SCS CSHB 285(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 SENATE CS FOR CS FOR HOUSE BILL NO. 285(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, 2018 and ending June 30, 2019, 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 2,409,500 2,129,000 280,500 13 Office of Public Advocacy 2,034,800 14 Public Defender Agency 374,700 15 * * * * * * * * * * 16 * * * * * Department of Corrections * * * * * 17 * * * * * * * * * * 18 Population Management 1,000,000 1,000,000 19 Community Residential 1,000,000 20 Centers 21 Health and Rehabilitation Services 9,159,000 8,771,100 387,900 22 Behavioral Health Care 6,544,300 23 Substance Abuse Treatment 2,614,700 24 Program 25 * * * * * * * * * * 26 * * * * * Department of Education and Early Development * * * * * 27 * * * * * * * * * * 28 Education Support and Admin Services 427,800 377,800 50,000 29 Student and School 427,800 30 Achievement 31 * * * * * * * * * *
01 * * * * * Department of Health and Social Services * * * * * 02 * * * * * * * * * * 03 It is the intent of the legislature that the department review fund sources in all allocations and 04 reduce excess receipt authority where the department believes the collection of receipts is not 05 achievable. 06 Alaska Pioneer Homes 16,132,200 16,132,200 07 Pioneer Homes 16,132,200 08 The amount allocated for Pioneer Homes includes the unexpended and unobligated balance 09 on June 30, 2018, of the Department of Health and Social Services, Pioneer Homes care and 10 support receipts under AS 47.55.030. 11 Behavioral Health 81,288,900 79,741,300 1,547,600 12 Behavioral Health Treatment 54,260,200 13 and Recovery Grants 14 Alcohol Safety Action 1,461,700 15 Program (ASAP) 16 Behavioral Health 5,617,600 17 Administration 18 Behavioral Health 5,915,100 19 Prevention and Early 20 Intervention Grants 21 Designated Evaluation and 3,794,800 22 Treatment 23 Alaska Psychiatric 6,421,200 24 Institute 25 Alaska Mental Health Board 903,300 26 and Advisory Board on 27 Alcohol and Drug Abuse 28 Suicide Prevention Council 657,700 29 Residential Child Care 2,257,300 30 Children's Services 2,191,900 2,191,900 31 Children's Services 69,500
01 Management 02 Front Line Social Workers 148,500 03 Family Preservation 726,000 04 Foster Care Augmented Rate 500,000 05 Foster Care Special Need 747,900 06 Health Care Services 422,300 130,100 292,200 07 Residential Licensing 130,100 08 Medical Assistance 292,200 09 Administration 10 Juvenile Justice 1,418,300 1,260,600 157,700 11 McLaughlin Youth Center 739,100 12 Fairbanks Youth Facility 117,300 13 Bethel Youth Facility 64,300 14 Probation Services 497,600 15 Public Assistance 13,200 13,200 16 Public Assistance 13,200 17 Administration 18 Public Health 2,025,800 1,775,800 250,000 19 Nursing 98,200 20 Women, Children and Family 796,300 21 Health 22 Public Health 319,100 23 Administrative Services 24 Emergency Programs 762,200 25 Chronic Disease Prevention 10,000 26 and Health Promotion 27 Bureau of Vital Statistics 40,000 28 Senior and Disabilities Services 13,307,800 12,119,200 1,188,600 29 Senior and Disabilities 1,180,600 30 Community Based Grants 31 Early Intervention/Infant 7,424,500
01 Learning Programs 02 Senior and Disabilities 3,439,300 03 Services Administration 04 It is the intent of the legislature that the Department of Health & Social Services re-examine 05 service delivery models to ensure eligible senior and disabled populations receive appropriate 06 services irrespective of where they live in Alaska. The Department of Health and Social 07 Services shall submit a report to co-chairs of the Finance Committees and the Legislative 08 Finance Division on the status of the service no later than February 15, 2019. 09 It is the intent of the legislature that the State of Alaska proceed expeditiously to establish 10 companion services under Section 1915(c) of the Social Security Act to complement and 11 support the services provided through the Medicare/Medicaid waiver programs. The 12 Department of Health and Social Services shall submit a report to co-chairs of the Finance 13 Committees and the Legislative Finance Division on the status of the service no later than 14 January 31, 2019. 15 It is the intent of the legislature that funding for day habilitation be sufficient to provide up to 16 624 hours annually per recipient. The request for additional day habilitation over the annual 17 "soft cap" of 624 hours may be approved to avoid institutional care or for the safety of 18 Medicaid recipients. 19 General Relief/Temporary 740,300 20 Assisted Living 21 Commission on Aging 119,600 22 Governor's Council on 403,500 23 Disabilities and Special 24 Education 25 Departmental Support Services 552,300 552,300 26 Commissioner's Office 202,300 27 It is the intent of the legislature that the department work with Tribal Health Organizations 28 for care coordination agreements with non-tribal providers in order to increase valid referrals 29 for Indian Health Service eligible recipients to maximize the 100% FMAP. It is further the 30 intent of the legislature that the department clearly outline requirements for 100% FMAP for 31 services provided to an IHS beneficiary receiving Medicaid benefits thereby reducing general
