2007HHS 29118 REV2 Hhs07chg
User Manual: 29118 REV2
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HEALTH and HUMAN SERVICES BUDGET NET FISCAL IMPACT OF PROPOSALS 2007FINALHHS.xls Working Group Agreement - HF 1078 Trkg.a Gov Rec Line m / Bill Ref Fund BACT FY 2008 DESCRIPTION FY 2009 FY 08-09 FY 2010 FY 2011 FY 10/11 NET FISCAL IMPACT: DIRECT APPROPRIATIONS +/- NON-DEDICATED REVENUE Note: 235,966 Increases in non-dedicated revenues are shown as negatives in this tracking Pre-K Program 1 2 3 4 5 6 7 8 9 TOTAL - ALL AGENCIES GF General Fund SGSR State Government Special Revenue Fund HCAF Health Care Access Fund TANF Federal TANF LOTT Lottery Prize Fund OTH Other Funds DED Statutory Funds 260,000 1,238 (1,023) 170,457 254,741 425,198 268,809 297,709 566,518 110,200 12,093 28,126 19,309 729 0 0 127,004 2,429 102,973 22,001 334 0 0 237,204 14,522 131,099 41,310 1,063 0 0 124,920 2,739 110,228 30,713 209 0 0 134,056 2,749 125,844 34,851 209 0 0 258,977 5,488 236,071 65,564 418 0 0 10 11 12 13 14 15 Other Bills SF 1611 - Pre-K allowance - GF net administrative costs SF 2157- Bonding (H-DOA) Grant for predesign multicultural secured treatment facility-Pope County HF 886-Bonding - $4 M bond authorization for Ah Gwah Ching site development from 2005 bonding bill does not cancel until 6/30/10 (AGC) 16 17 HCAF FUND BALANCE February 2007 Forecast Investment income change (cumulative, per DOF) NON HHS Proposals DHS Proposals (cumulative) HealthMatch Reserve Ending Balance 185,845 (469) (76) (28,126) 270,317 (3,069) (103) (131,099) 387,566 (10,448) (103) (241,327) 531,111 (24,225) (103) (367,170) 157,174 136,046 135,688 139,613 74,652 (19,309) 98,844 (41,310) 127,051 (72,023) 153,149 (106,874) 55,343 57,534 55,028 46,275 130,392 220,224 350,615 248,782 278,272 527,054 96,149 108,474 204,623 114,144 123,280 237,425 15 31 46 31 31 62 Health Care Access Fund 19,607 95,117 114,724 109,418 125,634 235,051 Federal TANF 13,891 16,268 30,159 24,980 29,118 54,098 729 334 1,063 209 209 418 Other Funds 0 0 0 0 0 0 Statutory Funds 0 0 0 0 0 0 32,190 24,941 57,131 14,181 13,591 27,772 8,159 10,094 8,519 5,418 0 10,045 1,307 7,856 5,733 0 18,204 11,401 16,375 11,151 0 5,941 1,697 810 5,733 0 5,941 1,707 210 5,733 0 11,882 3,404 1,020 11,466 0 VETERANS NURSING HOMES BOARD GF General Fund OTH Other Funds 5,469 7,441 12,910 4,191 4,191 8,382 5,469 0 7,441 0 12,910 0 4,191 0 4,191 0 8,382 0 HEALTH RELATED BOARDS GF General Fund SGSR State Government Special Revenue Fund HCAF Health Care Access Fund OTH Other Funds 1,093 983 2,076 903 903 1,806 0 1,093 0 0 0 983 0 0 0 2,076 0 0 0 903 0 0 0 903 0 0 0 1,806 0 0 EMERGENCY MEDICAL SERVICES BOARD GF General Fund SGSR State Government Special Revenue Fund OTH Other Funds 369 415 784 15 15 30 (215) 999 0 (93) 108 0 (93) 108 0 (186) 216 0 63 64 65 66 COUNCIL ON DISABILITY GF General Fund OTH Other Funds 812 524 1,336 524 524 1,048 812 0 524 0 1,336 0 524 0 524 0 1,048 0 67 68 69 OMBUDSMAN FOR MENTAL HEALTH AND MENTAL RETARDATION GF General Fund OTH Other Funds 122 193 315 193 193 386 122 0 193 0 315 0 193 0 193 0 386 0 10 20 30 20 20 40 10 0 20 0 30 0 20 0 20 0 40 0 18 19 20 21 22 23 24 25 FEDERAL TANF BALANCE February 2007 Forecast Proposals (cumulative) Non-HHS Ending Balance 26 27 28 29 30 31 32 33 34 35 36 37 38 39 DEPARTMENT OF HUMAN SERVICES GF SGSR HCAF TANF LOTT OTH DED General Fund State Government Special Revenue Fund Lottery Prize Fund 40 41 42 43 44 45 46 DEPARTMENT OF HEALTH GF General Fund SGSR State Government Special Revenue Fund HCAF Health Care Access Fund TANF Federal TANF OTH Other Funds 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 (522) 891 0 307 108 0 62 70 71 72 73 74 75 76 77 78 79 OMBUDSMAN FOR FAMILIES GF General Fund OTH Other Funds DEPARTMENT OF HUMAN SERVICES 80 81 Agency Management Reduction - General 82 83 GF 10 (272) (272) (544) 0 0 0 GF TOTAL (272) (272) (544) 0 0 0 Agency Management (272) (272) (544) 0 0 0 84 85 86 Health Improvement Account/Pay for Performance Agency Initi 87 88 GF 10 272 272 544 0 0 0 GF TOTAL 272 272 544 0 0 0 Health Improvement Account or Appropriation based on MSOP and MnCare Op 272 272 544 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 90 91 Agency Management Reduction for Certain Activities GF TOTAL 92 93 94 95 GF 10 GF 10 GF REV1 Transfer to Washington DC Office 0 0 0 0 Gubernatorial Staff Administrative FFP 96 97 98 HHS Agency Carry forward for Systems 99 100 GF REV2 1,744 0 1,744 0 0 0 GF TOTAL 1,744 0 1,744 0 0 0 2007 Carry forward for technology 1,744 0 1,744 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 650 650 1,300 650 650 1,300 (650) (650) (1,300) (650) (650) (1,300) 101 102 103 Background Studies: Fee Alignment DED TOTAL 104 105 106 DED 11 DED REV2 Background Study Costs Dedicated Revenue David Godfrey - Senate Fiscal Analysis John Walz House Fiscal Analysis 6/26/2007, 3:26 PM Tab 1: Page 1 of 19 HEALTH and HUMAN SERVICES BUDGET NET FISCAL IMPACT OF PROPOSALS 2007FINALHHS.xls Working Group Agreement - HF 1078 Trkg.a Gov Rec Line m / Bill Ref Fund BACT DESCRIPTION FY 2008 FY 2009 FY 08-09 FY 2010 FY 2011 FY 10/11 107 108 Background Studies: Compliance with Federal Requirements 109 110 GF 11 GF 11 GF REV1 111 112 113 1,036 1,011 2,047 942 942 1,884 GF TOTAL 1,036 1,011 2,047 942 942 1,884 Child Foster Care Background Studies (DHS) 1,793 1,686 3,479 1,571 1,571 3,142 0 0 0 0 0 Systems Costs - Hardware / Software / Programming Administrative FFP 0 (757) (675) (1,432) (629) (629) (1,258) (3) (3) (3) (3) (6) 0 0 0 (6) 0 0 Licensing Activities (52) (52) (104) 0 0 Administrative FFP 21 21 42 0 Licensing Fees 28 28 56 0 0 0 0 0 0 0 0 0 0 0 0 0 114 115 Licensing Moratorium 116 GF TOTAL 117 GF 11 GF REV1 GF REV2 118 119 120 121 122 Administrative Simplification Advisory Committee 123 GF TOTAL 124 GF 12 GF REV1 125 126 Management Operations 0 0 Administrative FFP 0 0 127 128 MFIP Federal Compliance 129 GF TOTAL TANF TOTAL DED TOTAL 130 131 132 TANF 21 TANF 20 TANF 15 DED REV2 DED 22 TANF 20 TANF 20 TANF 20 GF 35 GF REV1 GF 36 GF 36 GF 36 133 134 135 136 137 138 139 140 141 142 143 144 145 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Support Services Grants - Employment Grant 0 MFIP/DWP Grants - Employment Grant 0 0 0 MFIP Child Care Assistance Grants - Employment Grants - Tr CCDF 0 0 Child Care Development Fund - transfer From TANF 0 0 Child Care Development Fund 0 0 MFIP/DWP Grants - Shorten Sanction Period 0 0 MFIP/DWP Grants - Require Employment Plan 0 0 MFIP/DWP Grants - Lift ESL Hourly Restrictions 0 0 Children & Econ Assistance Admin - TANF Quality Assurance 0 0 Administrative FFP 0 0 Children & Econ Assistance Admin - Shorten Sanction Period 0 0 Children & Econ Assistance Admin - Require Employment Plan 0 0 Children & Econ Assistance Admin - Move Cases to State Non-MOE Funding 0 0 146 147 148 149 150 151 SF 559 Berglin HF 746 Thissen MFIP For Legal Non-Citizens Continuation GF GF 916 1,143 2,059 1,172 1,178 2,350 GF TOTAL 916 1,143 2,059 1,172 1,178 2,350 20 MFIP/DWP Grants 572 571 1,143 568 568 1,136 22 MFIP/DWP Child Care Assistance Grants 344 572 916 604 610 1,214 152 153 MFIP Time Limit and Program Violations 154 155 GF 156 20 (17) (100) (117) (123) (122) (245) GF TOTAL (17) (100) (117) (123) (122) (245) MFIP/DWP Grants (17) (100) (117) (123) (122) (245) 0 0 0 0 0 0 0 0 0 0 0 0 157 158 Eliminate Sanctions for Non Work Participation 159 GF TOTAL 160 GF 161 20 MFIP/DWP Grants 0 0 162 163 164 Make Non- MN Felons Ineligible 165 166 0 0 0 0 0 0 GF TOTAL 0 0 0 0 0 0 0 167 GF 35 Children and Economic Assistance Admin 168 GF 35 Children and Economic Assistance Admin 0 0 169 GF REV1 Admin FFP 0 0 170 GF 36 Children and Economic aAssistance Operation 0 0 171 GF 50 Health Care Admin 0 0 172 GF REV1 Admin FFP 0 0 173 GF 50 Health Care Operations MAXIS 0 0 174 GF 51 Health Care Operations Health Match 0 0 0 0 175 176 177 178 179 180 181 182 SF 154 Berglin HF 341 Walker 183 Repeal MFIP SSI Penalty 3,750 8,991 12,741 8,954 8,946 17,900 TANF TOTAL GF TOTAL 3,750 8,991 12,741 8,954 8,946 0 0 0 0 0 17,900 0 20 MFIP/DWP Grants 3,750 8,991 12,741 8,954 8,946 17,900 20 MFIP/DWP Grants TANF GF 0 184 185 186 Decrease MFIP Housing Penalty to $25 