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."

00 CS FOR HOUSE BILL NO. 377(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 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, 2004 and ending June 30, 2005, 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 1,620,500 1,543,100 77,400 13 Office of Public Advocacy 1,411,600 14 Public Defender Agency 208,900 15 * * * * * * * * * * * 16 * * * * * * Department of Corrections * * * * * * 17 * * * * * * * * * * * * 18 Inmate Services 101,100 35,600 65,500 19 Offender Habilitative 71,000 20 Programs 21 Classification and Furlough 30,100 22 Inmate Health Care 4,887,300 4,640,800 246,500 23 Inmate Health Care 4,887,300 24 * * * * * * * * * * * 25 * * * * * * Department of Education and Early Development * * * * * * 26 * * * * * * * * * * * * 27 Teaching and Learning Support 362,700 112,700 250,000 28 Special and Supplemental 362,700 29 Services

01 * * * * * * * * * * * 02 * * * * * * Department of Health and Social Services * * * * * * 03 * * * * * * * * * * * * 04 Alaskan Pioneer Homes 10,914,200 10,914,200 05 Alaskan Pioneer Homes 64,300 06 Management 07 Pioneer Homes 10,849,900 08 Behavioral Health 73,002,700 52,130,600 20,872,100 09 It is the intent of the legislature that the amount appropriated in this appropriation is the full 10 amount that will be appropriated for Behavioral Health for the fiscal year ending June 30, 11 2005. If the amount appropriated in this appropriation is not sufficient to cover the costs of 12 Behavioral Health for all eligible persons, the department shall eliminate coverage for 13 optional medical services that have a federal match and optionally eligible groups of 14 individuals in accordance with AS 47.07.020. It is the intent of the legislature that requests for 15 supplemental appropriations for Behavioral Health for the fiscal year ending June 30, 2005, 16 will not be approved. This intent covers the budgeted reductions to Medicaid but does not 17 apply to any loss of funds that may occur if the department's "Fair Share" funding mechanism 18 is not approved by the federal government. 19 Behavioral Health Medicaid 27,969,400 20 Services 21 Behavioral Health Grants 15,384,400 22 Behavioral Health 1,952,200 23 Administration 24 Community Action Prevention 658,100 25 & Intervention Grants 26 Rural Services and Suicide 2,115,200 27 Prevention 28 Psychiatric Emergency 6,461,900 29 Services 30 Services to the Seriously 8,548,300 31 Mentally Ill

01 Designated Evaluation and 1,211,900 02 Treatment 03 Services for Severely 3,676,200 04 Emotionally Disturbed Youth 05 Alaska Psychiatric Institute 5,025,100 06 Children's Services 9,908,700 9,658,700 250,000 07 Children's Medicaid Services 2,000,000 08 Children's Services 4,200 09 Management 10 Front Line Social Workers 148,600 11 Family Preservation 250,000 12 Foster Care Augmented Rate 500,000 13 Foster Care Special Need 747,900 14 Residential Child Care 1,956,300 15 Infant Learning Program 4,301,700 16 Grants 17 Juvenile Justice 300,000 300,000 18 McLaughlin Youth Center 159,500 19 Fairbanks Youth Facility 86,400 20 Bethel Youth Facility 54,100 21 Public Health 343,300 198,300 145,000 22 Certification and Licensing 245,000 23 Community Health Grants 98,300 24 Senior and Disabilities 14,662,700 12,800,900 1,861,800 25 Services 26 It is the intent of the legislature that the Department of Health and Social Services continue 27 cost containment by encouraging lower cost residential based care for the elderly and severely 28 disabled. Further, it is the intent of the legislature that the Department address escalating 29 growth in the Personal Care Attendant program through regulation to avoid the loss of home 30 care provider services and the consequential growth in institutional facilities in this state. 31 It is the intent of the legislature that the amount appropriated in this appropriation is the full

