CCS HB 66: "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 CONFERENCE CS FOR HOUSE BILL NO. 66 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 It is the intent of the legislature that Legal and Advocacy Services develop cost containment 14 measures to curtail expenditures in order to avoid the need for supplemental funding for FY06 15 and report to the legislature by January 15, 2006 on the success of these measures. 16 Office of Public Advocacy 1,480,900 17 Public Defender Agency 262,900 18 * * * * * * * * * * 19 * * * * * Department of Corrections * * * * * 20 * * * * * * * * * * 21 Administration and Support 71,000 71,000 22 Offender Habilitative 71,000 23 Programs 24 Inmate Health Care 5,265,000 5,091,400 173,600 25 Inmate Health Care 5,265,000 26 * * * * * * * * * * 27 * * * * * Department of Education and Early Development * * * * * 28 * * * * * * * * * * 29 Teaching and Learning Support 366,100 116,100 250,000 30 Student and School 366,100 31 Achievement
01 * * * * * * * * * * 02 * * * * * Department of Health and Social Services * * * * * 03 * * * * * * * * * * 04 No money appropriated in this appropriation may be expended for an abortion that is not a 05 mandatory service required under AS 47.07.030(a). The money appropriated for Health and 06 Social Services may be expended only for mandatory services required under Title XIX of the 07 Social Security Act and for optional services offered by the state under the state plan for 08 medical assistance that has been approved by the United States Department of Health and 09 Human Services. This statement is a statement of the purpose of the appropriation and is 10 neither merely descriptive language nor a statement of legislative intent. 11 It is the intent of the legislature that the Department continues to aggressively pursue 12 Medicaid cost containment initiatives undertaken in fiscal 2005. While individual 13 components of the original initiatives may be unattainable, work should continue on others 14 where the Department believes additional cost containment is possible including further 15 efforts to contain travel expenses. The Department must initiate efforts imposing regulations 16 controlling and materially reducing the cost of Personal Care Attendant (PCA) services. 17 Efforts must be initiated to impose regulations screening applicants for Residential Psychiatric 18 Treatment Center (RPTC) services, especially for out-of-state services. The department must 19 address the entire matrix of optional Medicaid services, reimbursement rates and eligibility 20 requirements that are the basis of the Medicaid growth algorithm. This work is to utilize the 21 results of the Medicaid Assessment and Planning analysis that was funded in the FY05 budget 22 and will be available in early FY06. The legislature requests that by January 2006 the 23 Department be prepared to present projections of future Medicaid funding requirements under 24 our existing statute and regulations and be prepared to present and evaluate the consequences 25 of viable policy alternatives that could be implemented to lower growth rates and reducing 26 projections of future costs. 27 Alaskan Pioneer Homes 11,723,700 11,723,700 28 It is the intent of the legislature that the Department establishes regulations requiring all 29 residents of the Pioneer Homes to apply for all appropriate benefit programs prior to a state 30 subsidy being provided for their care from the State Payment Assistance program. 31 It is the intent of the legislature that all pioneers' homes and veterans' homes applicants shall
01 complete any forms to determine eligibility for supplemental program funding, such as 02 Medicaid, Medicare, SSI, and other benefits as part of the application process. If an applicant 03 is not able to complete the forms him/herself, or if relatives or guardians of the applicant are 04 not able to complete the forms, Department of Health and Social Services staff may complete 05 the forms for him/her, obtain the individuals' or designee's signature and submit for eligibility 06 per AS 47.25.120. 