Transcript Department of Human Services

Department of Human Services
Budget Request FY2011
Agency Budget Briefing
March 10, 2010
Pat Quinn, Governor
Michelle R. B. Saddler, Secretary
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DHS Agency Budget for FY2011
General Revenue Fund – Dollars in billions
FY08 Actual Expenditures = $4.086B
FY09 Actual Expenditures = $4.144B with BRF $4.240B
FY10 Estimated Spending = $4.012B
FY11 Appropriation Request = $3.887B
$4.500
$0.096
$3.600
$2.700
$4.086
$4.144
$4.012
$3.887
FY08 Act Spdg
FY09 Act Spdg
FY10 Est Spdg
FY11 Request
$1.800
$0.900
$0.000
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DHS FY2011
Budget Request Highlights
•The FY11 proposed budget represents a $125.0M GRF decrease
from FY10 Agency estimated expenditures and $150.0M below
FY10 appropriations. Some of the increased funding items are
highlighted next.
•The Home Services Program budget proposal includes $49.5M
to support program liability growth and annualization. In
addition, $36.3M is included for an investment in the wages paid
to providers enabling individuals with disabilities to remain in
their homes.
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DHS FY2011
Budget Request Highlights Continued
•The introduced budget also supports the move of another 125
individuals currently residing in SODCs to the community in
FY11.
•Funding for additional 93 DCFS transitions into the Division of
Developmental Disabilities programs.
•The Income Assistance lines are increased by $20.2M to support
estimated program liability.
4
DHS FY2011
Budget Request Highlights Continued
•The Child Care proposed budget includes funding to support
increase in rates and health insurance.
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DHS FY2011
Alcoholism and Substance Abuse
Budget Request Highlights
•DASA will complete full implementation of performance based
contracting with DARTS calendar year 2009 data as the baseline.
•In addition, DASA will operationalize a web portal that will
allow providers access to their own data and provide data reports.
The report function will allow providers to sort in several ways to
measure their progress against the benchmarks they have
established.
•DASA will work with the Illinois National Guard and Veterans
to improve coordination of care and access to services for
guardsmen and veterans returning from duty.
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DHS FY2011
Alcoholism and Substance Abuse
Budget Request Highlights Continued
•DASA will also implement additional utilization management
and quality review measures to assure the most efficient and
clinically effective use of scarce resources.
•The FY11 proposed budget reflects an overall 8% reduction for
DASA’s non-Medicaid GRF appropriations. Impacts Addiction
treatment, welfare reform, and special populations line item
appropriations.
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Alcoholism and Substance Abuse
General Revenue Fund – Dollars in millions
FY08 Actual Expenditures = $164.5M
FY09 Actual Expenditures = $109.5M with BRF $164.6M
FY10 Estimated Spending = $147.1M
FY11 Appropriation Request = $140.3M
$200.0
$150.0
$100.0
$55.1
$164.5
$147.1
$109.5
$50.0
$140.3
$0.0
FY08 Act Exp
FY09 Act Exp
FY10 Est Spdg
GRF
FY11 Request
BRF
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DHS FY2011
Community Health and Prevention
Budget Request Highlights
•The FY11 budget proposal reflects line consolidations for
Community Youth Services. The Community Services,
Delinquency Prevention and Juvenile Justice Reform lines have
been combined with the Comprehensive Community Based
Youth Services appropriation line. Combining the appropriation
lines will facilitate the Department’s ability to use these limited
resources in a more coordinated manner.
•The Community Health and Prevention introduced funding
includes a 10% reduction for the majority of GRF grant lines.
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Community Health and Prevention
General Revenue Fund – Dollars in millions
FY08 Actual Expenditures = $241.8M
FY09 Actual Expenditures = $248.0M with BRF $249.7
FY10 Estimated Spending = $226.5M
FY11 Appropriation Request = $206.7M
$300.0
$250.0
$1.7
$200.0
$150.0
$241.8
$248.0
$226.5
$206.7
$100.0
$50.0
$0.0
FY08 Act Exp
FY09 Act Exp
FY10 Est Spdg
FY11 Request
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DHS FY2011
Human Capital Development
Budget Request Highlights
• The Division of Human Capital Development proposed budget
includes funding in the income assistance lines to maintain
caseloads.