187 TANF TOTAL GF Total 188 TANF GF 189 190 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 MFIP/DWP Grants 0 0 36 MAXIS 0 0 191 192 EBT Prohibited Purchases and Transaction Fees 193 GF TOTAL 194 0 0 0 0 0 0 0 0 0 0 0 0 195 GF 36 Transaction Fee Savings 0 196 GF 36 Programming and Transactions 0 197 GF REV1 Federal FFP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 199 200 201 202 203 SF 154 Berglin HF 341 Repeal MFIP Family Cap TANF TOTAL TANF 20 MFIP/DWP Grants David Godfrey - Senate Fiscal Analysis John Walz House Fiscal Analysis 0 6/26/2007, 3:26 PM 0 Tab 1: Page 2 of 19 HEALTH and HUMAN SERVICES BUDGET NET FISCAL IMPACT OF PROPOSALS 2007FINALHHS.xls Working Group Agreement - HF 1078 Trkg.a Gov Rec Line m / Bill Ref 204 Fund BACT FY 2008 DESCRIPTION FY 2009 FY 08-09 FY 2010 FY 2011 FY 10/11 Walker 205 206 207 208 209 SF 154/559Eliminate MFIP 20 Hour Work Berglin TANF TOTAL HF 746/605 TANF 20 MFIP/DWP Grants Thissen/Walker Requirement for Post-Secondary 284 568 852 566 566 1,132 284 568 852 566 566 1,132 284 568 852 566 566 1,132 210 211 212 HF 316 Thao Refugee Direct to MFIP TANF 213 20 28 76 104 77 79 156 TANF TOTAL 28 76 104 77 79 156 MFIP/DWP Grants 28 76 104 77 79 156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 214 215 216 217 218 219 SF 154 Berglin HF 341 Walker 220 221 Add Two Participant Groups to MFIP Hard to Employ Category GF TOTAL TANF TOTAL GF TANF GF 20 MFIP/DWP Grants 0 0 20 MFIP/DWP Grants 0 0 36 MAXIS 0 0 222 223 224 225 226 227 SF 154 Berglin HF 341 Walker 228 229 230 231 Eliminate MFIP Work Hours for Employed Hardship Extensions GF TOTAL TANF TOTAL GF GF TANF TANF GF 20 MFIP/DWP Grants 22 MFIP Child Care/TY 20 15 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MFIP/DWP Grants 0 0 MFIP Child Care/TY 0 0 MAXIS 0 0 232 233 234 235 HF 605 Walker Increase MFIP Exit Level to 140% TANF TOTAL TANF TANF 236 237 0 0 0 0 0 0 0 0 0 0 0 0 20 MFIP/DWP Grants 0 0 15 MFIP Child Care/TY 0 0 238 239 240 241 242 243 SF 559 Exclude Value of One Licensed Berglin TANF TOTAL HF 746/605 TANF 20 MFIP/DWP Grants Thissen/Wa TANF 15 MFIP Child Care/TY Vehicle Up to $15,000 for MFIP 80 596 676 815 819 1,634 80 596 676 815 819 1,634 51 306 357 408 408 816 29 290 319 407 411 818 244 245 246 247 SF 559 Berglin MFIP/DWP Work Participation Bonus - $75 for 24 months eff. Fe GF GF 248 249 0 327 327 3,452 6,892 10,344 GF TOTAL 0 327 327 3,452 6,892 10,344 20 MFIP/DWP Grants 0 327 327 3,452 6,892 10,344 36 MAXIS 0 0 0 0 0 250 251 252 253 254 255 SF 559 Establish Family Stabilization Berglin GF TOTAL HF 746/605 TANF TOTAL Thissen/Wa GF 20 MFIP/DWP Grants GF TANF 256 257 36 Systems Costs 20 MFIP/DWP Grants Services - Sanction Policy Chang 69 167 236 167 167 334 69 167 236 167 167 0 0 0 0 0 334 0 69 167 236 167 167 334 0 0 0 0 0 0 0 0 258 259 260 261 SF 559 Berglin Finance General Fund Provisions in SF 559 - TANF Refinancing 262 263 GF 22 TANF 15 DED REV2 DED 22 264 265 266 267 0 0 0 GF TOTAL TANF TOTAL DED TOTAL (69) (603) (672) (2,360) (4,277) 69 603 672 2,360 4,277 0 0 0 0 Refinance TANF/GF (69) (603) (672) (2,360) (4,277) Refinance TANF/GF 69 603 672 2,360 4,277 6,637 (69) (603) (672) (2,360) (4,277) (6,637) 69 603 672 2,360 4,277 6,637 Child Care Development Fund - transfer From TANF Child Care Development Fund 0 0 0 0 (6,637) 6,637 0 (6,637) 268 269 270 271 SF 559 Berglin Work Participation TANF MOE Change 0 0 0 GF TOTAL TANF TOTAL DED TOTAL 0 0 0 (8,835) (11,780) 0 0 0 8,835 11,780 0 0 0 0 20 MFIP/DWP Grants 0 0 0 (8,835) (11,780) (20,615) 20 MFIP/DWP Grants 0 0 0 8,835 11,780 20,615 272 273 GF TANF 274 275 0 0 0 0 (20,615) 20,615 0 276 277 278 279 SF 559 Berglin MFIP Work Support Grants for Counties TANF TANF TANF TANF 280 281 282 4,359 (1,136) 3,223 (1,126) (1,112) (2,238) TANF TOTAL 4,359 (1,136) 3,223 (1,126) (1,112) (2,238) 21 Support Services Grants - Supported Work Grants 5,468 7,291 12,759 7,291 7,291 14,582 21 GOVERNORS VETO (7,291) (7,291) (7,291) (7,291) (14,582) 20 MFIP /DWP Grants 15 MFIP/TY Child Care (1,796) (2,395) (4,191) (2,394) (2,394) (4,788) 687 1,259 1,946 1,268 1,282 2,550 100 750 850 750 0 750 100 750 850 750 0 750 100 750 850 750 0 750 0 0 0 0 0 0 0 0 0 0 0 0 750 750 1,500 750 750 1,500 (750) (750) (1,500) (750) (750) (1,500) 283 284 285 286 HF 2111 Hosch Workforce U Program TANF TOTAL GF TANF 287 288 21 Support Services Grants - Stearns Benton County 21 Support Services Grants - Stearns Benton County 289 290 291 292 293 294 SF 559 Berglin HF605 Walker Office of Higher Education - Work Study Program SF 559 Berglin Integrated Service Projects for MFIP Families TANF TOTAL TANF TANF 21 Support Services Grants - Work Study Grants 21 GOVERNOR"S VETO 295 296 297 TANF 298 21 2,500 2,500 5,000 2,500 2,500 5,000 TANF TOTAL 2,500 2,500 5,000 2,500 2,500 5,000 Support Services Grants 2,500 2,500 5,000 2,500 2,500 5,000 299 300 301 302 303 SF 559 Berglin Increase MFIP Consolidated Support Service Grants TANF 21 1,979 1,979 3,958 0 0 0 TANF TOTAL 1,979 1,979 3,958 0 0 0 Support Services Grants 1,979 1,979 3,958 0 304 David Godfrey - Senate Fiscal Analysis John Walz House Fiscal Analysis 6/26/2007, 3:26 PM Tab 1: Page 3 of 19 HEALTH and HUMAN SERVICES BUDGET NET FISCAL IMPACT OF PROPOSALS 2007FINALHHS.xls Working Group Agreement - HF 1078 Trkg.a Gov Rec Line m / Bill Ref Fund BACT FY 2008 DESCRIPTION FY 2009 FY 08-09 FY 2010 FY 2011 FY 10/11 305 Child Care Assistance Program 306 GF TOTAL TANF TOTAL 307 308 GF 22 GF 22 TANF 15 GF 22 TANF 15 GF 23 GF 35 GF REV1 309 310 311 312 313 314 315 316 500 500 1,000 0 0 0 500 500 1,000 0 0 0 0 0 0 0 0 0 MFIP Child Care Assistance Grants - Limit Retro Eligibility to 6 Months 0 0 MFIP Child Care Assistance Grants - Adjust Entry Level to 250% FPG 0 0 MFIP Child Care - Adjust Entry Level to 250% - transfer to CCDF 0 0 0 MFIP Child Care Assistance Grants - Incentives for Providers 350 350 700 0 0 150 150 300 0 MFIP Child Care Assistance Grants - Incentives for Providers BSF Child Care Assistance Grants - Incentives for Providers Children & Economic Assistance Admin - Incentives for Providers 0 0 Administrative FFP 0 0 317 318 319 320 HF 659 Slawik Child Care Licensing GF TOTAL GF 11 GF 35 GF REV1 321 322 323 0 0 0 0 0 0 0 0 0 0 0 0 Legal and Regulatory - Background Studies 0 Children and Economic Assistance Admin - 2.5 FTEs 0 0 0 Administrative FFP 0 0 324 325 Modify Absent Day Policy 326 GF TOTAL TANF TOTAL 327 328 GF TANF GF 329 330 331 0 99 99 203 220 423 0 43 43 92 99 0 56 56 111 121 191 232 22 MFIP/TY Child Care 0 0 0 0 0 15 MFIP/TY Child Care 56 56 111 121 232 23 Basic Sliding Fee Child Care 43 43 92 99 191 332 333 334 335 HF 920 Slawik Restore Half Day Rates GF GF 336 337 0 0 0 0 0 0 GF TOTAL 0 0 0 0 0 0 22 MFIP/TY Child Care 0 0 0 0 0 0 23 Basic Sliding Fee Child Care 0 0 0 0 0 0 2,346 3,212 5,558 3,189 3,157 6,346 1,744 2,417 4,161 2,391 2,355 602 795 1,397 798 802 4,746 1,600 338 339 340 341 HF 920 Slawik Reduce Child Care Co-payments GF TOTAL TANF TOTAL 342 TANF TANF GF TANF TANF GF 343 344 345 346 347 348 15 MFIP/TY Child Care - Transfer to CCDBG 15 MFIP/TY Child Care 0 0 0 0 0 0 602 795 1,397 798 802 1,600 22 MFIP/TY Child Care 0 0 0 0 0 0 15 Basic Sliding Fee Child Care - Transfer to CCDBG 0 0 0 0 0 0 15 Basic Sliding Fee 23 Basic Sliding Fee Child Care 0 0 0 0 0 0 1,744 2,417 4,161 2,391 2,355 4,746 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 350 351 352 HF 920 Slawik Increase Child Care Providers Reimbursement GF TOTAL TANF TOTAL 353 TANF TANF TANF GF GF 354 355 356 357 358 15 MFIP/TY Child Care - Transfer to CCDBG 0 15 MFIP/TY Child Care 15 Basic Sliding Fee Child Care 0 23 Basic Sliding Fee Child Care 0 36 Programming Costs for Child Care Changes 0 359 360 361 362 HF 920 Slawik Basic Sliding Fee - Waiting List 0 0 0 0 0 0 GF TOTAL TANF TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 15 Basic Sliding Fee Child Care 0 0 0 0 0 0 23 Basic Sliding Fee Child Care 0 0 363 TANF GF 364 365 0 366 367 Eliminate At-Home- Infant Care Program 368 369 Berglin GF 23 GF 35 GF REV1 370 371 372 (225) (230) (455) (230) (230) (460) GF TOTAL (225) (230) (455) (230) (230) (460) BSF Program - 3% BSF Appropriation (195) (200) (395) (200) (200) (400) (50) (50) (100) (50) (50) (100) 