CCS HB 285: "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. 285 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 2,414,500 2,134,000 280,500 13 Office of Public Advocacy 2,039,800 14 Public Defender Agency 374,700 15 * * * * * * * * * * 16 * * * * * Department of Corrections * * * * * 17 * * * * * * * * * * 18 Population Management 1,000,000 1,000,000 19 It is the intent of the legislature that the Commissioner of the Department of Corrections will 20 prioritize funding and implement solutions, that may include, but not be limited to transitional 21 housing and diversion programs, that reduce the disparity in Alaska Native incarceration 22 throughout the state. 23 Community Residential 1,000,000 24 Centers 25 Health and Rehabilitation Services 9,242,400 8,854,500 387,900 26 Behavioral Health Care 6,620,000 27 Substance Abuse Treatment 2,622,400 28 Program 29 * * * * * * * * * * 30 * * * * * Department of Education and Early Development * * * * * 31 * * * * * * * * * *
01 Education Support and Admin Services 427,800 377,800 50,000 02 Student and School 427,800 03 Achievement 04 * * * * * * * * * * 05 * * * * * Department of Health and Social Services * * * * * 06 * * * * * * * * * * 07 It is the intent of the legislature that the department review fund sources in all allocations and 08 reduce excess receipt authority where the department believes the collection of receipts is not 09 achievable. 10 It is the intent of the legislature that the Department of Health and Social Services submit a 11 report to the co-chairs of the Finance Committees and the Legislative Finance Division by 12 November 15 of 2019 and 2020 on 1) disbursement and use of federal Disproportionate Share 13 Hospital (DSH) dollars by community and regional hospitals, 2) the annual amount of federal 14 DSH funds which the state is not claiming, and 3) future strategies for claiming those funds, 15 including the possibility of hospitals matching those funds, to improve outcomes for patients, 16 providers and the public. 17 Alaska Pioneer Homes 16,386,200 16,386,200 18 Pioneer Homes 16,386,200 19 The amount allocated for Pioneer Homes includes the unexpended and unobligated balance 20 on June 30, 2018, of the Department of Health and Social Services, Pioneer Homes care and 21 support receipts under AS 47.55.030. 22 Behavioral Health 81,411,800 79,857,500 1,554,300 23 Behavioral Health Treatment 54,260,200 24 and Recovery Grants 25 Alcohol Safety Action 1,479,700 26 Program (ASAP) 27 Behavioral Health 5,675,600 28 Administration 29 Behavioral Health 5,915,100 30 Prevention and Early 31 Intervention Grants
01 Designated Evaluation and 3,794,800 02 Treatment 03 Alaska Psychiatric 6,468,100 04 Institute 05 Alaska Mental Health Board 903,300 06 and Advisory Board on 07 Alcohol and Drug Abuse 08 Suicide Prevention Council 657,700 09 Residential Child Care 2,257,300 10 Children's Services 2,191,900 2,191,900 11 Children's Services 69,500 12 Management 13 Front Line Social Workers 148,500 14 Family Preservation 726,000 15 Foster Care Augmented Rate 500,000 16 Foster Care Special Need 747,900 17 Health Care Services 424,500 132,300 292,200 18 Residential Licensing 132,300 19 Medical Assistance 292,200 20 Administration 21 Juvenile Justice 1,438,000 1,271,500 166,500 22 McLaughlin Youth Center 746,600 23 Fairbanks Youth Facility 117,300 24 Bethel Youth Facility 64,300 25 Probation Services 509,800 26 Public Assistance 13,200 13,200 27 Public Assistance 13,200 28 Administration 29 Public Health 2,029,600 1,779,600 250,000 30 Nursing 98,200 31 Women, Children and Family 798,100