01 amount that will be appropriated for Senior and Disabilities Services for the fiscal year ending 02 June 30, 2005. If the amount appropriated in this appropriation is not sufficient to cover the 03 costs of Senior and Disabilities Services for all eligible persons, the department shall 04 eliminate coverage for optional medical services that have a federal match and optionally 05 eligible groups of individuals in accordance with AS 47.07.020. It is the intent of the 06 legislature that requests for supplemental appropriations for Senior and Disabilities Services 07 for the fiscal year ending June 30, 2005 will not be approved. This intent covers the budgeted 08 reductions to Medicaid but does not apply to any loss of funds that may occur if the 09 department's "Fair Share" funding mechanism is not approved by the federal government. 10 Senior and Disabilities 1,836,300 11 Services Administration 12 Protection, Community 740,300 13 Services, and Administration 14 Home and Community Based 3,533,900 15 Care 16 Community Developmental 8,552,200 17 Disabilities Grants 18 Departmental Support Services 927,700 877,300 50,400 19 No money appropriated in this appropriation may be expended for an abortion that is not a 20 mandatory service required under AS 47.07.030(a). This statement is a statement of the 21 purpose of this appropriation and is neither merely descriptive language nor a statement of 22 legislative intent. 23 Administrative Support 293,000 24 Services 25 Health Planning and 50,400 26 Infrastructure 27 Information Technology 584,300 28 Services 29 Boards and Commissions 1,618,900 479,800 1,139,100 30 Alaska Mental Health Board 296,600 31 Advisory Board on 530,100

01 Alcoholism and Drug Abuse 02 Commission on Aging 100,500 03 Governor's Council on 573,000 04 Disabilities and Special 05 Education 06 Suicide Prevention Council 118,700 07 * * * * * * * * * * * 08 * * * * * * Department of Law * * * * * * 09 * * * * * * * * * * * * 10 Civil Division 66,800 66,800 11 Human Services Section 66,800 12 * * * * * * * * * * * 13 * * * * * * Department of Natural Resources * * * * * * 14 * * * * * * * * * * * * 15 Resource Development 1,181,200 1,181,200 16 Mental Health Trust Lands 1,181,200 17 Administration 18 * * * * * * * * * * * 19 * * * * * * Department of Revenue * * * * * * 20 * * * * * * * * * * * * 21 Alaska Mental Health Trust 1,418,400 1,418,400 22 Authority 23 Mental Health Trust 1,418,400 24 Authority Operations 25 * * * * * * * * * * * 26 * * * * * * University of Alaska * * * * * * 27 * * * * * * * * * * * * 28 University of Alaska 250,800 200,800 50,000 29 Anchorage Campus 250,800

01 * * * * * * * * * * * 02 * * * * * * Alaska Court System * * * * * * 03 * * * * * * * * * * * * 04 Alaska Court System 264,000 79,300 184,700 05 Trial Courts 264,000 06 (SECTION 2 OF THIS ACT BEGINS ON PAGE 8)

01 * Sec. 2. The following sets out the funding by agency for the appropriations made in sec. 1 of 02 this Act. 03 Department of Administration 04 General Fund / Mental Health 1,543,100 05 Mental Health Trust Authority Authorized Receipts 77,400 06 *** Total Agency Funding *** $1,620,500 07 Department of Corrections 08 General Fund / Mental Health 4,676,400 09 Mental Health Trust Authority Authorized Receipts 312,000 10 *** Total Agency Funding *** $4,988,400 11 Department of Education and Early Development 12 General Fund / Mental Health 112,700 13 Mental Health Trust Authority Authorized Receipts 250,000 14 *** Total Agency Funding *** $362,700 15 Department of Health and Social Services 16 General Fund / Mental Health 87,359,800 17 Mental Health Trust Authority Authorized Receipts 6,393,400 18 Alcohol and Other Drug Abuse Treatment & Prevention Fund 17,925,000 19 *** Total Agency Funding *** $111,678,200 20 Department of Law 21 General Fund / Mental Health 66,800 22 *** Total Agency Funding *** $66,800 23 Department of Natural Resources 24 Mental Health Trust Authority Authorized Receipts 1,181,200 25 *** Total Agency Funding *** $1,181,200 26 Department of Revenue 27 Mental Health Trust Authority Authorized Receipts 155,400 28 Mental Health Trust Administration 1,263,000 29 *** Total Agency Funding *** $1,418,400 30 University of Alaska 31 General Fund / Mental Health 200,800