20 20 40 20 20 40 Children and Economic Assistance Admin Administrative FFP 373 374 375 HF 1089 Pre-Kindergarten Exploratory Program - Language in HF 2245 376 377 SF944 GF 24 2,000 4,000 6,000 0 0 0 GF TOTAL 2,000 4,000 6,000 0 0 0 Child Care Development Grants 2,000 4,000 6,000 0 0 0 378 379 380 381 382 383 HF 1089 Child Care Peterson SF944 GF 24 Erickson-Ropes Service Grants 250 250 500 0 0 0 GF TOTAL 250 250 500 0 0 0 Child Care Development Grants 250 250 500 0 0 0 250 250 500 0 0 0 250 250 500 0 0 0 250 250 500 0 0 0 384 385 386 387 388 HF 1089 Early Childhood Professional Development Peterson GF TOTAL SF944 GF 24 Child Care Development Grants Erickson-Ropes System 389 Family, Friend and Neighbor Grant Program 390 391 GF 392 24 375 375 750 0 0 0 GF TOTAL 375 375 750 0 0 0 Child Care Development Grants 375 375 750 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 393 394 395 396 397 398 SF 1863 Clark HF 2033 Slawik Hennepin and Ramsey Cty Lics Family Child Care Provider Con SF864 Sheran HF1023 Slawik County Child Support Federal Funding Loss GF TOTAL GF 24 Child Care Development Grants 399 400 401 402 403 GF 25 7,333 0 7,333 0 0 GF TOTAL 7,333 0 7,333 0 0 0 Child Support Enforcement Grants 7,333 0 7,333 0 0 0 404 David Godfrey - Senate Fiscal Analysis John Walz House Fiscal Analysis 6/26/2007, 3:26 PM Tab 1: Page 4 of 19 HEALTH and HUMAN SERVICES BUDGET NET FISCAL IMPACT OF PROPOSALS 2007FINALHHS.xls Working Group Agreement - HF 1078 Trkg.a Gov Rec Line m / Bill Ref Fund BACT DESCRIPTION Adoption Assistance and Relative Custody Assistance 405 FY 2008 FY 2009 FY 08-09 1,269 4,162 1,269 4,162 GF TOTAL 406 GF 26 GF 26 GF 26 GF 35 GF REV1 GF 26 GF 26 407 408 409 410 411 412 413 FY 2010 FY 2011 FY 10/11 5,431 (877) (877) (1,754) 5,431 (877) (877) (1,754) Children's Service Grant - AA Payment Adjustment 0 Children's Service Grant - RCA Payment Adjustment 0 0 44 0 Children's Service Grant - Non Recurring Adopt Exp Grant 22 Children & Economic Assistance Admin Administrative FFP Children Services Grants - AA Forecast change Children Services Grants - RCA Forecast change 22 0 421 373 794 373 373 746 (168) (149) (317) (149) (149) (298) 2,572 5,017 7,589 (1,578) (1,101) (2,679) (1,101) (1,101) (2,202) 0 414 415 416 417 418 419 SF 594 Lourey HF 638 Tingelstad Adoption Assistance - Age Based Criterion for Special Needs SF 964 Sheran HF286 Abler Fetal Alcohol Syndrome Programs Funding Appropriation GF 26 2 12 14 15 18 33 GF TOTAL 2 12 14 15 18 33 Children's Services Grants 2 12 14 15 18 33 0 0 0 0 0 0 0 0 0 0 0 0 420 421 422 423 424 GF TOTAL GF 26 Children Services Grants 0 0 425 Child Safety Network 426 427 428 429 HF1290 Slawik GF 26 0 0 0 0 0 0 GF TOTAL 0 0 0 0 0 0 Children's Services Grants 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 430 431 432 433 434 HF601 Walker SF 534 Latz Crisis Nurseries GF TOTAL GF 26 Children's Services Grants 0 0 435 County Case Management Federal Funding Loss 436 437 GF 438 27 32,667 0 32,667 0 0 GF TOTAL 32,667 0 32,667 0 0 0 0 Children and Community Services Act Grant - One Time Contingent Add On 32,667 0 32,667 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 439 440 441 HF 1524 American Indian Child Welfare Project Expansion TANF TOTAL GF TOTAL 442 443 444 Sailer SF 1257 GF 26 TANF 26 GF 35 GF 36 GF REV2 GF REV1 445 446 447 448 449 Children and Community Services Grants - Red Lake Band 0 0 Children and Community Services Grants - Red Lake Band 0 0 Children and Economic Assit Administration 0 0 Children and Economic Assit Operations 0 0 County Share 0 0 Federal FFP 0 0 450 451 Skoe 452 453 454 HF 911 Thissen Self Directed Supports Options GF TOTAL GF 29 GF 85 GF REV2 455 456 457 Minnesota Supplemental Aid Grants Continuing Care Administrative Administrative FFP 480 423 903 477 531 1,008 480 423 903 477 531 1,008 0 0 0 0 0 0 800 705 1,505 795 885 1,680 (320) (282) (318) (354) (602) (672) 458 459 Group Residential Housing Rates 460 GF TOTAL 461 462 463 464 465 466 467 Pappas/Ma Koering/Wa Jaros/Werg Clark Berglin/This Gottwalt/So GF GF GF GF GF GF 997 1,748 2,745 1,932 1,932 3,864 997 1,748 2,745 1,932 1,932 3,864 84 84 168 84 84 168 151 529 680 546 546 1,092 30 Ramsey County 30 Crow Wing County 30 St. Louis County 0 0 0 0 0 0 30 Hennepin County 212 258 470 258 258 516 30 Hennepin and Ramsey County 460 628 1,088 628 628 1,256 30 Stearns and St. Louis County 90 249 339 416 416 832 468 469 Long-Term Homeless Implementation 470 471 GF 32 GF 35 GF 32 GF 32 GF 74 GF REV1 472 473 474 475 476 477 2,500 500 3,000 0 0 0 GF TOTAL 2,500 500 3,000 0 0 0 Other Children & Econ Assist Grants 2,000 0 2,000 0 0 0 0 0 0 0 500 500 1,000 0 Children & Econ Assist Admin - Program Infrastructure Long Term Homeless Services Runaway and Homeless Youth Adult Mental Health - Transitional Housing 0 0 Administrative FFP 0 0 478 479 480 481 482 483 SF 82 Berglin HF2317 Loeffler New Chance Program SF 343 Moua HF383 Slawik Mother's First Program - Ramsey County TANF 26 140 140 280 140 140 280 TANF TOTAL 140 140 280 140 140 280 Other Children and Economic Assistance Grants 140 140 280 140 140 280 484 485 486 487 488 489 GF TANF 450 450 900 0 0 0 GF TOTAL TANF TOTAL 300 300 600 0 0 150 150 300 0 0 0 0 77 Other Children and Economic Assistance Grants 300 300 600 0 0 0 77 Other Children and Economic Assistance Grants 150 150 300 0 0 0 0 490 491 492 493 494 495 SF992 Dibble HF758 Laine 496 Transitional Housing GF TANF 750 0 750 0 0 GF TOTAL TANF TOTAL 750 0 750 0 0 0 0 0 0 0 0 0 32 Other Children and Economic Assistance Grants 750 0 750 0 0 0 32 Other Children and Economic Assistance Grants 0 497 498 Emergency Service Grants 499 500 GF 501 32 600 0 600 0 0 GF TOTAL 600 0 600 0 0 0 Other Children and Economic Assistance Grants 600 0 600 0 0 0 0 0 0 0 0 0 502 503 504 SF1331 Food Shelf Programs David Godfrey - Senate Fiscal Analysis John Walz House Fiscal Analysis 6/26/2007, 3:26 PM Tab 1: Page 5 of 19 HEALTH and HUMAN SERVICES BUDGET NET FISCAL IMPACT OF PROPOSALS 2007FINALHHS.xls Working Group Agreement - HF 1078 Trkg.a Gov Rec Line m / Bill Ref 505 506 507 Moua HF1233 Benson Fund GF BACT 32 FY 2008 DESCRIPTION GF TOTAL 0 FY 2009 0 Other Children and Economic Assistance Grants FY 08-09 0 FY 2010 0 FY 2011 FY 10/11 0 0 0 0 508 509 510 511 512 SF638 Community Olson HF726 Tschumper GF 32 TANF TANF 513 Action Grants GF TOTAL TANF TOTAL Other Children and Economic Assistance Grants 32 GOVERNOR"S VETO 32 MFIP Car Loan and Repair Program 250 250 500 0 0 250 250 500 0 0 0 0 0 0 0 0 0 250 250 0 500 0 (1,500) (1,500) (3,000) (1,500) (1,181) (2,681) 1,500 1,500 3,000 1,500 1,181 2,681 0 0 0 0 0 0 0 0 0 0 0 0 50 50 100 0 0 0 (50) (50) (100) 514 515 Tenant Hotline Services Program 516 GF TOTAL 517 GF GF 518 519 32 Other Children and Economic Assistance Grants 32 GOVERNOR'S VETO 520 521 522 523 524 SF461 Berglin HF609 Loeffler 525 Modify Food Stamp Requirements GF TOTAL GF 35 GF REV1 GF 36 Children and Family Services Administration Administrative FFP Children and Family Services Operations 126 (17) 109 (62) (62) (124) 126 (17) 109 (62) (62) (124) 87 38 125 0 0 (36) (15) (51) 0 0 75 (40) 35 (62) (62) (124) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 526 527 Immigration Status Validation at Recertification 528 GF TOTAL HCAF TOTAL 529 530 GF 36 HCAF 50 HCAF REV1 531 532 533 Children & Econ Assistance Operations 0 Health Care Admin 0 0 0 Administrative FFP 0 0 534 535 Health Care Enrollment Transfer 536 GF TOTAL HCAF TOTAL 537 538 GF HCAF GF HCAF 539 540 541 542 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 REV2 Transfer from HCAF 0 0 REV2 Transfer to GF 0 0 REV2 Transfer from HCAF - end of year HCAF Balance Transfer REV2 Transfer to GF - end of year HCAF Balance Transfer 543 544 HealthMatch Delay 545 546 547 GF 41 GF REV2 HCAF REV2 HCAF 40 548 549 550 551 (56) (123) (179) 168 (19) GF TOTAL HCAF TOTAL (2,616) (28,036) (30,652) (7,639) (3,509) 2,560 27,913 30,473 7,807 3,490 MA Basic Health Care F&C - Six Month (2,616) (21,858) (24,474) (7,639) (3,509) 149 (11,148) 11,297 (11,148) MA Basic Health Care F&C - Contingent Two Month Delay 0 (6,178) (6,178) 0 0 MnCare - Contingent Two Month Delay 0 6,178 6,178 0 0 0 2,560 21,735 