01 Health 02 Public Health 319,100 03 Administrative Services 04 Emergency Programs 764,200 05 Chronic Disease Prevention 10,000 06 and Health Promotion 07 Bureau of Vital Statistics 40,000 08 Senior and Disabilities Services 13,339,800 12,147,100 1,192,700 09 Senior and Disabilities 1,180,600 10 Community Based Grants 11 Early Intervention/Infant 7,424,500 12 Learning Programs 13 Senior and Disabilities 3,471,300 14 Services Administration 15 It is the intent of the legislature that the Department of Health & Social Services re-examine 16 service delivery models to ensure eligible senior and disabled populations receive appropriate 17 services irrespective of where they live in Alaska. The Department of Health and Social 18 Services shall submit a report to co-chairs of the Finance Committees and the Legislative 19 Finance Division on the status of the service no later than February 15, 2019. 20 It is the intent of the legislature that the State of Alaska proceed expeditiously to establish 21 companion services under Section 1915(c) of the Social Security Act to complement and 22 support the services provided through the Medicare/Medicaid waiver programs. The 23 Department of Health and Social Services shall submit a report to co-chairs of the Finance 24 Committees and the Legislative Finance Division on the status of the service no later than 25 January 31, 2019. 26 It is the intent of the legislature that funding for day habilitation be sufficient to provide up to 27 624 hours annually per recipient. The request for additional day habilitation over the annual 28 "soft cap" of 624 hours may be approved to avoid institutional care or for the safety of 29 Medicaid recipients. 30 General Relief/Temporary 740,300 31 Assisted Living
01 Commission on Aging 119,600 02 Governor's Council on 403,500 03 Disabilities and Special 04 Education 05 Departmental Support Services 552,300 552,300 06 Commissioner's Office 202,300 07 It is the intent of the legislature that the department work with Tribal Health Organizations for 08 care coordination agreements with non-tribal providers in order to increase valid referrals for 09 Indian Health Service eligible recipients to maximize the 100% FMAP. It is further the intent 10 of the legislature that the department clearly outline requirements for 100% FMAP for 11 services provided to an IHS beneficiary receiving Medicaid benefits thereby reducing general 12 fund dependency by approximately $30 million. 13 HSS State Facilities Rent 350,000 14 Medicaid Services 84,649,300 82,155,800 2,493,500 15 It is the intent of the legislature that the department work with the Legislative Finance 16 Division to prepare a template for reports to be delivered to the co-chairs of the finance 17 committees and the Legislative Finance Division related to actual Medicaid expenditures and 18 projections for the remainder of FY19 on October 15th, January 15th, March 15th, and June 19 15th. It is further the intent that the template provide FY20 expenditure projections. 20 It is the intent of the legislature that the department significantly increase its efforts to reduce 21 the state share of Medicaid service costs by managing Medicaid utilization to index with the 22 national average per enrollee cost. In doing so, the department should take into consideration 23 a multiplier to the national average to account for a reasonably higher cost of health care in 24 Alaska. 25 Behavioral Health Medicaid 84,646,800 26 Services 27 Health Care Medicaid 2,500 28 Services 29 * * * * * * * * * * 30 * * * * * Department of Labor and Workforce Development * * * * * 31 * * * * * * * * * *
01 Commissioner and Administrative 79,000 79,000 02 Services 03 Labor Market Information 79,000 04 Employment and Training Services 125,500 125,500 05 Workforce Services 125,500 06 * * * * * * * * * * 07 * * * * * Department of Law * * * * * 08 * * * * * * * * * * 09 Civil Division 100,200 100,200 10 Human Services 100,200 11 * * * * * * * * * * 12 * * * * * Department of Natural Resources * * * * * 13 * * * * * * * * * * 14 Administration & Support Services 4,539,200 4,539,200 15 Mental Health Trust Lands 4,539,200 16 Administration 17 * * * * * * * * * * 18 * * * * * Department of Public Safety * * * * * 19 * * * * * * * * * * 20 Council on Domestic Violence and 2,000,000 2,000,000 21 Sexual Assault 22 Council on Domestic 2,000,000 23 Violence and Sexual Assault 24 * * * * * * * * * * 25 * * * * * Department of Revenue * * * * * 26 * * * * * * * * * * 27 Alaska Mental Health Trust Authority 5,136,100 1,000,800 4,135,300 28 Mental Health Trust 4,635,300 29 Operations 30 Long Term Care Ombudsman 500,800 31 Office
