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SPONSOR: |
Carraro |
DATE TYPED: |
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HB |
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SHORT TITLE: |
Developmental Disabilities Services |
SB |
384 |
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ANALYST: |
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APPROPRIATION
Appropriation
Contained |
Estimated
Additional Impact |
Recurring or
Non-Rec |
Fund Affected |
||
FY03 |
FY04 |
FY03 |
FY04 |
|
|
|
$22,000.0 |
|
See Narrative |
Recurring |
GF |
|
|
|
|
|
|
(Parenthesis
( ) Indicate Expenditure Decreases)
Relates to: HM4; SM16;
HJM10; SB300; HB309 ;SB361
Relates
to Appropriation in the General Appropriation Act
REVENUE
Estimated Revenue |
Subsequent Years Impact |
Recurring or
Non-Rec |
Fund Affected |
|
FY03 |
FY04 |
|
|
|
|
$64,477.9 |
|
Recurring |
GF |
|
|
|
|
|
(Parenthesis ( ) Indicate Revenue Decreases)
Responses
Received From
Department
of Health (DOH)
Health
Policy Commission (HPC)
Synopsis of Bill
Senate Bill
384 appropriates $22,000,000 from the general fund to the Department of Health
for FY04 to provide services to eligible un-served persons with developmental
disabilities.
Significant Issues
The Long Term
Services (LTSD) data indicates that approximately 2800 persons are waiting for
service on the Developmental Disabilities (DD) Waiver Central Registry. This
funding could serve approximately 1441 of those individuals.
The current
wait for services under the DD Waiver is 48 months on average,.
FISCAL
IMPLICATIONS
The
appropriation of $22,000.0 contained in this bill is a recurring expense to the
general fund. Any unexpended or unencumbered balance remaining at the end of FY
04 shall revert to the general fund.
The amount
recommended could be matched with federal funds at a rate of 74.56%, which
would equal $64,477,987.
ADMINISTRATIVE
IMPLICATIONS
The Division
of Health Improvement (DHI), Incident Management Bureau estimates it would
require an additional 11 FTE to maintain current caseloads for investigators
and the intake unit. The Division of
Health Improvement/Quality Management Bureau estimates it would require an addition
of 7 FTE to handle a larger sample size for its current provider program audits
and to address a possible increase in the number of providers. The Long Term Services Division would need 9
additional staff (especially in the Eligibility Unit) to ensure timely
admission to the DD Waiver Program, provide monitoring of individuals services
and to provide training and technical assistance to community providers.
Ongoing
activities conducted by the Department of Health, such as monitoring of
Individual Services Plans (ISPs), training and technical assistance would need
to be increased to support safe and appropriate service delivery to new and
existing individuals on the DD Waiver.
The FTE’s
would help reduce the exposure to the Department with respect to the Lewis
lawsuit and other lawsuits brought with regard to federal Medicaid management
standards.
RELATIONSHIP
SB 361
appropriates $15,000,000 to provide DD waiver services to persons from the
Central Registry.
HB309 would
appropriate $1,610,000 to provide DD Waiver services to persons from the Registry
wait list.
HM4,
SM16 and HJM10, which all express recognition and appreciation for Direct Care
Staff who provide Developmental Disability Community-Based Services.
SB300
– Developmental Disabilities Program Equity – makes an appropriation of
$3,163,200 to provide cost of living Increases
to providers and to address rate equity between the State Developmental
Disabilities Programs funded with Waiver Funds versus
General Funds.
HB309 –
Medicaid Developmental Disabilities Waiver – makes an appropriation of
$3,264,656 to provide cost-of-living increases to providers and to reduce the
waiting list for the Medicaid Developmental Disabilities Waiver program.
SB361 – Reduce
Developmental Disabilities Wait List – makes an appropriation of $15 million to
reduce the waiting list for
OTHER
SUBSTANTIVE ISSUES
DOH reports
that historically the capacity of the state’s provider system (case management
and direct service providers) to grow in response to new funding/individuals in
the system has been between 200-400 persons per year. Action to support the proposed level of
growth in the system will need to be implemented beginning in FY03 and continuing
as service demand increases in FY04. Without aggressive recruitment and
training initiatives the health and safety of individuals in the DD Waiver
system could be compromised. SB 384 does not include any appropriation to
support system development activities. Unused funds, resulting from limited
provider capacity cannot be redirected for other uses and will revert.
BD/ls:yr