24,295 7,807 3,490 11,297 (6,131) 0 (6,131) (17,907) (18,755) (36,662) (6,131) 0 (6,131) (17,907) (18,755) (36,662) MnCare - Six Month 0 552 553 Disproportionate Share Hospitals 554 GF TOTAL 555 GF 41 GF 41 GF 41 GF REV2 GF REV2 GF 42 556 557 558 559 560 561 MA Basic Health Care - Increase Appropriation Due to Undedicating DSH Reve 0 MA Basic Health Care Grants - Dedicated DSH Earnings - GAMC/CPE 0 (8,313) 0 8,313 MA Basic Health Care - Net Hospital Payments GAMC DSH Non-Dedicated Revenue to GF (6,131) CPE DSH Non-Dedicated Revenue to GF 0 0 0 0 MA Basic Health Care - E&D - Hospital Payment 0 0 0 0 (8,313) (33,510) (34,569) (68,079) 8,313 15,603 15,814 31,417 0 0 0 0 0 0 0 0 (6,131) 0 0 562 563 Healthy Connections - Study 564 34 565 566 GF 567 50 500 0 500 0 0 0 GF TOTAL HCAF TOTAL 500 0 500 0 0 0 0 0 0 0 0 0 Health Care Administration - Transfer to Department of Health 500 568 500 0 0 0 569 570 Healthy Connections 571 572 573 HCAF 40 HCAF 40 HCAF 40 GF 41 HCAF 10 HCAF 50 HCAF 51 HCAF 51 HCAF REV1 574 575 576 577 578 579 580 581 582 HCAF TOTAL GF TOTAL Children's Health Care Initiative Qcare Incentives Premium - repeal 8% Infants to 305% FPG Administration - Fiscal Reporting Administration - Managed Care and Eligibility Administration - HM MMIS Administrative FFP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 583 584 585 586 SF 2 Berglin Minnesota Health Care Programs Outreach 587 GF 41 HCAF 40 HCAF 45 GF 45 HCAF 50 HCAF 50 GF 50 HCAF 50 GF 50 HCAF 51 HCAF REV1 GF REV1 588 589 590 591 592 593 594 595 596 597 598 2,697 18,962 21,659 26,399 28,787 55,186 999 8,540 9,538 14,287 15,521 1,698 10,423 12,121 12,113 13,266 29,808 25,378 GF TOTAL HCAF TOTAL MA F&C Grants MinnesotaCare Grants MinnesotaCare Outreach Admin - phone line 709 7,616 8,324 13,476 14,786 28,262 1,337 9,976 11,313 11,820 12,973 24,792 150 150 300 150 150 300 MinnesotaCare Outreach Admin - Neighborhood Health Line GOVERNOR'S VETO Media Campaign (950) (1,000) (1,950) (1,000) (1,000) (2,000) HC Administration - Media Campaign 950 1,000 1,950 1,000 1,000 2,000 HC Administration - Outreach Funding 350 500 850 450 450 900 HC Administration - Outreach Funding 150 250 400 200 200 400 HC Administration - HCEA 13 FTEs 366 1,173 1,539 1,069 888 1,957 969 846 1,815 771 771 1,542 Administrative FFP HC Administration - Media Campaign & Outreach Admin Costs - 9Ftes (908) (799) (1,707) (828) (828) (1,656) Administrative FFP (426) (749) (1,175) (708) (603) (1,311) 599 600 601 602 HF 1 Thissen Cover all Kids GF TOTAL HCAF TOTAL 603 604 605 606 GF GF GF 0 4,910 4,910 19,999 29,459 49,458 0 3,657 3,657 8,642 9,575 0 1,253 1,253 11,357 19,884 18,217 31,241 11 1 FTE for Fair Hearings 0 0 51 5 FTE for HC - State Share 0 0 50 2 FTE Ombudsman 0 0 David Godfrey - Senate Fiscal Analysis John Walz House Fiscal Analysis 6/26/2007, 3:26 PM Tab 1: Page 6 of 19 HEALTH and HUMAN SERVICES BUDGET NET FISCAL IMPACT OF PROPOSALS 2007FINALHHS.xls Working Group Agreement - HF 1078 Trkg.a Gov Rec Line m / Bill Ref Fund BACT GF 50 GF 51 HCAF 50 GF 51 GF 51 GF 51 GF 36 HCAF 40 HCAF 40 HCAF 40 HCAF 40 HCAF 40 GF 41 HCAF 41 GF 41 HCAF 40 GF 41 HCAF 40 GF REV1 HCAF REV1 607 608 609 610 611 612 613 614 615 616 617 618 619 620 621 622 623 624 625 626 FY 2008 DESCRIPTION FY 2009 FY 08-09 2 FTE HSMM 0 2 FTE for Admin 0 HCEA Admin Costs 0 570 570 FY 2010 FY 2011 FY 10/11 0 0 1,689 1,535 3,224 MMIS State Share 0 0 HealthMatch - State Share 0 0 MMIS State Share 0 0 MAXIS - State Share 0 0 Eligibility Changes Presumptive Eligibility SCHIP Requirements for Presumtive Eligibility Cover Financially Dependant Kids Costs to Forego MnCare Premium Continuous Eligibility Continuous Eligibility Presumptive Eligibility Presumptive Eligibility 0 0 0 0 0 Transitional MA 0 3,657 3,657 8,642 9,575 18,217 Transitional MA 0 911 911 10,343 18,963 29,306 0 (228) (228) (675) (614) 0 0 0 0 0 0 0 0 0 0 0 0 Administrative FFP Administrative FFP (1,289) 627 628 Client Medical Access Mileage Adjustment 629 GF TOTAL 630 GF GF 631 632 41 MA - Client Mileage Reimbursement 0 0 43 GAMC - Client Mileage Reimbursement 0 0 633 634 Pharmacy Dispensing Fee for Generic Drugs Change 635 636 GF 637 41 0 0 0 0 0 0 GF TOTAL 0 0 0 0 0 0 MA Families and Children 0 0 0 0 0 0 429 556 985 944 961 1,905 429 556 985 944 961 0 0 0 0 0 1,905 0 638 639 640 641 Qcare:Pay for Performance 642 GF TOTAL DED TOTAL 643 644 GF 41 GF 42 GF 43 GF 51 GF REV1 GF 51 GF 51 645 646 647 648 649 650 651 MA F&C Grants 36 41 77 89 95 184 MA E&D Grants 271 291 562 605 612 1,217 GAMC Grants 18 22 40 48 52 100 Administrative Costs - Continue 1 FTE, Contract 136 235 371 235 235 470 Administrative FFP (54) (94) (148) (94) (94) (188) 22 61 83 61 61 122 0 0 0 0 0 0 (434) Medical Chart Reviews - 25% state share - dedicated FFP MMIS System Costs 652 653 Qcare:Physician-Directed Care Coordination 654 655 GF 42 GF 51 GF 50 GF REV1 656 657 658 659 171 (144) 27 (192) (242) GF TOTAL 171 (144) 27 (192) (242) (434) MA Basic HC Grants E&D 125 (212) (87) (260) (310) (570) MMIS Administrative Costs - 2.5 FTEs Administrative FFP 0 0 0 0 0 0 76 113 189 113 113 226 (30) (45) (75) (45) (45) (90) 660 661 Extension of Critical Access Dental 662 4,198 5,016 9,214 5,956 7,037 12,993 4,198 5,016 9,214 5,956 7,037 0 0 0 0 0 12,993 0 GF TOTAL HCAF 663 664 GF 42 GF 42 GF REV2 HCAF REV2 HCAF 40 HCAF 41 665 666 667 668 669 670 Critical Access Dental - MA 0 0 0 0 0 0 Critical Access Dental - MA 4,198 5,016 9,214 5,956 7,037 12,993 End of Year Balance Transfer to GF 0 0 End of Year Balance Transfer to GF 0 0 Minnesota Care - Critical Access Dental Medical Assistance - FY 2007 Critical Access Dental - change to transfer 671 672 0 0 0 0 0 0 674 Increased Chiropractic Coverage GF TOTAL 0 0 0 0 0 0 675 HCAF 0 0 0 0 0 0 673 676 GF 41 MA Managed Care 0 0 677 GF 41 MA Fee For Service 0 0 678 HCAF 40 Minnesota Care 0 0 679 680 681 682 SF 2 Berglin Patient Incentive Program For Health Goals GF 50 GF 45 GF 51 GF REV1 683 684 685 686 0 589 589 580 580 1,160 0 589 589 580 580 1,160 Health Care Admin - 1.5 FTEs and Mailing Cost 148 148 133 133 266 Patient Incentive Grant 500 500 500 500 1,000 (59) (59) (53) (53) (106) 0 GF TOTAL Health Care Operations Administrative FFP 687 688 689 SF 2 Primary Care Access Initiative - Pilot Project HCAF TOTAL GF TOTAL 690 691 692 693 694 695 696 697 Berglin HCAF 50 HCAF 51 HCAF REV1 GF 50 GF 51 GF REV1 Health Care Admin - .25 FTE for HSM 725 19 744 0 0 725 19 744 0 0 0 0 0 0 0 0 0 41 31 72 Contract for Access Initiative 700 0 700 Administrative FFP (16) (12) (28) Health Care Admin - .25 FTE for HSM 0 Contract for Access Initiative 0 Administrative FFP 0 0 0 698 699 700 Delay MA Treatment Foster Care (MS 256B.0625) 701 702 GF 42 (2,274) (3,014) (5,288) (740) 0 (740) GF TOTAL (2,274) (3,014) (5,288) (740) 0 (740) MA Elderly and disabled (2,274) (3,014) (5,288) (740) 0 (740) 703 704 705 Eliminate MA Expanded Autism Services 706 707 GF 42 (1,438) (2,772) (4,210) (2,772) (2,772) (5,544) GF TOTAL (1,438) (2,772) (4,210) (2,772) (2,772) (5,544) MA Elderly and disabled (1,438) (2,772) (4,210) (2,772) (2,772) (5,544) David Godfrey - Senate Fiscal Analysis John Walz House Fiscal Analysis 6/26/2007, 3:26 PM Tab 1: Page 7 of 19 HEALTH and HUMAN SERVICES BUDGET NET FISCAL IMPACT OF PROPOSALS 2007FINALHHS.xls Working Group Agreement - HF 1078 Trkg.a Gov Rec Line m / Bill Ref Fund BACT FY 2008 DESCRIPTION FY 2009 FY 08-09 FY 2010 FY 2011 FY 10/11 708 709 710 711 SF 184 Marty Community Clinic Rate Increase for Family Planning GF 712 41 442 684 1,126 1,000 1,211 2,211 GF TOTAL 442 684 1,126 1,000 1,211 2,211 MA Basic Health Care - F&C 442 684 1,126 1,000 1,211 2,211 400 0 400 0 0 0 400 0 400 0 0 0 0 0 0 0 0 0 713 714 715 SF 1585 Oral Health Care Innovations Grants 45 HCAF TOTAL GF TOTAL Other Health Care Grants 45 Other Health Care Grants 716 717 Tomasoni HCAF GF 718 719 400 400 0 0 0 0 0 0 720 721 722 723 724 725 SF 2 Berglin HF 1873 Bunn MA Coverage of Medicare Part D Co-Payments for Dual Eligible GF GF 0 0 0 0 0 0 GF TOTAL 0 0 0 0 0 0 42 MA Basic Health Care Grants E&D 0 0 0 0 0 0 51 Health care Operations - systems 0 0 0 0 0 726 727 Change Alternative Payment Method for FQHC/RHCs 728 729 730 GF 42 GF REV2 HCAF