CSHB 366(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. 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 It is the intent of the legislature that the Department of Corrections actively participate in the 16 development and growth of Alaska's therapeutic courts. 17 Administration and Support 46,000 46,000 18 Offender Habilitation 46,000 19 Programs 20 Inmate Health Care 5,835,300 5,600,300 235,000 21 Inmate Health Care 5,835,300 22 * * * * * * * * * * 23 * * * * * Department of Education and Early Development * * * * * 24 * * * * * * * * * * 25 Teaching and Learning Support 344,300 119,300 225,000 26 Student and School 344,300 27 Achievement 28 * * * * * * * * * * 29 * * * * * Department of Health and Social Services * * * * * 30 * * * * * * * * * * 31 No money appropriated in this appropriation may be expended for an abortion that is not a
01 mandatory service required under AS 47.07.030(a). The money appropriated for Health and 02 Social Services may be expended only for mandatory services required under Title XIX of the 03 Social Security Act and for optional services offered by the state under the state plan for 04 medical assistance that has been approved by the United States Department of Health and 05 Human Services. This statement is a statement of the purpose of the appropriation and is 06 neither merely descriptive language nor a statement of legislative intent. 07 It is the intent of the legislature that the Department continues to aggressively pursue 08 Medicaid cost containment initiatives. Efforts should continue where the Department 09 believes additional cost containment is possible including further efforts to contain travel 10 expenses. The Department must continue efforts imposing regulations controlling and 11 materially reducing the cost of Personal Care Attendant (PCA) services. Efforts must be 12 initiated utilizing existing resources to impose regulations screening applicants for Residential 13 Psychiatric Treatment Center (RPTC) services, especially for out-of-state services. The 14 department must address the entire matrix of optional Medicaid services, reimbursement rates 15 and eligibility requirements that are the basis of the Medicaid growth algorithm. This work is 16 to utilize the results of the Medicaid Assessment and Planning analysis. The legislature 17 requests that by January 2007 the Department be prepared to present projections of future 18 Medicaid funding requirements under our existing statute and regulations and be prepared to 19 present and evaluate the consequences of viable policy alternatives that could be implemented 20 to lower growth rates and reducing projections of future costs. 21 It is the intent of the legislature that the Department of Health and Social Services actively 22 participate in the development and growth of Alaska's therapeutic courts. 23 Alaskan Pioneer Homes 12,559,200 12,559,200 24 It is the intent of the legislature that the Department establishes regulations requiring all 25 residents of the Pioneer Homes to apply for all appropriate benefit programs prior to a state 26 subsidy being provided for their care from the State Payment Assistance program. 27 It is the intent of the legislature that all pioneers' homes and veterans' homes applicants shall 28 complete any forms to determine eligibility for supplemental program funding, such as 29 Medicaid, Medicare, SSI, and other benefits as part of the application process. If an applicant 30 is not able to complete the forms him/herself, or if relatives or guardians of the applicant are 31 not able to complete the forms, Department of Health and Social Services staff may complete
01 the forms for him/her, obtain the individuals' or designee's signature and submit for eligibility 02 per AS 47.25.120. 03 It is the intent of the legislature that the Pioneers' Home program administration review the 04 actual full cost of care for services provided at the Pioneers' Homes and develop a proposal to 05 increase rates to reflect the system wide average of full cost of care at the three different care 06 levels. In order to maximize Medicaid recovery, a proposed rate increase should be 07 considered for implementation July 1, 2007. 