01 fund dependency by approximately $35 million. 02 HSS State Facilities Rent 350,000 03 Medicaid Services 74,902,900 72,409,400 2,493,500 04 It is the intent of the legislature that the department work with the Legislative Finance 05 Division to prepare a template for reports to be delivered to the co-chairs of the finance 06 committees and the Legislative Finance Division related to actual Medicaid expenditures and 07 projections for the remainder of FY19 on October 15th, January 15th, March 15th, and June 08 15th. It is further the intent that the template provide FY20 expenditure projections. 09 It is the intent of the legislature that the department significantly increase its efforts to reduce, 10 by approximately $40 million, the state share of Medicaid service costs by managing 11 Medicaid utilization to index with the national average per enrollee cost. In doing so, the 12 department should take into consideration a multiplier to the national average to account for a 13 reasonably higher cost of health care in Alaska. 14 Behavioral Health Medicaid 74,900,400 15 Services 16 Health Care Medicaid 2,500 17 Services 18 * * * * * * * * * * 19 * * * * * Department of Labor and Workforce Development * * * * * 20 * * * * * * * * * * 21 Commissioner and Administrative 75,000 75,000 22 Services 23 Labor Market Information 75,000 24 Employment and Training Services 125,500 125,500 25 Workforce Services 125,500 26 * * * * * * * * * * 27 * * * * * Department of Law * * * * * 28 * * * * * * * * * * 29 Civil Division 100,200 100,200 30 Human Services 100,200 31 * * * * * * * * * *
01 * * * * * Department of Natural Resources * * * * * 02 * * * * * * * * * * 03 Administration & Support Services 4,539,200 4,539,200 04 Mental Health Trust Lands 4,539,200 05 Administration 06 * * * * * * * * * * 07 * * * * * Department of Public Safety * * * * * 08 * * * * * * * * * * 09 Council on Domestic Violence and 2,000,000 2,000,000 10 Sexual Assault 11 Council on Domestic 2,000,000 12 Violence and Sexual Assault 13 * * * * * * * * * * 14 * * * * * Department of Revenue * * * * * 15 * * * * * * * * * * 16 Alaska Mental Health Trust Authority 5,130,100 994,800 4,135,300 17 Mental Health Trust 4,635,300 18 Operations 19 Long Term Care Ombudsman 494,800 20 Office 21 * * * * * * * * * * 22 * * * * * University of Alaska * * * * * 23 * * * * * * * * * * 24 University of Alaska 2,483,400 805,800 1,677,600 25 Anchorage Campus 2,433,400 26 Fairbanks Campus 50,000 27 * * * * * * * * * * 28 * * * * * Judiciary * * * * * 29 * * * * * * * * * * 30 Alaska Court System 227,000 227,000 31 Trial Courts 227,000
01 Therapeutic Courts 3,156,200 2,936,800 219,400 02 Therapeutic Courts 3,156,200 03 (SECTION 2 OF THIS ACT BEGINS ON THE NEXT PAGE)
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 2,129,000 06 1092 Mental Health Trust Authority Authorized Receipts 280,500 07 *** Total Agency Funding *** 2,409,500 08 Department of Corrections 09 1037 General Fund / Mental Health 7,771,100 10 1092 Mental Health Trust Authority Authorized Receipts 387,900 11 1246 Recidivism Reduction Fund 2,000,000 12 *** Total Agency Funding *** 10,159,000 13 Department of Education and Early Development 14 1037 General Fund / Mental Health 377,800 15 1092 Mental Health Trust Authority Authorized Receipts 50,000 16 *** Total Agency Funding *** 427,800 17 Department of Health and Social Services 18 1037 General Fund / Mental Health 160,701,500 19 1092 Mental Health Trust Authority Authorized Receipts 5,929,600 20 1180 Alcohol and Other Drug Abuse Treatment & Prevention Fund 22,124,500 21 1246 Recidivism Reduction Fund 3,500,000 22 *** Total Agency Funding *** 192,255,600 23 Department of Labor and Workforce Development 24 1092 Mental Health Trust Authority Authorized Receipts 200,500 25 *** Total Agency Funding *** 200,500 26 Department of Law 27 1037 General Fund / Mental Health 100,200 28 *** Total Agency Funding *** 100,200 29 Department of Natural Resources 30 1092 Mental Health Trust Authority Authorized Receipts 4,539,200 31 *** Total Agency Funding *** 4,539,200
01 Department of Public Safety 02 1246 Recidivism Reduction Fund 2,000,000 03 *** Total Agency Funding *** 2,000,000 04 Department of Revenue 05 1037 General Fund / Mental Health 494,800 06 1094 Mental Health Trust Administration 4,135,300 07 1180 Alcohol and Other Drug Abuse Treatment & Prevention Fund 500,000 08 *** Total Agency Funding *** 5,130,100 09 University of Alaska 10 1037 General Fund / Mental Health 805,800 11 1092 Mental Health Trust Authority Authorized Receipts 1,677,600 12 *** Total Agency Funding *** 2,483,400 13 Judiciary 14 1037 General Fund / Mental Health 2,645,800 15 1092 Mental Health Trust Authority Authorized Receipts 219,400 16 1180 Alcohol and Other Drug Abuse Treatment & Prevention Fund 518,000 17 *** Total Agency Funding *** 3,383,200 18 * * * * * Total Budget * * * * * 223,088,500 19 (SECTION 3 OF THIS ACT BEGINS ON THE NEXT PAGE)