REV2 GF 50 GF REV1 731 732 733 734 735 0 0 0 0 0 0 GF TOTAL HCAF 0 0 0 0 0 0 0 0 0 0 0 0 MA Basic Health Care Grants E&D 0 0 0 End of Year Balance Transfer to GF 0 0 0 End of Year Balance Transfer to GF 0 0 0 Auditors - 5 FTEs 0 0 0 Administrative FFP 0 0 0 736 737 738 739 740 SF 2 Berglin MA Reimbursement for Community Health Worker Services GF GF 741 742 (14) (47) (61) (57) (57) (114) GF TOTAL (14) (47) (61) (57) (57) (114) 41 MA Basic Health Care Grants F&C (12) (40) (52) (49) (49) (98) 43 GAMC Grants (2) (7) (9) (8) (8) (16) 743 744 745 746 SF 2 Berglin MA & GAMC Pharmacy Co-payments Cap, $7 GF TOTAL GF GF GF 747 748 749 0 928 928 2,249 2,425 4,674 0 928 928 2,249 2,425 4,674 2,771 41 MA Basic Health Care Grants F&C 77 77 1,327 1,444 42 MA Basic Health Care Grants E&D 475 475 252 284 536 43 GAMC Grants 376 376 670 697 1,367 0 0 0 0 0 0 0 0 0 0 0 0 750 751 752 753 HF 784 Murphy Medical Assistances Asset Limit Revisions ($6,000 and $12,000 GF TOTAL GF GF GF GF 754 755 756 757 42 MA Elderly and Disabled 0 42 MA Elderly and Disabled 0 0 0 72 MA LTC Facilities 0 0 0 51 MMIS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 758 759 760 761 HF 785 Norton Disabled Parental Contribution Modified GF TOTAL GF 42 GF 73 GF REV2 762 763 764 MA Elderly and Disabled 0 MA Waivvers and Home Care 0 0 0 Parental Fee - Revenue Loss 0 0 765 766 MA-EPD for those over 65 767 GF TOTAL 768 GF GF GF GF 769 770 771 772 0 0 0 0 0 0 0 0 0 0 0 0 42 MA Elderly and Disabled 0 0 51 MMIS 0 0 36 MAXIS 0 0 51 HM 0 0 773 774 775 776 SF 2 Berglin One-Month Rolling Eligibility GF TOTAL GF 777 41 0 0 0 0 0 0 0 0 0 0 0 0 MA Basic Health Care Grants F&C 0 0 778 779 780 781 782 783 SF 2 Berglin HF 570 Murphy Bethesda Hospital - Eliminate Ratable Reductions SF 1239 Berglin HF1404 Thissen Children's Outpatient Hospital Rate Increase GF TOTAL GF GF 0 0 0 0 0 0 0 0 0 0 0 0 42 MA Basic Health Care Grants E&D 0 0 43 GAMC Grants 0 0 784 785 786 787 788 789 GF TOTAL GF 41 0 0 0 0 0 0 0 0 0 0 0 0 MA Basic Health Care Grants Fam 0 0 790 791 792 793 794 SF 570 Higgens Otremba Restrict STS Broker 1 GF 41 373 383 756 392 392 784 GF TOTAL 373 383 756 392 392 784 MA F&C 373 383 756 392 392 784 64 58 122 58 58 116 64 58 122 58 58 116 MA Basic Health Care Grants E&D 106 96 202 96 96 192 Administrative FFP (42) (38) (80) (38) (38) (76) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 795 796 797 798 SF 515 Berglin Mental Health Peer Specialist Program GF TOTAL GF 85 GF REV1 799 800 801 802 803 SF2 Research Center Grant for Evaluation of State Health Policies HCAF TOTAL GF TOTAL 804 805 806 Berglin GF 45 Other Health Care Grants David Godfrey - Senate Fiscal Analysis John Walz House Fiscal Analysis 0 6/26/2007, 3:26 PM Tab 1: Page 8 of 19 HEALTH and HUMAN SERVICES BUDGET NET FISCAL IMPACT OF PROPOSALS 2007FINALHHS.xls Working Group Agreement - HF 1078 Trkg.a Gov Rec Line m / Bill Ref 807 Fund BACT FY 2008 DESCRIPTION HCAF 45 GOVERNOR'S VETO HCAF 45 Other Health Care Grants FY 2009 FY 08-09 (300) (300) 300 300 FY 2010 FY 2011 FY 10/11 808 809 810 HF 2181 Abler U Special Kids Project 0 0 0 0 0 0 GF TOTAL 0 0 0 0 0 0 Other Health Care Grants 0 0 0 0 0 0 212 212 424 212 212 424 GF 811 45 812 813 Community Based Health Care NE Minnesota Demonstration P FY 12 814 SF 964 815 Jungbauer Sunset HF 1399/286 Huntley/Ab GF 816 817 45 GF TOTAL 212 212 424 212 212 424 Other Health Care Grants 212 212 424 212 212 424 878 818 819 820 821 HF 1873 822 Bunn Health Care Payment Reform Pilot Project 823 824 GF 45 825 GF 50 826 GF REV1 0 881 881 878 0 GF TOTAL 0 0 0 0 0 0 HCAF 0 881 881 878 0 878 Other Health Care Grants Health Care Administration Administrative FFP 827 HCAF 45 Other Health Care Grants 750 750 750 0 750 828 HCAF 50 Health Care Administration 218 218 213 0 213 829 HCAF REV1 Administrative FFP (87) (87) (85) (85) 830 831 832 833 834 835 SF 2 Berglin HF276 Otremba 836 837 838 Eliminate MnCare Add-Back of Depreciation for Farmers HCAF 40 HCAF 51 HCAF 51 HCAF REV1 HCAF REV2 0 1,005 1,005 1,011 1,049 2,060 HCAF TOTAL 0 1,005 1,005 1,011 1,049 2,060 MinnesotaCare Grants 0 904 904 932 985 1,917 Health Match 0 0 0 0 0 0 Admin 2 FTEs 0 169 169 131 106 237 Administrative FFP 0 (68) (68) (52) (42) (94) 0 0 0 0 0 0 0 0 0 0 0 0 Administrative FFP 839 840 841 842 SF2 Berglin Increase MinnesotaCare Inpatient Hospital Cap to $15,000 HCAF TOTAL HCAF 843 40 MinnesotaCare Grants 0 0 844 845 846 847 SF2 Berglin Permit MinnesotaCare Eligibility for Undocumented Kids HCAF TOTAL HCAF 40 HCAF 51 HCAF REV1 848 849 850 0 0 0 0 0 0 0 0 0 0 0 0 MinnesotaCare Grants 0 0 Admin - 5 FTEs Administrative FFP 851 852 853 854 SF2 Berglin Increase Income Eligibility for Adults w/out Kids to 200% and 2 HCAF 40 HCAF 51 HCAF REV1 855 856 857 1,413 10,098 11,511 17,196 24,817 42,013 HCAF TOTAL 1,413 10,098 11,511 17,196 24,817 42,013 MinnesotaCare Grants 1,295 9,815 11,110 16,858 24,442 41,300 Admin - 5 FTEs 196 471 667 563 625 1,188 Administrative FFP (78) (188) (266) (225) (250) (475) 858 859 860 861 SF2 Berglin Eliminate MnCare Verification of Income and ESI HCAF 40 HCAF 51 HCAF REV1 862 863 864 6,155 21,793 27,948 31,577 34,627 66,204 HCAF TOTAL 6,155 21,793 27,948 31,577 34,627 66,204 MinnesotaCare Grants 5,484 20,827 26,311 30,787 33,945 64,732 HCEA 15 FTEs 1,118 1,610 2,728 1,644 1,370 Administrative FFP (447) (644) 0 0 0 0 (1,091) 3,014 (854) (688) (1,542) 0 0 0 0 0 0 0 0 865 866 867 868 SF2 Berglin Modify Adult ESI Barrier if Out of Pocket Costs >8% HCAF TOTAL HCAF 40 HCAF 51 HCAF REV1 869 870 871 MinnesotaCare Grants 0 0 HCEA 6 FTEs Administrative FFP 872 873 874 875 SF2 Berglin Eliminate MinnesotaCare Six Month Reviews HCAF 876 40 209 487 696 663 798 1,461 HCAF TOTAL 209 487 696 663 798 1,461 MinnesotaCare Grants 209 487 696 663 798 1,461 0 0 0 0 0 0 0 0 0 0 0 0 877 878 879 880 SF2 Berglin Eliminate $50,000 Income Limit for MinnesotaCare Parents HCAF TOTAL HCAF 40 HCAF 51 HCAF REV1 881 882 883 MinnesotaCare Grants 0 0 HCEA 2 FTEs Administrative FFP 884 885 886 887 SF2 Berglin Eliminate ESI Barrier for Children HCAF 40 HCAF 51 HCAF REV1 888 889 890 0 0 0 0 0 0 HCAF TOTAL 0 0 0 0 0 0 MinnesotaCare Grants 0 0 HCEA 0 0 0 Administrative FFP 0 0 0 0 891 892 893 894 SF2 Berglin Eliminate MinnesotaCare 4 Month Insurance Barrier for Childre HCAF 40 HCAF 51 HCAF REV1 895 896 897 0 0 0 0 0 0 HCAF TOTAL 0 0 0 0 0 0 MinnesotaCare Grants 0 0 HCEA 0 0 0 Administrative FFP 0 0 0 0 898 899 900 901 902 903 SF2 Berglin Expand MinnesotaCare Eligibility to homeless/Lift Address Req HCAF HCAF 173 368 541 409 443 852 HCAF TOTAL 173 368 541 409 443 852 40 MinnesotaCare Grants 157 346 503 380 412 792 51 HCEA 27 37 64 49 51 100 David Godfrey - Senate Fiscal Analysis John Walz House Fiscal Analysis 6/26/2007, 3:26 PM Tab 1: Page 9 of 19 HEALTH and HUMAN SERVICES BUDGET NET FISCAL IMPACT OF PROPOSALS 2007FINALHHS.xls Working Group Agreement - HF 1078 Trkg.a Gov Rec Line m / Bill Ref 904 BACT DESCRIPTION FY 2008 FY 2009 FY 08-09 FY 2010 FY 2011 FY 10/11 HCAF REV1 Administrative FFP (11) (15) (26) (20) (20) (40) Fund 905 906 907 908 SF2 Berglin Waive MinnesotaCare Premiums for Military Members and Fam HCAF 40 HCAF 51 HCAF REV1 909 910 911 0 1,482 1,482 1,595 0 1,595 HCAF TOTAL 0 1,482 1,482 1,595 0 1,595 MinnesotaCare Grants 0 1,419 1,419 1,547 HCEA 0 105 105 80 80 Administrative FFP 0 (42) (42) (32) (32) 1,547 912 913 914 915 SF2 Berglin Eliminate MinnesotaCare Premium Increases - Sliding Scale an HCAF 40 HCAF 51 HCAF REV1 916 917 918 300 4,034 4,334 6,681 8,029 14,710 HCAF TOTAL 300 4,034 4,334 6,681 8,029 14,710 MinnesotaCare Grants 291 4,000 4,291 6,632 7,985 14,617 HCEA 15 57 72 82 73 155 Administrative FFP (6) (23) (29) (33) (29) (62) 919 920 921 922 SF2 Berglin Repeal MinnesotaCare Limited Benefit Set HCAF HCAF 923 924 3,706 8,979 12,685 10,007 10,807 20,814 HCAF TOTAL 3,706 8,979 12,685 10,007 10,807 20,814 40 MinnesotaCare Grants 3,767 9,123 12,890 10,150 10,950 21,100 40 MinnesotaCare Grants - interaction with MH Initiatives (61) (144) (205) (143) (143) (286) 925 926 927 928 SF2 Berglin Eliminate ESI Barrier for Students 712 1,514 2,226 1,650 1,794 3,444 HCAF TOTAL 712 1,514 2,226 1,650 1,794 3,444 MinnesotaCare Grants 712 1,514 2,226 1,650 