07 Alaskan Pioneer Homes 64,300 08 Management 09 Pioneer Homes 11,659,400 10 Behavioral Health 75,678,300 53,506,100 22,172,200 11 The Department of Health and Social Services will establish specific "evidence based" 12 prevention programs at the community level through a competitive Request for Proposal 13 (RFP). The department will also develop a clear plan for evaluation and program outcomes to 14 better document the successes of Alaska's prevention efforts. The Plan must be presented to 15 the Legislative Budget and Audit Committee prior to the beginning of the 2006 legislative 16 session, or to the House and Senate Finance Committees by February 1, 2006 for approval. 17 Upon approval of the Plan, up to $2,000,000 in TANF Bonus award funding may be made 18 available for alcohol and drug program expansion. The amount of the funding will be prorated 19 based on timing and realistic use of funds. 20 Alcohol Safety Action 120,000 21 Program (ASAP) 22 Behavioral Health Medicaid 28,173,900 23 Services 24 Behavioral Health Grants 15,005,800 25 It is the intent of the legislature that the department reviews its procedures surrounding the 26 awarding of recurring grants to assure that applicants are regularly evaluated on their 27 performance in achieving the missions of the Department related to their specific grant and 28 that the recipients' performance be measured and incorporated in to the decision whether to 29 continue awarding grants. 30 It is the intent of the legislature that state grant funding from the department to the Salvation 31 Army/Clitheroe House treatment programs will not be reduced by any direct federal grant
01 funding received. 02 Behavioral Health 1,711,100 03 Administration 04 Community Action Prevention 408,100 05 & Intervention Grants 06 Rural Services and Suicide 2,115,200 07 Prevention 08 Psychiatric Emergency 6,153,400 09 Services 10 Services to the Seriously 8,849,300 11 Mentally Ill 12 Designated Evaluation and 1,211,900 13 Treatment 14 Services for Severely 5,916,700 15 Emotionally Disturbed Youth 16 Alaska Psychiatric Institute 6,012,900 17 Children's Services 9,808,700 9,658,700 150,000 18 Children's Medicaid Services 2,000,000 19 Children's Services 4,200 20 Management 21 Front Line Social Workers 148,600 22 Family Preservation 150,000 23 Foster Care Augmented Rate 500,000 24 Foster Care Special Need 747,900 25 Residential Child Care 1,956,300 26 Infant Learning Program 4,301,700 27 Grants 28 Juvenile Justice 305,200 305,200 29 McLaughlin Youth Center 159,500 30 Fairbanks Youth Facility 90,700 31 Bethel Youth Facility 55,000
01 Public Health 355,800 210,600 145,200 02 Certification and Licensing 257,500 03 Community Health Grants 98,300 04 Senior and Disabilities 13,743,800 12,814,800 929,000 05 Services 06 It is the intent of the legislature that the department examine their procedure for maintaining 07 the disabilities waitlist to assure that criteria for listing are consistent, objective and 08 meaningful, that the list is accurately maintained without unnecessary action by individuals on 09 the list, that the list identify services already being received by those on the list and that the 10 list be managed to promote parity in the provision of services through out the social services 11 system. 12 Senior and Disabilities 2,179,300 13 Services Administration 14 Protection and Community 740,300 15 Services 16 Senior Community Based 2,849,400 17 Grants 18 Community Developmental 7,974,800 19 Disabilities Grants 20 Departmental Support Services 1,220,700 1,170,500 50,200 21 Administrative Support 375,600 22 Services 23 Health Planning and 50,200 24 Infrastructure 25 Information Technology 794,900 26 Services 27 Boards and Commissions 1,231,000 525,500 705,500 28 AK Mental Health & Alcohol 671,200 29 & Drug Abuse Boards 30 Commission on Aging 108,000 31 Governor's Council on 331,400
01 Disabilities and Special 02 Education 03 Suicide Prevention Council 120,400 04 * * * * * * * * * * 05 * * * * * Department of Law * * * * * 06 * * * * * * * * * * 07 It is the intent of the legislature that the Department of Law's FY06 expansion of its Rural 08 Prosecution and Statewide Sexual Assault Program be exclusively funded with U.S. 09 Department of Justice grants. If federal funding is unavailable to fully sustain these programs 10 in the future, state general fund revenue is not assured. 11 Criminal Division 12,500 12,500 12 Criminal Justice Litigation 12,500 13 Civil Division 69,600 69,600 14 Human Services Section 69,600 15 * * * * * * * * * * 16 * * * * * Department of Natural Resources * * * * * 17 * * * * * * * * * * 18 Resource Development 1,249,400 1,249,400 19 Mental Health Trust Lands 1,249,400 20 Administration 21 * * * * * * * * * * 22 * * * * * Department of Revenue * * * * * 23 * * * * * * * * * * 24 Taxation and Treasury 15,000 15,000 25 Treasury Division 15,000 26 Alaska Mental Health Trust 1,544,900 1,544,900 27 Authority 28 Mental Health Trust 1,544,900 29 Operations
