Transcript Department of Human Services

Department of Human Services
Budget Request FY2013
Agency Budget Briefing
February 22, 2012
Pat Quinn, Governor
Michelle R. B. Saddler, Secretary
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DHS Agency Budget for FY2013
General Revenue Fund – Dollars in billions
FY10 Actual Expenditures = $3.997B
FY11 Actual Expenditures = $3.894B
FY12 Estimated Spending = $3.387B
FY13 Appropriation Request = $3.385B
$4.500
$3.600
$2.700
$1.800
$3.997
$3.894
$3.387
$3.385
FY12 Est Spdg
FY13 Request
$0.900
$0.000
FY10 Act Spdg
FY11 Act Spdg
2
DHS FY2013
Budget Request Highlights
• The FY13 proposed budget represents a modest $2.0M GRF
decrease from FY12 Agency estimated expenditures.
•As highlighted in the Governor’s budget message, DHS will be
continuing to rebalance the long term care system for individuals
with developmental disabilities and individuals with mental
illness. As previously announced, DHS plans to close the
Jacksonville Developmental Center and the Tinley Park MHC in
FY13.
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DHS FY2013
Budget Request Highlights Continued
•In addition, to the facility closures already announced, DHS
plans to begin closure of Singer Mental Health Center and
Murray Developmental Center in FY13.
•With these institutional setting closures, the Governor’s
proposed budget includes $20.8M investment in the community
for individuals transitioning from state operated DD facilities and
$14.6M for community based mental health services in the areas
impacted by MH facility closures.
4
DHS FY2013
Budget Request Highlights Continued
•In addition to the community investment for individuals
transitioning from state operated centers, the budget request also
includes $38.9M for implementation of the Ligas Consent Decree
and over $37.0M for the costs associated with the Williams
Consent Decree ($21.0M in GRF and $16.0M from the DHS
Community Services Fund).
•The funding request for the Temporary Assistance for Needy
Families includes a $114.9M increase due to caseload growth in
FY12 and projected for FY13.
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DHS FY2013
Budget Request Highlights Continued
•Unfortunately, there are many valuable programs that are being
reduced in the Governor’s proposed budget.
•The Home Services Program budget reflects significant changes
in eligibility and service costs maximums.
•The Child Care budget also includes policy changes concerning
eligibility and quality investment in order to reduce expenditures.
•The TANF benefits will be limited to three years instead of the
current five years.
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DHS FY2013
Budget Request Highlights Continued
•General revenue funding for community youth services is being
reduced.
•Addiction Prevention, general revenue funds, is eliminated in the
Governor’s FY13 proposed budget.
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DHS FY2013
Alcoholism and Substance Abuse
Budget Request Highlights
•DASA will implement utilization management and quality
review measures for Medicaid services to assure the most
efficient and clinically effective use of scarce resources.
Estimated savings from utilization management is $5.0M in
FY13.
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Alcoholism and Substance Abuse
General Revenue Fund – Dollars in millions
FY10 Actual Expenditures = $146.8M
FY11 Actual Expenditures = $133.2M
FY12 Estimated Spending = $130.1M
FY13 Appropriation Request = $125.0
$150.0
$100.0
$146.8
$133.2
$130.1
$50.0
$125.0
$0.0
FY10 Act Exp
FY11 Act Exp
FY12 Est Spdg
FY13 Request
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DHS FY2013
Developmental Disabilities
Budget Request Highlights
•The
FY13 budget request represents two significant actions in
the State’s efforts to transition services for individuals with
developmental disabilities from Long Term Care Facilities to
Person Centered, Community Integrated Services: 1) the closure
of SODCs, and 2) the implementation of the Ligas Consent
Decree.
•The costs of operating SODCs will be reduced by $20.8M by the
completed closure of Jacksonville Developmental Center, and the
initiation of the closure of Murray Developmental Center in
FY13.
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DHS FY2013
Developmental Disabilities
Budget Request Highlights Continued
•As
part of these closures, the proposed budget includes $20.8M
to support the transition of an additional 350 individuals out of
state-operated centers to community-based settings.