1,794 3,444 MinnesotaCare Option for Small Employer 0 0 0 0 0 0 0 0 0 0 0 0 HCAF 929 40 930 931 932 933 SF2 Berglin HCAF TOTAL HCAF 40 HCAF 51 HCAF 51 HCAF REV1 934 935 936 937 MinnesotaCare Grants 0 0 MnCare Small Employer Admin - 1 FTE for claims 0 0 HCEA 0 0 Administrative FFP 0 0 938 DHS Stop Loss Fund Reduction 939 940 GF REV2 941 (1,164) 0 (1,164) 0 0 0 GF TOTAL (1,164) 0 (1,164) 0 0 0 Health Care Administration (1,164) (1,164) 0 942 943 944 945 946 947 SF 2 Berglin Administrative Uniformity Committee - Uniform Billing Admin C GF TOTAL GF 85 GF REV1 948 949 0 0 0 0 0 0 0 0 0 0 0 0 AUC - Mental Health Administration 1 FTE 0 0 Administrative FFP 950 951 952 953 SF 857 Berglin Reduce MHCP Managed Care Rates 1.5%Due to Health Plan Ca GF TOTAL HCAF TOTAL 954 GF GF GF HCAF 955 956 957 958 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 MA Basic Health Care F&C 0 0 42 MA Basic Health Care E&D 0 0 43 GAMC 0 0 40 MinnesotaCare 0 0 959 960 Admin Funding For Citizenship Documentation 961 GF TOTAL HCAF TOTAL 962 963 GF 50 GF REV1 HCAF 51 HCAF REV1 964 965 966 967 443 293 736 293 293 586 418 268 686 268 268 25 25 50 25 25 536 50 1,144 DHS Data Matching 697 447 Administrative FFP (279) (179) DHS Record Assistance Administrative FFP (458) 447 447 894 (179) (179) (358) 41 41 82 41 41 82 (16) (16) (32) (16) (16) (32) 968 969 Hennepin County Pilot Re-Determine Eligibility 970 971 972 GF 973 GF REV1 50 28 25 53 0 0 0 GF TOTAL 28 25 53 0 0 0 Health Care Administration 47 42 89 0 0 0 (19) (17) (36) 0 0 0 Administrative FFP 974 975 Dental Access for Disabled Study 976 977 GF 50 GF REV1 978 979 0 0 0 0 0 0 GF TOTAL 0 0 0 0 0 0 Health Care Administration 0 0 0 0 0 0 Administrative FFP 0 0 0 0 0 0 980 981 Senior Nutrition Programs 982 983 984 985 986 HF 444 Johnson, S HF 971 Hosch GF GF 250 250 500 250 375 625 GF TOTAL 250 250 500 250 375 625 70 Semior Nutrition 125 125 250 125 250 375 70 Senior Volunteer 125 125 250 125 125 250 0 0 0 0 0 0 0 0 0 0 0 0 987 988 989 HF 1170 Hausman Living at Home Block Nurse Program GF TOTAL GF 990 70 Aging and Adult Services 0 0 991 992 993 994 995 SF 1720 Olson, M Ruud Kinship Navigator Program GF TOTAL GF 70 0 0 0 0 0 0 0 0 0 0 0 0 Agind and Adult Serviees 0 0 996 997 998 Ombudsman for Older Minnesotans GF TOTAL 999 1000 1001 GF 85 GF REV1 0 0 0 0 0 0 0 0 0 0 0 0 Aging and Adult Services 0 0 Aging and Adult Services 0 0 David Godfrey - Senate Fiscal Analysis John Walz House Fiscal Analysis 6/26/2007, 3:26 PM Tab 1: Page 10 of 19 HEALTH and HUMAN SERVICES BUDGET NET FISCAL IMPACT OF PROPOSALS 2007FINALHHS.xls Working Group Agreement - HF 1078 Trkg.a Gov Rec Line m / Bill Ref Fund BACT FY 2008 DESCRIPTION FY 2009 FY 08-09 FY 2010 FY 2011 FY 10/11 1002 1003 Senior Linkage Line 1004 GF TOTAL 1005 GF 1006 70 0 0 0 0 0 0 0 0 0 0 0 0 Aging and Adult Services 0 0 1007 1008 Long-Term Care Payment Adjustments 1009 1010 GF 73 GF 72 GF 72 GF 73 GF 72 GF 72 GF 72 GF 72 GF 42 GF 41 GF 43 GF 71 GF 30 GF 74 GF 26 GF 78 GF 27 GF 75 GF 70 GF 76 GF 85 GF 85 GF REV1 1011 1012 1013 1014 1015 1016 1017 1018 1019 1020 1021 1022 1023 1024 1025 1026 1027 1028 1029 1030 1031 1032 1033 22,648 71,227 93,875 77,662 79,798 157,460 GF TOTAL 22,648 71,227 93,875 77,662 79,798 157,460 MA LTC Waivers and Home Care MA LTC Facilities - NH (and ICF in House) MA LTC Facilities - NH Rebasing phased in State Share Elderly Waiver Caps MA LTC Facilities - NH - Moratorium Exception Process MA LTC Facilities - ICF/MR and DT&H MA LTC Facilities - NH -Stearns, Benton, Sherburne NF Excluded from COLA MA LTC Facilities - Suspend APS COLA FY 10&11 MA Basic Health Care Grants - E&D MA Basic Health Care Grants - F & C GAMC Basic Health Care Alternative Care Group Residential Housing Adult Mental Health Grants Children's Mental Health Grants Other Continuing Care Grants Community Social Services Grants Deaf and Hard of Hearing Grants Aging and Adult Service Grants CD Entitlement Grants Continuing Care Admin - 2FTEs Continuing Care - 2FTEs - rebasing Administrative FFP 10,924 6,742 0 0 0 0 37,670 11,430 4,825 851 300 0 48,594 18,172 4,825 851 300 0 0 0 7,569 22 13 1,898 1,198 2,520 222 1,195 908 70 664 4,614 230 400 (390) 44,469 11,284 5,621 1,379 1,500 0 47,990 10,994 7,695 1,888 3,000 0 (5,900) 7,566 19 11 1,850 939 2,092 185 1,048 773 59 564 4,089 115 190 (191) (12,200) 8,269 21 11 2,007 939 2,092 185 1,086 773 59 564 4,311 115 190 (191) 0 1,806 5 3 410 298 604 53 267 201 15 147 1,047 115 210 (199) 0 5,763 17 10 1,488 900 1,916 169 928 707 55 517 3,567 115 190 (191) 92,459 22,278 13,316 3,267 4,500 0 0 (18,100) 15,835 40 22 3,857 1,878 4,184 370 2,134 1,546 118 1,128 8,400 230 380 (382) 1034 1035 Nursing Home Rebasing and Geographic Disparities Adjustme 1036 GF TOTAL 1037 0 0 0 0 0 0 0 0 0 0 0 0 1038 GF 72 MA LTC Facilities Rebasing 1039 GF 72 MA LTC Share of Disparities 0 0 0 0 0 1040 GF 73 State Share Elderly Waiver Caps 0 0 0 0 0 1041 GF 85 Continuing Care Administration 1042 GF REV1 0 0 Administrative FFP 1043 1044 1045 1046 1047 1048 SF 1559 Nursing Erickson-Ropes GF 1049 Facility Rate Increase for Sprinkler Systems 72 2,500 0 2,500 0 0 0 GF TOTAL 2,500 0 2,500 0 0 0 MA LTC Facilities 2,500 2,500 0 1050 1051 1052 1053 HF 320 Anzelc PERA Nursing Facilities Costs Reimbursement GF 1054 72 84 158 242 227 305 532 GF TOTAL 84 158 242 227 305 532 MA LTC Facilities 84 158 242 227 305 532 70 99 169 101 101 202 70 99 169 101 101 202 1055 1056 Nursing Facility Rate Increases 1057 GF TOTAL 1058 1059 1060 1061 Lenczewsh Faust Lenczewsk 1062 1063 1064 1065 1066 1067 1068 Bly Kalin Carlson Kubly/Pete Berglin SF xxxx GF GF GF GF GF GF GF GF GF GF 72 MA LTC Facilities - Hennepin County Martin Luther Monar- HF 1720 0 0 72 MA LTC Facilities - Kanabec County - HF 1804 0 0 72 MA LTC Facilities - Hennepin County - HF 2149 Masons Home 0 0 72 MA LTC Facilities - Faribault 0 0 72 MA LTC Facilities - Rice County - HF 586 0 0 72 MA LTC Facilities - Chisago - HF 1620 0 0 72 MA LTC Facilities - Robbinsdale - HF 1812 0 72 MA LTC Facilities - Big Stone Nursing Facility Operation Costs 72 MA LTC Facilities - Waseca Nursing Home Facilities Operations Costs Rate Ad 72 MA LTC Facilities - Hillcrest HCC Mankato Ventilator Care Rate Increase 0 1 1 2 1 1 2 69 98 167 100 100 200 0 0 1069 1070 1071 SF XXX Range, Inc - DT&H and ICF/MR Rate Increases 1072 GF 1073 72 317 317 634 474 526 1,000 GF TOTAL 317 317 634 474 526 1,000 MA LTC Facilities 317 317 634 474 526 1,000 1074 1075 Financially Stressed Nursing Facilities Grants 1076 1077 GF 1078 72 0 0 0 0 0 0 GF TOTAL 0 0 0 0 0 0 MA LTC Facilities 0 0 0 0 0 0 1079 1080 1081 1082 SF 612 Berglin Hennepin County ICF/MR Rate Increase GF 1083 72 135 203 338 203 203 406 GF TOTAL 135 203 338 203 203 406 MA LTC Facilities 135 203 338 203 203 406 0 0 0 0 0 0 0 0 0 0 0 0 1084 1085 1086 1087 1088 1089 1090 1091 1092 SF196 Berglin Reverse Mortgage Incentive Program GF TOTAL GF 85 GF 70 GF 85 GF 51 GF REV1 Continuing Care Admin - .5 FTE 0 0 Aging and Adult Services Grant - Training, Outreach grants 0 0 MHFA Interagency Agreement - Mortgage Insurance 0 0 MMIS Costs 0 0 Administrative FFP 0 0 1093 1094 1095 Elderly Waiver Assisted Living Coverage GF TOTAL 1096 1097 1098 1099 1100 GF 73 GF 85 GF 72 GF REV1 MA LTC Waiver And Home Care Savings Continuing Care Admin - Study, Website Development & 1 FTE LTC Consultation, MA LTC Facilities Administrative FFP 53 (181) (128) (181) (181) 53 (181) (128) (181) (181) (362) (132) (530) (662) (530) (530) (1,060) 309 249 558 249 249 0 200 200 200 200 400 (100) (224) (100) (100) (200) (124) 1101 1102 David Godfrey - Senate Fiscal Analysis John Walz House Fiscal Analysis 6/26/2007, 3:26 PM Tab 1: Page 11 of 19 (362) 498 HEALTH and HUMAN SERVICES BUDGET NET FISCAL IMPACT OF PROPOSALS 2007FINALHHS.xls Working Group Agreement - HF 1078 Trkg.a Gov Rec Line m / Bill Ref Fund BACT FY 2008 DESCRIPTION Home and Community Based Services Provider Standards 1103 1104 GF 11 GF 11 GF 73 GF REV1 GF REV2 1105 1106 1107 1108 1109 GF TOTAL Legal and Regulatory Admin - 6 Licensing FTEs Legal and Regulatory Admin - Background Checks MA LTC Waivers - Service Cost Increase for Licensure Standards Administrative FFP Licensing Fees FY 2009 FY 08-09 FY 2010 