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CSHB 66(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. 66(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, 2005 and ending June 30, 2006, 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 1,743,800 1,625,100 118,700 13 Office of Public Advocacy 1,480,900 14 Public Defender Agency 262,900 15 * * * * * * * * * * * 16 * * * * * * Department of Corrections * * * * * * 17 * * * * * * * * * * * * 18 Administration and Support 71,000 71,000 19 Offender Habilitative 71,000 20 Programs 21 Inmate Health Care 5,062,900 4,889,900 173,000 22 Inmate Health Care 5,062,900 23 * * * * * * * * * * * 24 * * * * * * Department of Education and Early Development * * * * * * 25 * * * * * * * * * * * * 26 Teaching and Learning Support 366,100 116,100 250,000 27 Student and School 366,100 28 Achievement 29 * * * * * * * * * * * 30 * * * * * * Department of Health and Social Services * * * * * * 31 * * * * * * * * * * * *

01 No money appropriated in this appropriation may be expended for an abortion that is not a 02 mandatory service required under AS 47.07.030(a). The money appropriated for Health and 03 Social Services may be expended only for mandatory services required under Title XIX of the 04 Social Security Act and for optional services offered by the state under the state plan for 05 medical assistance that has been approved by the United States Department of Health and 06 Human Services. This statement is a statement of the purpose of the appropriation and is 07 neither merely descriptive language nor a statement of legislative intent. 08 It is the intent of the legislature that the Department continues to aggressively pursue 09 Medicaid cost containment initiatives undertaken in fiscal 2005. While individual 10 components of the original initiatives may be unattainable, work should continue on others 11 where the Department believes additional cost containment is possible including further 12 efforts to contain travel expenses. The Department must initiate efforts imposing regulations 13 controlling and materially reducing the cost of Personal Care Attendant (PCA) services. 14 Efforts must be initiated to impose regulations screening applicants for Residential Psychiatric 15 Treatment Center (RPTC) services, especially for out-of-state services. The department must 16 address the entire matrix of optional Medicaid services, reimbursement rates and eligibility 17 requirements that are the basis of the Medicaid growth algorithm. This work is to utilize the 18 results of the Medicaid Assessment and Planning analysis that was funded in the FY05 budget 19 and will be available in early FY06. The legislature requests that by January 2006 the 20 Department be prepared to present projections of future Medicaid funding requirements under 21 our existing statute and regulations and be prepared to present and evaluate the consequences 22 of viable policy alternatives that could be implemented to lower growth rates and reducing 23 projections of future costs. 24 Alaskan Pioneer Homes 11,723,700 11,723,700 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 Alaskan Pioneer Homes 64,300 29 Management 30 Pioneer Homes 11,659,400 31 Behavioral Health 75,678,300 53,506,100 22,172,200

01 Alcohol Safety Action 120,000 02 Program (ASAP) 03 Behavioral Health Medicaid 28,173,900 04 Services 05 Behavioral Health Grants 15,005,800 06 It is the intent of the legislature that the department reviews its procedures surrounding the 07 awarding of recurring grants to assure that applicants are regularly evaluated on their 08 performance in achieving the missions of the Department related to their specific grant and 09 that the recipients' performance be measured and incorporated in to the decision whether to 10 continue awarding grants. 11 It is the intent of the legislature that state grant funding from the department to the Salvation 12 Army/Clitheroe House treatment programs will not be reduced by any direct federal grant 13 funding received. 14 Behavioral Health 1,711,100 15 Administration 16 Community Action Prevention 408,100 17 & Intervention Grants 18 Rural Services and Suicide 2,115,200 19 Prevention 20 Psychiatric Emergency 6,153,400 21 Services 22 Services to the Seriously 8,849,300 23 Mentally Ill 24 Designated Evaluation and 1,211,900 25 Treatment 26 Services for Severely 5,916,700 27 Emotionally Disturbed Youth 28 Alaska Psychiatric Institute 6,012,900 29 Children's Services 9,808,700 9,658,700 150,000 30 Children's Medicaid Services 2,000,000 31 Children's Services 4,200

01 Management 02 Front Line Social Workers 148,600 03 Family Preservation 150,000 04 Foster Care Augmented Rate 500,000 05 Foster Care Special Need 747,900 06 Residential Child Care 1,956,300 07 Infant Learning Program 4,301,700 08 Grants 09 Juvenile Justice 305,200 305,200 10 McLaughlin Youth Center 159,500 11 Fairbanks Youth Facility 90,700 12 Bethel Youth Facility 55,000 13 Public Health 355,800 210,600 145,200 14 Certification and Licensing 257,500 15 Community Health Grants 98,300 16 Senior and Disabilities 13,743,800 12,814,800 929,000 17 Services 18 It is the intent of the legislature that the department examine their procedure for maintaining 19 the disabilities waitlist to assure that criteria for listing are consistent, objective and 20 meaningful, that the list is accurately maintained without unnecessary action by individuals on 21 the list, that the list identify services already being received by those on the list and that the 22 list be managed to promote parity in the provision of services through out the social services 23 system. 24 Senior and Disabilities 2,179,300 25 Services Administration 26 Protection and Community 740,300 27 Services 28 Senior Community Based 2,849,400 29 Grants 30 Community Developmental 7,974,800 31 Disabilities Grants