•HCD anticipates serving the following customers under the
income assistance programs in FY11
• 319,214 AABD customers annually
• 32,000 TANF customers monthly
• 105,857 Transitional Assistance customers annually
• 10,502 State Family and Child Assistance customers annually
• 7,212 Refugee customers annually
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DHS FY2011
Human Capital Development
Budget Request Highlights Continued
• The FY11 budget proposal reflects HCD operations at a
maintenance level.
•The FY11 introduced budget includes funding to support rate
increases for home and center child care providers and proposes
to serve 160,700 children in FY11.
•In addition, the child care program plans to implement child care
background checks, reduce child care quality spending, and cap
spending to non-TANF employment and training clients.
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DHS FY2011
Human Capital Development
Budget Request Highlights Continued
•The FY11 child care appropriation also plans to defer $55M
(one-month) of FY11 liability in FY12.
•The introduced budget also reflects additional new Supplemental
Nutrition Assistance Program (SNAP) administrative funding in
the amount of $17.0M, made available under the federal
Department of Defense bill. These dollars are available through
September 30, 2010 with the potential for reallocation of
unexpended dollars through September 30, 2011.
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DHS FY2011
Human Capital Development
Budget Request Highlights Continued
Unless extended, ARRA funding for some programs will reach their end early in
FY11. Some outcomes seen so far:
•Supplemental Nutrition Assistance Program (SNAP)
-SNAP (Food Stamps) Benefits
-Through 1-31-2010, $326,594,365 has been issued in additional SNAP benefits to
755,937 households
- SNAP Administration - $11.9M
-70 caseworkers brought on to do SNAP casework
-Covered increased EBT (Electronic Benefits Transfer) costs for LINK benefits
distribution
-Provided outreach and interpretation to 1,865 customers
-These funds expire 9-30-2010
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DHS FY2011
Human Capital Development
Budget Request Highlights Continued
• Emergency Food Assistance - $11.5M
–As of 3-05-2010, $4,199,814 worth of ARRA food commodities has been
distributed statewide.
•This translates to more than 3.3 million pounds of food. High-protein items,
such as whole chickens, deli-style turkey, fresh eggs, cheese and peanut
butter in addition to canned fruit items have been distributed to our eight
Illinois Food banks who, in turn, distribute to a network of over 750 food
pantries, soup kitchens and homeless shelters
•Child Care - $74.0M
–Parent co-payments were reduced by 15%
–Job Search was extended to 90 days
–An Infant Toddler Specialist Program is being implemented.
–These funds must be liquidated by September 30, 2011.
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Human Capital Development
General Revenue Fund – Dollars in billions
FY08 Actual Expenditures = $1.057B
FY09 Actual Expenditures = $1.093B with BRF $1.095B
FY10 Estimated Spending = $1.054B
FY11 Appropriation Request = $1.015B
$1.200
$0.002
$1.000
$0.800
$0.600
$1.057
$1.093
FY08 Act Exp
FY09 Act Exp
$1.054
$1.015
$0.400
$0.200
$0.000
FY10 Est Spdg
GRF
BRF
FY11 Request
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DHS FY2011
Developmental Disabilities
Budget Request Highlights Continued
•Rate
reductions of 2.5% for all community based programs will
be implemented in FY11.
•In addition, non-Medicaid grant program funding will be
eliminated.
•The community funding for DD services will see an extension of
the long-term care payment cycle and the implementation of a 1
½ month payment cycle for other community residential and day
services.
•The proposed budget supports the transition of an additional 125
individuals out of state-operated developmental centers to
community-based settings.
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DHS FY2011
Developmental Disabilities
Budget Request Highlights
•In
addition, $5.9M is included to fund the annualization of the
FY10 SODC transitions to the community.
•DCFS
transitions to DD community services are annualized and
funding to support 93 additional transitions are reflected in the
Governor’s introduced budget.
•The
FY11 budget proposal restores $15.6M of GRF costs shifted
in FY10 to one-time funding sources.