FY 2011 FY 10/11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1110 1111 1112 1113 HF 705 Loeffler MR/RC Waiver, Family Support Program Slot Increase GF TOTAL GF GF GF 1114 1115 1116 0 0 0 0 0 0 0 0 0 0 0 0 78 Other Continuing Care Grants - additional SILS slots 0 0 78 Other Continuing Care Grants - additional family support slots 0 0 73 Waivers and Home Care - additional Waiver slots 0 0 1117 1118 Study of MA Portion of Home Care Rates 1119 60 0 60 0 0 0 60 0 60 0 0 0 Continuing Care Admin 100 0 100 0 0 0 Administrative FFP (40) 0 (40) 3 (5) (2) 0 5 5 3 (5) (2) 0 5 5 GF TOTAL 1120 GF 50 GF REV1 1121 1122 1123 1124 PCA Assessment Penalty - 25% 1125 1126 Bonoff GF TOTAL GF 85 GF 73 GF 51 GF REV1 1127 1128 1129 1130 Continuing Care Admin - 2 FTE Program Savings Due to Penalities MMIS Costs Administrative FFP 180 160 340 160 160 320 (105) (101) (206) (96) (91) (187) 0 0 (64) (64) 0 0 (72) (64) 0 (136) 0 (128) 1131 1132 Mental Health Initiatives 1133 13,103 20,984 34,087 23,056 23,715 46,771 11,969 16,962 28,931 17,428 17,931 1,134 4,022 5,156 5,628 5,784 35,359 11,412 GF TOTAL HCAF TOTAL 1134 1135 GF GF GF GF GF GF HCAF HCAF HCAF HCAF GF GF GF HCAF HCAF HCAF HCAF GF GF GF GF GF GF GF HCAF HCAF HCAF HCAF HCAF GF GF GF GF GF GF GF GF GF HCAF HCAF HCAF HCAF GF GF GF GF HCAF HCAF HCAF HCAF HCAF HCAF HCAF HCAF GF GF GF GF GF GF GF GF GF HCAF GF HCAF 1136 1137 1138 1139 1140 1141 1142 1143 1144 1145 1146 1147 1148 1149 1150 1151 1152 1153 1154 1155 1156 1157 1158 1159 1160 1161 1162 1163 1164 1165 1166 1167 1168 1169 1170 1171 1172 1173 1174 1175 1176 1177 1178 1179 1180 1181 1182 1183 1184 1185 1186 1187 1188 1189 1190 1191 1192 1193 1194 1195 1196 1197 1198 1199 1200 1201 26 Children's Services Grants - Balance of CMH - TCM Transfer Grants - Refinanc 41 MA- Basic Health Care - TCM and Rule 5 to PMAP - Refinance TCM/Rule 5 42 MA Basic HC E&D - Repeal TCM Grants - Refinance TCM 42 MA - Basic Care - E&D - Add MH - TCM to Program IM - Refinance TCM 43 1,873 4,757 6,630 2,842 2,842 5,684 0 2,448 2,448 5,138 5,391 10,529 (11,528) (15,268) (11,528) (11,528) (23,056) (3,740) 0 167 167 321 257 578 GAMC - Add MH - TCM & Adult MH Rehab - Refinance TCM 910 3,166 4,076 4,454 4,557 9,011 74 Adult MH Grants - Balance of AMH - TCM Transfer Grants - Refinance TCM 934 2,344 3,278 (941) (941) 40 MnCare - Add MH -TCM and Rule 5 for Children 0 158 158 332 349 681 40 MnCare Adults Add MH - TCM for Adults 0 638 638 1,544 1,586 3,130 40 MnCare - Add MH Rehab Services for Adults 1,014 2,470 3,484 2,412 2,382 4,794 40 MnCare - Add Neuropsych, Day TX and Part Hosp 73 169 242 167 166 333 41 MA Basic Health Care F&C -Intensive Outpatient Benefit 0 24 24 55 55 110 42 MA Basic Health Care E&D -Intensive Outpatient Benefit 0 399 399 926 926 1,852 43 General Assistance Medical Care Grants -Intensive Outpatient Benefit 0 21 21 48 48 96 40 Minnesota Care Grants -Intensive Outpatient Benefit 0 9 9 20 20 40 51 MMIS Systems Costs -Intensive Outpatient Benefit 0 0 0 0 0 0 85 Project staff & Admin Costs -Intensive Outpatient Benefit 0 0 0 0 0 0 0 REV1 (1,882) Administrative FFP -Intensive Outpatient Benefit 0 0 0 0 0 51 MMIS Systems Costs -Intensive Outpatient Benefit 0 18 18 0 0 0 85 Project staff & Admin Costs -Intensive Outpatient Benefit 0 95 95 86 86 172 REV1 26 Administrative FFP -Intensive Outpatient Benefit 0 (38) (38) (34) (34) (68) Children's Services Grants - Transfer Children's MH Grant 0 (416) (416) (1,556) (1,556) (3,112) 41 MA Basic Health Care F&C 0 166 166 622 648 42 MA Basic Health Care E&D 0 947 947 3,582 3,764 7,346 74 Adult Mental Health Grants - Transfer Adult MH Grants 0 (697) (697) (2,648) (2,648) (5,296) 50 Health Care Administration - Health Care Purchasing Staff and Actuarial 0 0 0 0 0 0 50 External Quality Review 0 0 0 0 0 0 51 MMIS Systems Costs 0 0 0 0 0 0 85 Project Oversight Staff & Admin Costs 0 0 0 0 0 0 REV1 Administrative FFP 0 0 0 0 0 0 50 332 382 308 308 616 External Quality Review 0 500 500 500 500 1,000 MMIS Systems Costs 0 18 18 0 0 0 Project Oversight Staff & Admin Costs 122 136 258 86 86 172 Administrative FFP 50 Health Care Administration - Health Care Purchasing Staff and Actuarial 50 51 85 REV1 1,270 (69) (562) (631) (533) (533) 41 MA Basic Health Care F&C -Workforce Shortages 34 177 211 271 271 542 42 MA Basic Health Care E&D -Workforce Shortages 338 1,762 2,100 2,690 2,693 5,383 42 MA Basic Health Care E&D -Workforce Shortages - Senate Increase for CTS P 82 210 292 213 213 426 43 General Assistance Medical Care Grants -Workforce Shortage- 4 18 22 28 28 56 40 Minnesota Care Grants -Workforce Shortages 4 15 19 21 21 42 85 Continuing Care Administration - Measuring MH Service Outcomes 0 0 0 0 0 0 Administrative FFP 0 0 0 0 0 0 Continuing Care Administration Tracking Acute Care / MH Service Availability 0 0 0 0 0 0 204 REV1 74 85 REV1 74 REV2 (1,066) Continuing Care Administration - Measuring MH Service Outcomes 0 102 102 102 102 Administrative FFP 0 (41) (41) (41) (41) (82) Continuing Care Administration Tracking Acute Care / MH Service Availability 0 60 60 60 60 120 County Share for uninsured Commitments to State Operated Community Based (2,288) (4,576) (6,864) (4,576) (4,576) (9,152) 26 Children's Services Grants - Mobile MH Crisis Services Infrastructure 0 0 0 0 0 0 74 Adult Mental Health - Mobile MH Crisis Services Infrastructure 0 0 0 0 0 0 26 Children's Services Grants - MH School-Based Infrastructure 0 0 0 0 0 0 26 Children's Services Grants - MH School-Based Infrastructure 0 0 0 0 0 0 26 Children's Services Grants - Support Evidence-Based Practices 0 0 0 0 0 0 74 Adult Mental Health - Support Evidence-Based Practices 0 0 0 0 0 0 26 Children's Services Grants -Culturally Specific and Specialty Treatment 0 0 0 0 0 0 74 Adult Mental Health -Culturally Specific and Specialty Treatment 0 0 0 0 0 0 26 Children's Services Grants - Mobile MH Crisis Services Infrastructure 2,528 2,850 5,378 2,850 2,850 5,700 74 Adult Mental Health - Mobile MH Crisis Services Infrastructure 2,528 3,278 5,806 3,278 3,278 6,556 26 Children's Services Grants - MH School-Based Infrastructure 3,425 4,350 7,775 4,350 4,350 8,700 26 Children's Services Grants - MH School-Based Infrastructure 2,488 2,475 4,963 2,475 2,475 4,950 26 Children's Services Grants - Support Evidence-Based Practices 375 750 1,125 750 750 1,500 74 Adult Mental Health - Support Evidence-Based Practices 375 750 1,125 750 750 1,500 26 Children's Services Grants -Culturally Specific and Specialty Treatment 125 500 625 500 500 1,000 74 Adult Mental Health -Culturally Specific and Specialty Treatment 125 500 625 500 500 1,000 74 Adult Mental Health Grants - Transitional Housing Grants 1,750 1,500 3,250 1,500 1,500 3,000 43 563 606 1,132 1,260 2,392 REV2 40 End of Year Balance Transfer to GF Minnesota Care Grants - Interaction with Eligibility Changes 0 0 0 0 0 0 REV2 End of Year Balance Transfer to GF 0 0 0 0 0 0 548 616 1,164 116 116 232 500 500 1,000 0 0 48 116 164 116 116 0 232 1202 1203 1204 1205 HF196 Greiling Mental Health Program GF TOTAL HCAF TOTAL 1206 1207 1208 1209 GF 26 GF 85 GF REV1 Children Services Grant Respite Care Grants 0 Continuing Care Admin 0 0 Administrative FFP 0 0 David Godfrey - Senate Fiscal Analysis John Walz House Fiscal Analysis 6/26/2007, 3:26 PM 0 Tab 1: Page 12 of 19 HEALTH and HUMAN SERVICES BUDGET NET FISCAL IMPACT OF PROPOSALS 2007FINALHHS.xls Working Group Agreement - HF 1078 Trkg.a Gov Rec Line m / Bill Ref Fund BACT GF 26 GF 26 GF 26 HCAF 40 GF 74 GF 85 GF REV1 GF 26 GF 74 GF 85 GF REV1 GF 26 HCAF 40 1210 1211 1212 1213 1214 1215 1216 1217 1218 1219 1220 1221 1222 FY 2008 DESCRIPTION FY 2009 FY 08-09 FY 2010 FY 2011 FY 10/11 Trauma Focused Evidence Based practice to Children's Grants 0 0 Children Services Grants - Collaborative Services for High Risk Children Grants 0 0 Children Services Grants - Evidenced Based Practice Grants 0 Exempt MH from MnCare Limited Copays 48 116 164 0 116 116 232 Adult MH Grants - Mobile Crisis Services Grants 0 0 Continuing Care Admin - MH Tracking and Outcomes Measurement 0 0 Administrative FFP 0 0 Mn MFIP Children's MH Pilot 0 0 Adult MH Grants Dual Diagnosis Grants 0 0 Continuing Care Admin - Community Training 0 0 