01 Mental Health Trust Authority Authorized Receipts 50,000 02 *** Total Agency Funding *** $250,800 03 Alaska Court System 04 General Fund / Mental Health 79,300 05 Mental Health Trust Authority Authorized Receipts 184,700 06 *** Total Agency Funding *** $264,000 07 * * * * * Total Budget * * * * * $121,831,000 08 (SECTION 3 OF THIS ACT BEGINS ON PAGE 10)

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 94,038,900 06 ***Total General Funds*** $94,038,900 07 Federal Funds 08 ***Total Federal Funds*** $0 09 Other Non-Duplicated Funds 10 1092 Mental Health Trust Authority Authorized Receipts 8,604,100 11 1094 Mental Health Trust Administration 1,263,000 12 1180 Alcohol and Other Drug Abuse Treatment & 17,925,000 13 Prevention Fund 14 ***Total Other Non-Duplicated Funds*** $27,792,100 15 Duplicated Funds 16 ***Total Duplicated Funds*** $0 17 (SECTION 4 OF THIS ACT BEGINS ON PAGE 11)

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 Health and Social Services * * * * * * 09 * * * * * * * * * * * * 10 MH Essential Program 350,000 350,000 11 Equipment Grants to Service 12 Providers (ED 99) 13 MH Van/Vehicle and Housing 300,000 300,000 14 Modifications for Families 15 or Individuals (ED 99) 16 MH Transitional Housing (ED 500,000 500,000 17 99) 18 MH Fairbanks Detoxification 1,450,000 1,450,000 19 Unit Expansion and 20 Renovation (ED 7-11) 21 MH Treatment-Based Special 400,000 250,000 150,000 22 Needs Housing Program (ED 23 99) 24 MH Consumer Designed and 250,000 250,000 25 Managed Projects (ED 99) 26 MH Medicaid Review and 300,000 300,000 27 Enhancement Project (ED 99) 28 MH Provider Resource 150,000 150,000 29 Sharing and Coordination 30 (ED 99) 31 MH Update Issues Affecting 30,000 30,000

01 Economic Well-Being of 02 Alaska Seniors (ED 99) 03 * * * * * * * * * * * 04 * * * * * * Department of Natural Resources * * * * * * 05 * * * * * * * * * * * * 06 Mental Health Trust Land 650,000 650,000 07 Development (ED 99) 08 * * * * * * * * * * * 09 * * * * * * Department of Revenue * * * * * * 10 * * * * * * * * * * * * 11 AHFC Homeless Assistance 400,000 250,000 150,000 12 Program (ED 99) 13 AHFC Beneficiary and 1,200,000 1,200,000 14 Special Needs Housing (ED 15 99) 16 * * * * * * * * * * * 17 * * * * * * Department of Transportation/Public Facilities * * * * * * 18 * * * * * * * * * * * * 19 Coordinated Transportation 300,000 150,000 150,000 20 and Vehicles (ED 99) 21 (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 Department of Health and Social Services 04 General Fund / Mental Health 250,000 05 Mental Health Trust Authority Authorized Receipts 2,030,000 06 Federal Mental Health 1,450,000 07 *** Total Agency Funding *** $3,730,000 08 Department of Natural Resources 09 Mental Health Trust Authority Authorized Receipts 650,000 10 *** Total Agency Funding *** $650,000 11 Department of Revenue 12 General Fund / Mental Health 1,450,000 13 Mental Health Trust Authority Authorized Receipts 150,000 14 *** Total Agency Funding *** $1,600,000 15 Department of Transportation/Public Facilities 16 General Fund / Mental Health 150,000 17 Mental Health Trust Authority Authorized Receipts 150,000 18 *** Total Agency Funding *** $300,000 19 (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 1037 General Fund / Mental Health 1,850,000 06 ***Total General Funds*** $1,850,000 07 Federal Funds 08 1187 Federal Mental Health 1,450,000 09 ***Total Federal Funds*** $1,450,000 10 Other Non-Duplicated Funds 11 1092 Mental Health Trust Authority Authorized Receipts 2,980,000 12 ***Total Other Non-Duplicated Funds*** $2,980,000 13 Duplicated Funds 14 ***Total Duplicated Funds*** $0 15 (SECTION 7 OF THIS ACT BEGINS ON PAGE 15)

01 * Sec. 7. PURPOSE. In accordance with AS 37.14.003 and 37.14.005, the appropriations 02 made by 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 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, 2004.