•The proposed budget includes $38.9M to fund activities required
under the Ligas Consent Decree. This includes funds for 200
individuals to move from private ICFs/DD to community-based
settings and 700 individuals on the waiting list to receive
services.
•DCFS transitions to DD community services are annualized and
funding to support 90 additional transitions is reflected in the
Governor’s introduced budget.
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DHS FY2013
Developmental Disabilities
Budget Request Highlights Continued
•In
order to meet budgetary restrictions, Non-Medicaid program
funding will be reduced by $18.2M.
•The
community funding for DD services will see a continuation
of payment cycles for long term care and community residential
and day services.
•$50.0M
of funding for DD community services will be funded
from the Healthcare Provider Relief Fund.
.
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Developmental Disabilities
General Revenue Fund – Dollars in billions
FY10 Actual Expenditures = $1.331B
FY11 Actual Expenditures = $1.089B
FY12 Estimated Spending = $1.109B
FY13 Appropriation Request = $1.299B;
*$1.349B including $50.0M from the Healthcare Provider Relief Fund
$1.400
$1.200
$0.05
$1.000
$0.800
$0.600
$0.400
$1.331
$1.089
$1.109
$1.299
FY11 Act Exp
FY12 Est Spdg
FY13 Request
$0.200
$0.000
FY10 Act Exp
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DHS FY2013
Family & Community Services
Budget Request Highlights
•At the recommendation of the Human Services Commission the Divisions of
Human Capital Development and Community Health and Prevention were
merged into the Division of Family and Community Services. FY 2013 will be
the first full year of operation for the Division.
•The division emphasizes a structure that provides services along a continuum
of care from birth to death and represents a comprehensive approach to
meeting the basic needs of DHS customers: access to food, nutrition education,
prenatal care, housing assistance, quality child care, youth services, income
assistance and other supportive services.
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DHS FY2013
Family & Community Services
Budget Request Highlights Continued
•The proposed budget includes funding in the income assistance lines to allow
us to meet the estimated TANF caseload increase of 34.32% and to maintain
all other income assistance caseloads.
•The FY 13 introduced budget includes funding to support rate increases for
home child care providers and proposes to serve 171,000 children per month in
FY13.
•A new LINK contract and contractor will start in FY13, resulting in an
estimated savings of $9.8M for FY13.
•Income eligibility under the Emergency Food Assistance Program increased
from 130% to 185% of FPL. Potentially 337,000 people will be eligible to
access emergency food.
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DHS FY2013
Family & Community Services
Budget Request Highlights Continued
• Child Care funding for FY13 continues in the federal 347 fund at the FY12
level.
•The proposed budget supports Child Care program changes that include
increased parent co-payments, reducing initial application eligibility to 150%
of FPL and implementing upfront registrations for providers before they serve
children.
•Emergency and Transitional Housing is being reduced by 51.7% and
Homeless Prevention is maintained at the FY12 level.
•There will be 24 Family and Community Resource Centers consolidated
throughout the state.
•The Infant Mortality and Intensive Prenatal appropriations were combined to
promote use of these limited resources in a more coordinated manner.
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DHS FY2013
Family & Community Services
Budget Request Highlights Continued
• Support Services funding is increased in the FY13 budget for
TANF clients engaged in employment and training activities.
•State funded portion of the Addiction Prevention services were
eliminated in the FY2013 budget – approximately 33,500 school
aged youth and adults will lose access to evidence-based
substance abuse prevention services.
•Reductions are also noted in Healthy Families grants, Youth
Programs (Teen Reach), Domestic Violence Shelters and
Community Services.
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Family & Community Services
General Revenue Fund – Dollars in billions
FY10 Actual Expenditures = $1.242B
FY11 Actual Expenditures = $1.422B
FY12 Estimated Spending = $.876B
FY13 Appropriation Request = $.969B
$1.400
$1.200
$1.000
$0.800
$1.242
$1.422
$0.600
$0.400
$0.876
$0.969
FY12 Est Spdg
FY13 Request
$0.200
$0.000
FY10 Act Exp
FY11 Act Exp
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DHS FY2013
Mental Health
Budget Request Highlights
•The Governor’s introduced budget request includes $21.0M
general revenue funds for the implementation of the Williams
Consent Decree. This will be in addition to funds available in the
DHS Community Services fund to support costs associated with
the Williams Consent Decree and other rebalancing efforts. This
funding will support transitions for an additional 384 individuals.