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Developmental Disabilities
General Revenue Fund – Dollars in billions
FY08 Actual Expenditures = $1.336B
FY09 Actual Expenditures = $1.356B with BRF $1.385B
FY10 Estimated Spending = $1.319B
FY11 Appropriation Request = $1.224B
$1.600
$1.400
$1.200
$1.000
$0.800
$0.600
$0.400
$0.200
$0.000
$0.029
$1.336
$1.356
$1.319
$1.224
FY08 Act Exp
FY09 Act Exp
FY10 Est Spdg
GRF
BRF
FY11 Request
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DHS FY2011
Mental Health
Budget Request Highlights
•The FY11 proposed budget includes a $4.3M increase to support
the Money Follows the Person federal grant program.
•Also, the FY11 introduced budget includes $1.2M for the cost of
the population expansion at TDF.
•Reduction to Community Services of $90.7M (32.5% reduction
to GRF Community Grants and an estimated impact of 40% 42% reduction to Community Contracts)
•DMH will receive over $24.0M in Federal monies over the next
six years to support such initiatives as Veterans Reintegration,
and multiple Child & Adolescent serving programs that greatly
enhance the care in Illinois for these important populations.
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DHS FY2011
Mental Health
Budget Request Highlights Continued
•DMH received additional revenues due to the Economic
Stimulus Package and the increase in FMAP at $6.7 million in
FY09. The Division has received $14.2 million to date and
projects total revenues of $20.5 million for FY10.
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Mental Health
General Revenue Fund – Dollars in millions
FY08 Actual Expenditures = $618.1M
FY09 Actual Expenditures = $610.1M with BRF $614.8M
FY10 Estimated Spending = $532.3M
FY11 Appropriation Request = $480.7M
$700.0
$4.7
$600.0
$500.0
$400.0
$300.0
$618.1
$610.1
$532.3
$480.7
$200.0
$100.0
$0.0
FY08 Act Exp
FY09 Act Exp
FY10 Est Spdg
GRF
BRF
FY11 Request
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DHS FY2011
Rehabilitation Services
Budget Request Highlights
•The FY11 proposed budget includes a $69.3M net increase for the Home
Services Program. An estimated $36.3M is to support the personal attendant
and homemaker wage and health insurance increases. In addition, $49.5M is
needed to fund program annualizations and new growth in FY11.
•The Home Services Program will be implementing services parameters in the
five instrumental activities of daily living to standardize the number of hours
available for housekeeping, laundry, meal preparation, money management
and activities outside the home. In addition, the asset limit test for eligibility
for new clients will be reduced from $17.5K to $2.0K (current Medicaid
level). Estimated savings of $19.5M from these changes.
•As a result of the Fletcher arbitration decision, $3M is included to convert
contractual staff to state employees.
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Rehabilitation Services
General Revenue Fund – Dollars in millions
FY08 Actual Expenditures = $490.4M
FY09 Actual Expenditures = $551.8M
FY10 Estimated Spending = $581.5M
FY11 Appropriation Request = $655.8M
$700.0
$600.0
$500.0
$400.0
$300.0
$490.4
$551.8
$581.5
$655.8
FY08 Act Exp
FY09 Act Exp
FY10 Est Spdg
FY11 Request
$200.0
$100.0
$0.0
GRF
BRF
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Client & Job Impact Related to FY11 Reductions
Division
Clients Impacted
Estimated Job
Impact
Community Health & Prevention
42,000
Child Care – Background Checks
7,900 children
Child Care – Cap services to Non-TANF
5,900 children
Mental Health - Residential
4,000 adults in housing
Mental Health – Community based services
70,000 persons (including 4,200 children)
3,850
Developmental Disabilities funding
Reductions
Grant elimination
Rate cuts/payment cycle
3,000 persons, up to 30,000 unduplicated
persons annually
700 related to nonMedicaid grant
reduction
Home Services Program
19,000 customers could have reductions in
services received
Fewer than 1,000
FTEs, up to 19,000
PAs could lose hours
Addiction Treatment
2,500
170
Total
178,500
6,220
500
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DHS FY2011
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/2011.
May we entertain questions about the Appropriation Request?
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