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 Unrestricted General 05 1037 General Fund / Mental Health 175,026,000 06 *** Total Unrestricted General *** 175,026,000 07 Designated General 08 1180 Alcohol and Other Drug Abuse Treatment & Prevention Fund 23,142,500 09 1246 Recidivism Reduction Fund 7,500,000 10 *** Total Designated General *** 30,642,500 11 Other Non-Duplicated 12 1092 Mental Health Trust Authority Authorized Receipts 13,284,700 13 1094 Mental Health Trust Administration 4,135,300 14 *** Total Other Non-Duplicated *** 17,420,000 15 (SECTION 4 OF THIS ACT BEGINS ON THE NEXT PAGE)
01 * Sec. 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 Equipment (HD 1- 500,000 250,000 250,000 11 40) 12 (SECTION 5 OF THIS ACT BEGINS ON THE NEXT PAGE)
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 250,000 06 1139 Alaska Housing Finance Corporation Dividend 250,000 07 *** Total Agency Funding *** 500,000 08 * * * * * Total Budget * * * * * 500,000 09 (SECTION 6 OF THIS ACT BEGINS ON THE NEXT PAGE)
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 Unrestricted General 05 1139 Alaska Housing Finance Corporation Dividend 250,000 06 *** Total Unrestricted General *** 250,000 07 Other Non-Duplicated 08 1092 Mental Health Trust Authority Authorized Receipts 250,000 09 *** Total Other Non-Duplicated *** 250,000 10 (SECTION 7 OF THIS ACT BEGINS ON THE NEXT PAGE)
01 * Sec. 7. PURPOSE. In accordance with AS 37.14.003 and 37.14.005, the appropriations 02 made in 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 in 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 used as the basis of the 09 appropriation, the affected appropriation is reduced by the amount of the shortfall in receipts. 10 * Sec. 9. SALARY AND BENEFIT ADJUSTMENTS. (a) The appropriations made in sec. 11 1 of this Act include amounts for salary and benefit adjustments for public officials, officers, 12 and employees of the executive branch, Alaska Court System employees, employees of the 13 legislature, and legislators and to implement the terms for the fiscal year ending June 30, 14 2019, of the following collective bargaining agreements: 15 (1) Alaska State Employees Association, for the general government unit; 16 (2) Alaska Vocational Technical Center Teachers' Association, National 17 Education Association, representing the employees of the Alaska Vocational Technical 18 Center; 19 (3) Confidential Employees Association, representing the confidential unit; 20 (4) Public Safety Employees Association, representing the regularly 21 commissioned public safety officers unit. 22 (b) The appropriations made to the University of Alaska in sec. 1 of this Act include 23 amounts for salary and benefit adjustments for the fiscal year ending June 30, 2019, for 24 university employees who are not members of a collective bargaining unit and to implement 25 the terms for the fiscal year ending June 30, 2019, of the following collective bargaining 26 agreements: 27 (1) University of Alaska Federation of Teachers (UAFT); 28 (2) Alaska Higher Education Crafts and Trades Employees, Local 6070; 29 (3) Fairbanks Firefighters Union, IAFF Local 1324; 30 (4) United Academic - Adjuncts - American Association of University 31 Professors, American Federation of Teachers;
01 (5) United Academics - American Association of University Professors, 02 American Federation of Teachers. 03 (c) If a collective bargaining agreement listed in (a) of this section is not ratified by 04 the membership of the respective collective bargaining unit, the appropriations made in this 05 Act applicable to the collective bargaining unit's agreement are adjusted proportionately by 06 the amount for that collective bargaining agreement, and the corresponding funding source 07 amounts are adjusted accordingly. 08 (d) If a collective bargaining agreement listed in (b) of this section is not ratified by 09 the membership of the respective collective bargaining unit and approved by the Board of 10 Regents of the University of Alaska, the appropriations made in this Act applicable to the 11 collective bargaining unit's agreement are adjusted proportionately by the amount for that 12 collective bargaining agreement, and the corresponding funding source amounts are adjusted 13 accordingly. 14 (e) Appropriations made in sec. 1 of this Act for salary and benefit adjustments as 15 described in (a) and (b) of this section are for the benefit of the state's integrated 16 comprehensive mental health program only and do not necessarily affect every group of 17 noncovered employees or every collective bargaining unit listed in (a) and (b) of this section. 18 * Sec. 10. This Act takes effect July 1, 2018.