01 Departmental Support Services 1,220,700 1,170,500 50,200 02 Administrative Support 375,600 03 Services 04 Health Planning and 50,200 05 Infrastructure 06 Information Technology 794,900 07 Services 08 Boards and Commissions 1,231,000 525,500 705,500 09 AK Mental Health & Alcohol 671,200 10 & Drug Abuse Boards 11 Commission on Aging 108,000 12 Governor's Council on 331,400 13 Disabilities and Special 14 Education 15 Suicide Prevention Council 120,400 16 * * * * * * * * * * * 17 * * * * * * Department of Law * * * * * * 18 * * * * * * * * * * * * 19 Criminal Division 12,500 12,500 20 Criminal Justice Litigation 12,500 21 Civil Division 69,600 69,600 22 Human Services Section 69,600 23 * * * * * * * * * * * 24 * * * * * * Department of Natural Resources * * * * * * 25 * * * * * * * * * * * * 26 Resource Development 1,249,400 1,249,400 27 Mental Health Trust Lands 1,249,400 28 Administration 29 * * * * * * * * * * * 30 * * * * * * Department of Revenue * * * * * * 31 * * * * * * * * * * * *

01 Taxation and Treasury 15,000 15,000 02 Treasury Division 15,000 03 Alaska Mental Health Trust 1,544,900 1,544,900 04 Authority 05 Mental Health Trust 1,544,900 06 Operations 07 * * * * * * * * * * * 08 * * * * * * University of Alaska * * * * * * 09 * * * * * * * * * * * * 10 University of Alaska 880,800 200,800 680,000 11 Budget Reductions/Additions 630,000 12 - Systemwide 13 Anchorage Campus 250,800 14 * * * * * * * * * * * 15 * * * * * * Alaska Court System * * * * * * 16 * * * * * * * * * * * * 17 Alaska Court System 718,400 227,800 490,600 18 Budget requests from agencies of the Judicial Branch are transmitted as requested. 19 Trial Courts 718,400 20 (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 Funding Source Amount 04 Department of Administration 05 1037 General Fund / Mental Health 1,625,100 06 1092 Mental Health Trust Authority Authorized 118,700 07 Receipts 08 *** Total Agency Funding *** $1,743,800 09 Department of Corrections 10 1037 General Fund / Mental Health 4,889,900 11 1092 Mental Health Trust Authority Authorized 244,000 12 Receipts 13 *** Total Agency Funding *** $5,133,900 14 Department of Education and Early Development 15 1037 General Fund / Mental Health 116,100 16 1092 Mental Health Trust Authority Authorized 250,000 17 Receipts 18 *** Total Agency Funding *** $366,100 19 Department of Health and Social Services 20 1037 General Fund / Mental Health 89,915,100 21 1092 Mental Health Trust Authority Authorized 6,960,400 22 Receipts 23 1180 Alcohol and Other Drug Abuse Treatment & 17,191,700 24 Prevention Fund 25 *** Total Agency Funding *** $114,067,200 26 Department of Law 27 1037 General Fund / Mental Health 69,600 28 1092 Mental Health Trust Authority Authorized 12,500 29 Receipts 30 *** Total Agency Funding *** $82,100 31 Department of Natural Resources

01 1092 Mental Health Trust Authority Authorized 1,249,400 02 Receipts 03 *** Total Agency Funding *** $1,249,400 04 Department of Revenue 05 1094 Mental Health Trust Administration 1,559,900 06 *** Total Agency Funding *** $1,559,900 07 University of Alaska 08 1037 General Fund / Mental Health 200,800 09 1092 Mental Health Trust Authority Authorized 680,000 10 Receipts 11 *** Total Agency Funding *** $880,800 12 Alaska Court System 13 1037 General Fund / Mental Health 227,800 14 1092 Mental Health Trust Authority Authorized 490,600 15 Receipts 16 *** Total Agency Funding *** $718,400 17 * * * * * Total Budget * * * * * $125,801,600 18 (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 97,044,400 06 ***Total General Funds*** $97,044,400 07 Federal Funds 08 ***Total Federal Funds*** $0 09 Other Non-Duplicated Funds 10 1092 Mental Health Trust Authority Authorized 10,005,600 11 Receipts 12 1094 Mental Health Trust Administration 1,559,900 13 1180 Alcohol and Other Drug Abuse Treatment & 17,191,700 14 Prevention Fund 15 ***Total Other Non-Duplicated Funds*** $28,757,200 16 Duplicated Funds 17 ***Total Duplicated Funds*** $0 18 (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: Therapeutic Foster Home 200,000 200,000 11 (ED 99) 12 (SECTION 5 OF THIS ACT BEGINS ON PAGE 12)

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 200,000 06 *** Total Agency Funding *** $200,000 07 * * * * * Total Budget * * * * * $200,000 08 (SECTION 6 OF THIS ACT BEGINS ON PAGE 13)

01 * Sec. 6. 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. 7. DEPARTMENT OF HEALTH AND SOCIAL SERVICES. The sum of 04 $3,000,000 is appropriated from general fund/mental health to the Department of Health and 05 Social Services for costs associated with fulfilling the obligation of the State of Alaska related 06 to the demolition and asbestos abatement of the old Alaska Psychiatric Institute. 07 * Sec. 8. NONGENERAL FUND RECEIPTS. (a) Alaska Mental Health Trust Authority 08 authorized receipts (AS 37.14.036) or administration receipts (AS 37.14.036) that exceed the 09 amounts appropriated by this Act are appropriated conditioned upon compliance with the 10 program review provisions of AS 37.07.080(h). 11 (b) If Alaska Mental Health Trust Authority authorized receipts (AS 37.14.036) or 12 administration receipts (AS 37.14.036) fall short of the estimates appropriated in this Act, the 13 affected appropriation is reduced by the amount of the shortfall in receipts. 14 * Sec. 9. LAPSE OF APPROPRIATION. The appropriation made by sec. 7 of this Act is 15 for a capital project and lapses under AS 37.25.020. 16 * Sec. 10. This Act takes effect July 1, 2005.