08 Alaska Pioneer Homes 64,300 09 Management 10 Pioneer Homes 12,494,900 11 Behavioral Health 86,227,100 61,425,200 24,801,900 12 Alcohol Safety Action 105,000 13 Program (ASAP) 14 Behavioral Health Medicaid 32,289,200 15 Services 16 Behavioral Health Grants 16,873,500 17 It is the intent of the legislature that the department reviews its procedures surrounding the 18 awarding of recurring grants to assure that applicants are regularly evaluated on their 19 performance in achieving the missions of the Department related to their specific grant and 20 that the recipients' performance be measured and incorporated in to the decision whether to 21 continue awarding grants. 22 Behavioral Health 2,329,700 23 Administration 24 Community Action Prevention 958,100 25 & Intervention Grants 26 Rural Services and Suicide 2,115,200 27 Prevention 28 Psychiatric Emergency 6,153,400 29 Services 30 Services to the Seriously 9,837,900 31 Mentally Ill
01 Designated Evaluation and 1,211,900 02 Treatment 03 Services for Severely 6,526,200 04 Emotionally Disturbed Youth 05 Alaska Psychiatric Institute 7,827,000 06 Children's Services 11,488,700 11,488,700 07 Children's Medicaid Services 3,830,000 08 Children's Services 4,200 09 Management 10 Front Line Social Workers 148,600 11 Foster Care Augmented Rate 500,000 12 Foster Care Special Need 747,900 13 Residential Child Care 1,956,300 14 Infant Learning Program 4,301,700 15 Grants 16 Juvenile Justice 310,200 310,200 17 McLaughlin Youth Center 159,500 18 Fairbanks Youth Facility 95,000 19 Bethel Youth Facility 55,700 20 Public Health 217,000 217,000 21 Certification and Licensing 118,700 22 Community Health Grants 98,300 23 Senior and Disabilities 14,011,700 13,033,900 977,800 24 Services 25 It is the intent of the legislature that the department examine their procedure for maintaining 26 the disabilities waitlist to assure that criteria for listing are consistent, objective and 27 meaningful, that the list is accurately maintained without unnecessary action by individuals on 28 the list, that the list identify services already being received by those on the list and that the 29 list be managed to promote parity in the provision of services through out the social services 30 system. 31 It is the intent of the legislature that the department utilize funds referenced as available to
01 begin the Inventory of Client and Agency Planning (ICAP) process as recommended in the 02 Ad Hoc Committee on the Developmental Disability Waitlist Recommendations for Change 03 report. It is further the intent of the legislature that the Department move forward with 04 implementation of the report recommendations as appropriate and submit a progress report to 05 the Legislature by January 15, 2007, which includes information regarding the number of 06 individuals on the waiting list that have had an ICAP completed as well as the Department's 07 recommended action for those recommendations contained in the Ad Hoc report with which 08 they may disagree 09 Senior and Disabilities 2,272,200 10 Services Administration 11 Protection and Community 740,300 12 Services 13 Senior Community Based 3,024,400 14 Grants 15 Community Developmental 7,974,800 16 Disabilities Grants 17 Departmental Support Services 1,426,400 1,334,300 92,100 18 Agency-wide Unallocated -187,000 19 Reduction 20 Administrative Support 394,300 21 Services 22 Health Planning and 50,000 23 Infrastructure 24 Information Technology 819,100 25 Services 26 HSS State Facilities Rent 350,000 27 Boards and Commissions 1,284,900 590,800 694,100 28 AK Mental Health & Alcohol 809,200 29 & Drug Abuse Boards 30 Commission on Aging 120,000 31 Governor's Council on 230,000
01 Disabilities and Special 02 Education 03 Suicide Prevention Council 125,700 04 * * * * * * * * * * 05 * * * * * Department of Law * * * * * 06 * * * * * * * * * * 07 Civil Division 76,900 76,900 08 Human Services Section 76,900 09 * * * * * * * * * * 10 * * * * * Department of Natural Resources * * * * * 11 * * * * * * * * * * 12 Resource Development 1,443,900 1,443,900 13 Mental Health Trust Lands 1,443,900 14 Administration 15 * * * * * * * * * * 16 * * * * * Department of Revenue * * * * * 17 * * * * * * * * * * 18 Alaska Mental Health Trust 1,738,100 1,738,100 19 Authority 20 Mental Health Trust 1,738,100 21 Operations 22 * * * * * * * * * * 23 * * * * * University of Alaska * * * * * 24 * * * * * * * * * * 25 University of Alaska 1,025,800 200,800 825,000 26 Budget Reductions/Additions 45,000 27 - Systemwide 28 Statewide Services 100,000 29 Anchorage Campus 488,500 30 Fairbanks Campus 287,300 31 Juneau Campus 105,000