01 * * * * * * * * * * 02 * * * * * University of Alaska * * * * * 03 * * * * * * * * * * 04 University of Alaska 880,800 200,800 680,000 05 Budget Reductions/Additions 630,000 06 - Systemwide 07 Anchorage Campus 250,800 08 * * * * * * * * * * 09 * * * * * Alaska Court System * * * * * 10 * * * * * * * * * * 11 It is the intent of the legislature that all agencies of the Judicial Branch work with the Office 12 of Management and Budget in order to bring their Missions and Measures into compliance 13 with the philosophy and format recommended by OMB. 14 Alaska Court System 718,400 227,800 490,600 15 Trial Courts 718,400 16 (SECTION 2 OF THIS ACT BEGINS ON PAGE 9)
01 * Sec. 2 The following appropriation items are for operating expenditures from the general 02 fund or other funds as set out in the fiscal year 2006 budget summary by funding source to the 03 state agencies named and for the purposes set out in the new legislation for the fiscal year 04 beginning July 1, 2005 and ending June 30, 2006. The appropriation items contain funding 05 for legislation assumed to have passed during the first session of the twenty-fourth legislature 06 and are to be considered part of the agency operating budget. Should a measure listed in this 07 section either fail to pass, its substance fail to be incorporated in some other measure, or be 08 vetoed by the governor, the appropriation for that measure shall lapse. A department-wide, 09 agency-wide, or branch-wide unallocated reduction or increase set out in the New Legislation 10 section may be allocated among the appropriations made in this section to that department, 11 agency, or branch. 12 Appropriation General Other 13 Items Funds Funds 14 HB 98 Nonunion Public Employee Salary & 340,500 213,800 126,700 15 Benefit appropriated to Office of the Governor 16 (SECTION 3 OF THIS ACT BEGINS ON PAGE 10)
01 * Sec. 3. The following sets out the funding by agency for the appropriations made in sec. 1 02 and sec. 2 of this Act. 03 New 04 Funding Source Operating Legislation Total 05 Department of Administration 06 1037 General Fund / Mental Health 1,625,100 0 1,625,100 07 1092 Mental Health Trust Authority 118,700 0 118,700 08 Authorized Receipts 09 *** Total Agency Funding *** $1,743,800 $0 $1,743,800 10 Department of Corrections 11 1037 General Fund / Mental Health 5,091,400 0 5,091,400 12 1092 Mental Health Trust Authority 244,600 0 244,600 13 Authorized Receipts 14 *** Total Agency Funding *** $5,336,000 $0 $5,336,000 15 Department of Education and Early Development 16 1037 General Fund / Mental Health 116,100 0 116,100 17 1092 Mental Health Trust Authority 250,000 0 250,000 18 Authorized Receipts 19 *** Total Agency Funding *** $366,100 $0 $366,100 20 Office of the Governor 21 1037 General Fund / Mental Health 0 213,800 213,800 22 1092 Mental Health Trust Authority 0 57,300 57,300 23 Authorized Receipts 24 1094 Mental Health Trust 0 68,800 68,800 25 Administration 26 1180 Alcohol and Other Drug Abuse 0 600 600 27 Treatment & Prevention Fund 28 *** Total Agency Funding *** $0 $340,500 $340,500 29 Department of Health and Social Services 30 1037 General Fund / Mental Health 89,915,100 0 89,915,100 31 1092 Mental Health Trust Authority 6,960,400 0 6,960,400
01 Authorized Receipts 02 1180 Alcohol and Other Drug Abuse 17,191,700 0 17,191,700 03 Treatment & Prevention Fund 04 *** Total Agency Funding *** $114,067,200 $0 $114,067,200 05 Department of Law 06 1037 General Fund / Mental Health 69,600 0 69,600 07 1092 Mental Health Trust Authority 12,500 0 12,500 08 Authorized Receipts 09 *** Total Agency Funding *** $82,100 $0 $82,100 10 Department of Natural Resources 11 1092 Mental Health Trust Authority 1,249,400 0 1,249,400 12 Authorized Receipts 13 *** Total Agency Funding *** $1,249,400 $0 $1,249,400 14 Department of Revenue 15 1094 Mental Health Trust 1,559,900 0 1,559,900 16 Administration 17 *** Total Agency Funding *** $1,559,900 $0 $1,559,900 18 University of Alaska 19 1037 General Fund / Mental Health 200,800 0 200,800 20 1092 Mental Health Trust Authority 680,000 0 680,000 21 Authorized Receipts 22 *** Total Agency Funding *** $880,800 $0 $880,800 23 Alaska Court System 24 1037 General Fund / Mental Health 227,800 0 227,800 25 1092 Mental Health Trust Authority 490,600 0 490,600 26 Authorized Receipts 27 *** Total Agency Funding *** $718,400 $0 $718,400 28 * * * * * Total Budget * * * * * $126,003,700 $340,500 $126,344,200 29 (SECTION 4 OF THIS ACT BEGINS ON PAGE 12)