01 * * * * * * * * * * 02 * * * * * University of Alaska * * * * * 03 * * * * * * * * * * 04 University of Alaska 2,483,400 805,800 1,677,600 05 Anchorage Campus 2,433,400 06 Fairbanks Campus 50,000 07 * * * * * * * * * * 08 * * * * * Judiciary * * * * * 09 * * * * * * * * * * 10 Alaska Court System 227,000 227,000 11 Trial Courts 227,000 12 Therapeutic Courts 3,156,200 2,936,800 219,400 13 Therapeutic Courts 3,156,200 14 (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 2,134,000 06 1092 Mental Health Trust Authority Authorized Receipts 280,500 07 *** Total Agency Funding *** 2,414,500 08 Department of Corrections 09 1037 General Fund / Mental Health 7,854,500 10 1092 Mental Health Trust Authority Authorized Receipts 387,900 11 1246 Recidivism Reduction Fund 2,000,000 12 *** Total Agency Funding *** 10,242,400 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 170,862,900 19 1092 Mental Health Trust Authority Authorized Receipts 5,949,200 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 *** 202,436,600 23 Department of Labor and Workforce Development 24 1092 Mental Health Trust Authority Authorized Receipts 204,500 25 *** Total Agency Funding *** 204,500 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 500,800 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 *** 5,136,100 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 * * * * * 233,367,900 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 185,281,800 06 *** Total Unrestricted General *** 185,281,800 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 13,308,300 13 1094 Mental Health Trust Administration 4,135,300 14 *** Total Other Non-Duplicated *** 17,443,600 15 (SECTION 4 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 (5) Public Employees Local 71, for the labor, trades, and crafts unit; 23 (6) Alaska Public Employees Association, for the supervisory unit. 24 (b) The appropriations made to the University of Alaska in sec. 1 of this Act include 25 amounts for salary and benefit adjustments for the fiscal year ending June 30, 2019, for 26 university employees who are not members of a collective bargaining unit and to implement 27 the terms for the fiscal year ending June 30, 2019, of the following collective bargaining 28 agreements: 29 (1) University of Alaska Federation of Teachers (UAFT); 30 (2) Alaska Higher Education Crafts and Trades Employees, Local 6070; 31 (3) Fairbanks Firefighters Union, IAFF Local 1324;
01 (4) United Academic - Adjuncts - American Association of University 02 Professors, American Federation of Teachers; 03 (5) United Academics - American Association of University Professors, 04 American Federation of Teachers. 05 (c) If a collective bargaining agreement listed in (a) of this section is not ratified by 06 the membership of the respective collective bargaining unit, the appropriations made in this 07 Act applicable to the collective bargaining unit's agreement are adjusted proportionately by 08 the amount for that collective bargaining agreement, and the corresponding funding source 09 amounts are adjusted accordingly. 10 (d) If a collective bargaining agreement listed in (b) of this section is not ratified by 11 the membership of the respective collective bargaining unit and approved by the Board of 12 Regents of the University of Alaska, the appropriations made in this Act applicable to the 13 collective bargaining unit's agreement are adjusted proportionately by the amount for that 14 collective bargaining agreement, and the corresponding funding source amounts are adjusted 15 accordingly. 16 (e) Appropriations made in sec. 1 of this Act for salary and benefit adjustments as 17 described in (a) and (b) of this section are for the benefit of the state's integrated 18 comprehensive mental health program only and do not necessarily affect every group of 19 noncovered employees or every collective bargaining unit listed in (a) and (b) of this section. 20 * Sec. 10. This Act takes effect July 1, 2018.