•The request includes $14.6M for rebalancing in Region 1S and
Region 2 to reinvest in community services in those regions
resulting in a community-based service system that is more
Recovery –focused and better integrated with other human
services supports.
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DHS FY2013
Mental Health
Budget Request Highlights Continued
•The FY13 budget request reduces GRF by $58.4M for
community mental health services. The following programs are at
risk for reductions or eliminations:
Crisis Residential
Supported Residential
Supervised Residential
Crisis Services
Patient Transportation
Jail Data Link
Non-Medicaid FFS
Children’s MH Special Projects
Psychiatric Leadership
Mental Health Rental Subsidies
Juvenile Justice Programs
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Mental Health
General Revenue Fund – Dollars in millions
FY10 Actual Expenditures = $524.4M
FY11 Actual Expenditures = $490.1M
FY12 Estimated Spending = $498.1M
FY13 Appropriation Request = $453.6M
$700.0
$600.0
$500.0
$400.0
$300.0
$524.4
$490.1
$498.1
$453.6
$200.0
$100.0
$0.0
FY10 Act Exp
FY11 Act Exp
FY12 Est Spdg
FY13 Request
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DHS FY2013
Rehabilitation Services
Budget Request Highlights
•The Home Services Program budget proposal includes $44.2M to support
liability growth and annualization.
• The proposed budget reflects a $240.0M shift off GRF to a fund to be created
to receive Federal Financial Participation generated from the Home Services
program . The new fund will be used to support program liability.
• In addition, $60.4M in policy and programmatic changes will be
implemented in order to preserve the integrity of the program and ensure it will
be sustainable to those who need it in the foreseeable future.
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DHS FY2013
Rehabilitation Services
Budget Request Highlights
•The eligibility threshold, as assessed by the Determination of Need (DON),
will be increased from 29 to 37. This change will impact approximately 1,500
new applicants, not existing customers.
•The Service Cost Maximums for customers with DON scores between 29 and
39 will be decreased to be more consistent with the Department on Aging’s
Community Care Program. This may reduce services to up to 14,000
customers.
•Individuals with a diagnosis of only mental illness or developmental
disabilities will not be allowed into the Home Services Program. This change
will impact approximately 400 new applicants.
•With the exception of Respite, services to individuals under the age of 18
will be eliminated. This change will impact up to1,300 customers.
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DHS FY2013
Rehabilitation Services
Budget Request Highlights
•Individuals in the Brain Injury Waiver, who do not need a specialized service,
will be transitioned to the Persons with Disabilities Waiver. This change will
impact approximately 3,000 customers.
•The provider payment process with be tightened by piloting a new time sheet.
In addition, payments will no longer be made to providers who do not
complete a Medicaid Provider Enrollment Form.
•The eligibility requirements for Interim services will be limited in order to
more narrowly define its use and time limits for service until Medicaid
eligibility is determined.
•The program will continue to defer approximately $12M of program liability
into the next fiscal year.
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Rehabilitation Services
General Revenue Fund – Dollars in millions
FY10 Actual Expenditures = $598.3M
FY11 Actual Expenditures = $605.6M
FY12 Estimated Spending = $620.9M
FY13 Appropriation Request = $379.6M;
*$619.6M including $240.0 from the new HSP Medicaid Trust Fund
$700.0
$600.0
$240.0
$500.0
$400.0
$598.3
$605.6
$300.0
$620.9
$200.0
$379.6
$100.0
$0.0
FY10 Act Exp
FY11 Act Exp
FY12 Est Spdg
GRF
HSP FFP
FY13 Request
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DHS FY2013
The DHS Budget Briefing Book will not be available in printed
form, but the material can be reviewed or downloaded from the
DHS Website at www.dhs.state.il.us/budget/2013.
May we entertain questions about the Appropriation Request?
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