01 * Sec. 4. The following sets out the statewide funding for the appropriations made in sec. 1 02 and sec. 2 of this Act. 03 New 04 Funding Source Operating Legislation Total 05 General Funds 06 1037 General Fund / Mental Health 97,245,900 213,800 97,459,700 07 ***Total General Funds*** $97,245,900 $213,800 $97,459,700 08 Federal Funds 09 ***Total Federal Funds*** $0 $0 $0 10 Other Non-Duplicated Funds 11 1092 Mental Health Trust Authority 10,006,200 57,300 10,063,500 12 Authorized Receipts 13 1094 Mental Health Trust 1,559,900 68,800 1,628,700 14 Administration 15 1180 Alcohol and Other Drug Abuse 17,191,700 600 17,192,300 16 Treatment & Prevention Fund 17 ***Total Other Non-Duplicated Funds*** $28,757,800 $126,700 $28,884,500 18 Duplicated Funds 19 ***Total Duplicated Funds*** $0 $0 $0 20 (SECTION 5 OF THIS ACT BEGINS ON PAGE 13)
01 * Section 5. The following appropriation items are for capital projects and grants from the 02 general fund or other funds as set out in section 6 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 Emergency Assistance (HD 200,000 100,000 100,000 11 1-40) 12 MH: Alaska Psychiatric 674,200 674,200 13 Institute Automation 14 Project (HD 17-32) 15 MH: Alaska Psychiatric 250,000 250,000 16 Institute Move (HD 17-32) 17 MH: Crisis Treatment 2,500,000 2,500,000 18 Facility - Phase 2 (HD 19 17-32) 20 MH: Deferred Maintenance 500,000 150,000 350,000 21 and Accessibility 22 Improvements (HD 1-40) 23 MH: Essential Program 575,000 225,000 350,000 24 Equipment Grants to Service 25 Providers (HD 1-40) 26 MH: Group Home Development 400,000 250,000 150,000 27 (HD 1-40) 28 MH: Home Modification and 300,000 100,000 200,000 29 Design Upgrades (HD 1-40) 30 MH: Therapeutic Foster Home 200,000 200,000 31 (HD 1-40)
01 MH: Transitional Housing 100,000 100,000 02 for Substance Abuse (HD 03 1-40) 04 * * * * * * * * * * 05 * * * * * Department of Natural Resources * * * * * 06 * * * * * * * * * * 07 Mental Health Trust Land 650,000 650,000 08 Development (HD 1-40) 09 Mental Health Trust Land 100,000 100,000 10 Facilities Maintenance (HD 11 1-40) 12 * * * * * * * * * * 13 * * * * * Department of Revenue * * * * * 14 * * * * * * * * * * 15 Alaska Housing Finance 16 Corporation 17 AHFC Beneficiary and 1,200,000 1,200,000 18 Special Needs Housing (HD 19 1-40) 20 AHFC Homeless Assistance 1,000,000 500,000 500,000 21 Program (HD 1-40) 22 * * * * * * * * * * 23 * * * * * Department of Transportation/Public Facilities * * * * * 24 * * * * * * * * * * 25 Coordinated Transportation 500,000 100,000 400,000 26 and Vehicles (HD 1-40) 27 (SECTION 6 OF THIS ACT BEGINS ON PAGE 15)
01 * Sec. 6. The following sets out the funding by agency for the appropriations made in sec. 5 of 02 this Act. 03 Funding Source Amount 04 Department of Health and Social Services 05 1037 General Fund / Mental Health 1,749,200 06 1092 Mental Health Trust Authority Authorized Receipts 1,450,000 07 1180 Alcohol and Other Drug Abuse Treatment & Prevention Fund 2,500,000 08 *** Total Agency Funding *** $5,699,200 09 Department of Natural Resources 10 1092 Mental Health Trust Authority Authorized Receipts 750,000 11 *** Total Agency Funding *** $750,000 12 Department of Revenue 13 1037 General Fund / Mental Health 1,700,000 14 1092 Mental Health Trust Authority Authorized Receipts 500,000 15 *** Total Agency Funding *** $2,200,000 16 Department of Transportation/Public Facilities 17 1037 General Fund / Mental Health 100,000 18 1092 Mental Health Trust Authority Authorized Receipts 400,000 19 *** Total Agency Funding *** $500,000 20 * * * * * Total Budget * * * * * $9,149,200 21 (SECTION 7 OF THIS ACT BEGINS ON PAGE 16)
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. 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. 9. 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. 10. LAPSE OF APPROPRIATION. The appropriation made by sec. 8 of this Act is 15 for a capital project and lapses under AS 37.25.020. 16 * Sec. 11. This Act takes effect July 1, 2005.