01 * * * * * * * * * * 02 * * * * * Alaska Court System * * * * * 03 * * * * * * * * * * 04 Alaska Court System 693,100 227,800 465,300 05 Budget requests from agencies of the Judicial Branch are transmitted as requested. 06 Trial Courts 693,100 07 (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 5,600,300 11 1092 Mental Health Trust Authority Authorized 281,000 12 Receipts 13 *** Total Agency Funding *** $5,881,300 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 100,959,300 21 1092 Mental Health Trust Authority Authorized 7,673,200 22 Receipts 23 1180 Alcohol and Other Drug Abuse Treatment & 18,892,700 24 Prevention Fund 25 *** Total Agency Funding *** $127,525,200 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 * * * * * $140,540,000 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 108,889,700 06 ***Total General Funds*** $108,889,700 07 Federal Funds 08 ***Total Federal Funds*** $0 09 Other Non-Duplicated Funds 10 1092 Mental Health Trust Authority Authorized 11,019,500 11 Receipts 12 1094 Mental Health Trust Administration 1,738,100 13 1180 Alcohol and Other Drug Abuse Treatment & 18,892,700 14 Prevention Fund 15 ***Total Other Non-Duplicated Funds*** $31,650,300 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 Health and Social Services * * * * * 09 * * * * * * * * * * 10 Alaska Psychiatric 3,000,000 3,000,000 11 Institute Asbestos 12 Abatement (HD 17-32) 13 This appropriation is for costs associated with fulfilling the obligation of the State of Alaska 14 related to the demolition and asbestos abatement of the old Alaska Psychiatric Institute. 15 Cost Share Match for Bring 5,000,000 5,000,000 16 the Kids Home (HD 1-40) 17 Home and Community-Based 400,000 400,000 18 Group Home Development (HD 19 1-40) 20 Home Modification and 200,000 200,000 21 Design Upgrades (HD 1-40) 22 Transitional Housing for 1,200,000 1,200,000 23 Substance Abuse (HD 1-40) 24 * * * * * * * * * * 25 * * * * * Department of Natural Resources * * * * * 26 * * * * * * * * * * 27 Mental Health Trust Land 350,000 350,000 28 Facilities Maintenance (HD 29 1-40)
01 * * * * * * * * * * 02 * * * * * Department of Revenue * * * * * 03 * * * * * * * * * * 04 Alaska Housing Finance 05 Corporation 06 AHFC Beneficiary and 1,750,000 1,750,000 07 Special Needs Housing (HD 08 1-40) 09 AHFC Homeless Assistance 2,000,000 2,000,000 10 Program (HD 1-40) 11 * * * * * * * * * * 12 * * * * * Department of Transportation/Public Facilities * * * * * 13 * * * * * * * * * * 14 Coordinated Transportation 400,000 400,000 15 and Vehicles (HD 1-40) 16 (SECTION 5 OF THIS ACT BEGINS ON PAGE 14)
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 1037 General Fund / Mental Health 8,000,000 06 1092 Mental Health Trust Authority Authorized Receipts 350,000 07 1139 Alaska Housing Finance Corporation Dividend 250,000 08 1180 Alcohol and Other Drug Abuse Treatment & Prevention Fund 1,200,000 09 *** Total Agency Funding *** $9,800,000 10 Department of Natural Resources 11 1092 Mental Health Trust Authority Authorized Receipts 350,000 12 *** Total Agency Funding *** $350,000 13 Department of Revenue 14 1092 Mental Health Trust Authority Authorized Receipts 1,000,000 15 1139 Alaska Housing Finance Corporation Dividend 2,750,000 16 *** Total Agency Funding *** $3,750,000 17 Department of Transportation/Public Facilities 18 1092 Mental Health Trust Authority Authorized Receipts 400,000 19 *** Total Agency Funding *** $400,000 20 * * * * * Total Budget * * * * * $14,300,000 21 (SECTION 6 OF THIS ACT BEGINS ON PAGE 15)
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 8,000,000 06 ***Total General Funds*** $8,000,000 07 Federal Funds 08 ***Total Federal Funds*** $0 09 Other Non-Duplicated Funds 10 1092 Mental Health Trust Authority Authorized 2,100,000 11 Receipts 12 1139 Alaska Housing Finance Corporation Dividend 3,000,000 13 1180 Alcohol and Other Drug Abuse Treatment & 1,200,000 14 Prevention Fund 15 ***Total Other Non-Duplicated Funds*** $6,300,000 16 Duplicated Funds 17 ***Total Duplicated Funds*** $0 18 (SECTION 7 OF THIS ACT BEGINS ON PAGE 16)
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.