Administrative FFP 0 0 1,000 0 0 0 Regional Children's Mental health Pilot 500 500 MinnesotaCare - Diagnostic Assessment Rate 1223 1224 1225 1226 HF196 Greiling MFIP Children's Mental Health Pilot TANF 1227 26 100 200 300 200 200 400 TANF TOTAL 100 200 300 200 200 400 Other Children and Economic Assistance Grants 100 200 300 200 200 400 1228 1229 1230 1231 SF 1287 Kubly Compulsive Gambling Appropriation - Northstar Alliance LOTT 1232 74 325 225 550 100 100 200 LOTT TOTAL 325 225 550 100 100 200 Mental Health Grants 325 225 550 100 100 200 1233 1234 1235 1236 SF 1287 Solon Compulsive Gambling Education, Treatment and Assessment A LOTT LOTT 1237 1238 400 100 500 100 100 200 LOTT TOTAL 400 100 500 100 100 200 74 Other Continuing Care Grants 300 100 400 100 100 200 85 Continuing Care Admin 100 0 100 0 0 0 1239 1240 Services for Deaf and Hard-of-Hearing People 1241 1242 GF 75 GF 75 GF 85 GF REV1 GF 42 GF 43 1243 1244 1245 1246 1247 1248 250 441 690 441 441 881 GF TOTAL 250 441 690 441 441 881 Deaf and Hard of Hearing Grants - expand services 130 288 418 288 288 576 Deaf and HH Grants - County Training / Outreach Grants 65 101 165 101 101 201 Administrative Costs - 2 FTEs (salary and non-salary) 53 48 101 48 48 96 (21) (19) (40) (19) (19) (38) 20 20 40 20 20 40 3 3 6 3 3 6 Administrative FFP MA Basic Health Care Grants E&D GAMC 1249 1250 Hearing Loss Mentor Program 1251 1252 GF 1253 75 40 40 80 40 40 80 GF TOTAL 40 40 80 40 40 80 Deaf and Hard of Hearing Grants 40 40 80 40 40 80 0 0 0 0 0 0 0 0 0 0 0 0 1254 1255 1256 1257 SF 532 Rosen Chemical Use Assessment Requirement GF TOTAL GF 50 GF 11 GF 85 GF REV1 1258 1259 1260 1261 County Monitoring - Web Application Development 0 0 Licensing Information System 0 0 County Technical Assistance Duties - 1 FTE 0 0 Administrative FFP 0 0 1262 1263 1264 1265 HF 727 County Tschumper Repayment Forgiveness Disabilities Overspending GF TOTAL GF 78 GF 78 GF 78 GF REV2 GF 78 GF 78 1266 1267 1268 1269 1270 1271 Other Continuing Care Grants - Fillmore County Other Continuing Care Grants - Steele County Other Continuing Care Grants - Carver County - delay to June 30, 2009 Other Continuing Care Grants - Carver County 0 0 0 0 0 0 0 0 0 0 0 0 557 0 557 0 0 0 42 0 42 0 0 0 985 0 985 0 0 0 0 0 0 0 Other Continuing Care Grants - St. Louis County 3,703 GOVERNOR'S VETO (5,287) (985) 0 985 (985) 3,703 (4,302) 1272 1273 Disability Linkage line 1274 1275 GF 1276 78 469 626 1,095 626 626 1,252 GF TOTAL 469 626 1,095 626 626 1,252 Other Continuing Care Grants 469 626 1,095 626 626 1,252 1277 1278 1279 1280 SF 532 Rosen Meth Treatment Programs Appropriation - Extend Sunset to En GF 77 DED REV2 DED REV2 1281 1282 1283 175 375 550 0 0 0 GF TOTAL 175 375 550 0 0 0 CD Non-entitlement Grants 175 375 550 Transfer from DEED - Meth Abatement Loan Fund Transfer to DHS 0 (200) 0 200 0 0 0 0 0 0 0 0 0 0 0 0 0 1284 1285 1286 1287 SF 250 Berglin Chemical Dependency County MOE Allocation Modification GF TOTAL GF 1288 76 CD Entitlement Grants 0 0 1289 1290 1291 1292 HF 1857 Eken Native American Juvenile Treatment center Pre-Design GF 77 GF REV1 1293 1294 50 0 50 0 0 0 GF TOTAL 50 0 50 0 0 0 Other Continuing Care Grants - White Earth 50 0 50 0 0 0 0 0 0 FFP 1295 1296 1297 1298 1299 1300 SF 1424 Olson M Leech Lake Youth Treatment Center Planning Grant GF 77 GF REV1 75 75 150 0 0 0 GF TOTAL 75 75 150 0 0 0 Continuing Care Administration 75 75 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Administrative FFP 1301 1302 1303 HIV/AIDS Insurance Program Funding GF TOTAL HCAF TOTAL 1304 1305 1306 1307 GF HCAF 78 Other Continuing Care Grants - Refinance Existing HIV Grant Base 0 0 78 Other Continuing Care Grants - Finance Existing GF Base from HCAF 0 0 1308 1309 1310 David Godfrey - Senate Fiscal Analysis John Walz House Fiscal Analysis 6/26/2007, 3:26 PM Tab 1: Page 13 of 19 HEALTH and HUMAN SERVICES BUDGET NET FISCAL IMPACT OF PROPOSALS 2007FINALHHS.xls Working Group Agreement - HF 1078 Trkg.a Gov Rec Line m / Bill Ref Fund BACT FY 2008 DESCRIPTION Region 10 Quality Assurance Expansion 1311 1312 GF 85 GF REV1 1313 1314 FY 2009 FY 08-09 FY 2010 FY 2011 FY 10/11 120 120 240 0 0 0 GF TOTAL 120 120 240 0 0 0 Continuing Care Admin 200 200 400 Administrative FFP (80) (80) (160) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1315 1316 Local Certification of HCBS Providers 1317 GF TOTAL 1318 GF 85 GF REV1 1319 1320 Other Continuing Care Grants 0 0 Administrative FFP 1321 1322 Nursing Home Report Card Expansion 1323 GF TOTAL 1324 GF 85 GF REV1 1325 1326 0 0 0 0 0 0 0 0 0 0 0 0 Continuing Care Admin - Add Non-MA Facilities 0 0 Administrative FFP 0 0 1327 1328 Require Timely Petitions for Commitment to Avoid Hold Orders 1329 1330 GF REV2 1331 280 0 280 0 0 0 GF TOTAL 280 0 280 0 0 0 SOS 280 280 0 0 0 1332 1333 Minnesota Security Hospital Census Adjustment 1334 1335 GF 95 GF REV2 1336 1337 (1,493) (1,493) (2,986) (1,493) (1,493) (2,986) GF TOTAL (1,493) (1,493) (2,986) (1,493) (1,493) (2,986) SOS (1,659) (1,659) (3,318) (1,659) (1,659) (3,318) SOS Collections 166 166 332 166 166 332 0 0 0 0 0 0 0 0 0 0 0 0 1338 1339 Eliminate Willmar Evidenced Based Treatment Activity 1340 GF TOTAL 1341 GF 1342 90 State Operated Services 0 0 1343 1344 1345 1346 1347 SF 676 Lourey RTC Grave Markers/Remembering with Dignity Project GF 90 200 0 200 0 0 0 GF TOTAL 200 0 200 0 0 0 State Operated Services 200 0 200 0 0 0 (250) 0 (250) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1348 1349 1350 TANF Refinancing GF TOTAL TANF TOTAL DED TOTAL 1351 1352 1353 1354 1355 1356 1357 1358 GF 22 TANF 15 DED REV2 DED 22 TANF REV2 (250) 0 0 0 (250) 0 Refinance TANF/GF 0 Refinance TANF/GF 0 0 Child Care Development Fund - transfer From TANF 0 0 Child Care Development Fund 0 0 Support Services Grants - Increase FY 2007 Cancellation Estimate (250) 0 (250) 0 0 0 0 1359 1360 1361 Compensation Adjustment 1363 1364 1365 1366 1367 1368 1369 1370 1371 1372 1373 1374 1375 1376 1377 1378 1379 1380 1381 1382 1383 1384 1385 1386 1387 1388 1389 1390 1391 1392 1393 7,722 15,678 23,400 15,678 15,678 31,356 7,354 14,933 22,287 14,933 14,933 349 705 1,054 705 705 29,866 1,410 18 62 GF TOTAL HCAF TOTAL LOTT TOTAL SGSR TOTAL 1362 GF 10 GF 11 GF 12 GF 13 GF 35 GF 36 GF 50 GF 51 GF 85 GF 36 GF 51 HCAF 10 HCAF 11 HCAF 12 HCAF 13 HCAF 36 HCAF 50 HCAF 51 HCAF 85 SGSR 11 SGSR 85 LOTT 85 GF REV1 HCAF REV1 GF 90 GF 95 GF 93 GF REV2 4 9 13 9 9 15 31 46 31 31 Central Office Administration 189 384 573 384 384 768 Central Office Administration 226 459 685 459 459 918 Central Office Administration 100 203 303 203 203 406 Central Office Administration 196 398 594 398 398 796 Central Office Administration 165 335 500 335 335 670 Central Office Administration 105 213 318 213 213 426 Central Office Administration 63 128 191 128 128 256 Central Office Administration 195 396 591 396 396 792 Central Office Administration 397 805 1,202 805 805 1,610 Major Systems Compensation Adjustment 318 647 965 647 647 1,294 Major Systems Compensation Adjustment 2,500 616 1,250 1,866 1,250 1,250 Central Office Administration 12 24 36 24 24 48 Central Office Administration 26 52 78 52 52 104 Central Office Administration 7 14 21 14 14 28 Central Office Administration 33 68 101 68 68 136 Central Office Administration 10 21 31 21 21 42 Central Office Administration 13 27 40 27 27 54 Central Office Administration 477 969 1,446 969 969 1,938 Central Office Administration Central Office Administration Central Office Administration 3 12 3 0 25 6 3 37 9 0 25 6 0 25 6 0 50 12 Central Office Administration 4 Administrative FFP (655) Administrative FFP (232) 9 (1,329) (470) 13 (1,984) (702) 9 (1,329) (470) 9 (1,329) (470) 18 (2,658) (940) SOS - Adult MH 3,419 6,941 10,360 6,941 6,941 13,882 SOS - MSH/METO 1,927 3,912 5,839 3,912 3,912 7,824 SOS - MSOP 1,268 2,574 3,842 2,574 2,574 5,148 (1,175) (2,383) (3,558) (2,383) (2,383) (4,766) SOS Collections 1394 1395 1396 1397 1398 1399 1400 DEPARTMENT OF HEALTH 1401 1402 1403 Administrative Support Services Reductions for P4P Withhold 1404 1405 GF 5 0 0 0 (91) (91) (182) GF TOTAL 0 0 0 (91) (91) (182) Agency Management 0 0 0 (91) (91) (182) 1406 1407 1408 Health Improvement Account/P4P Agency Initiative 1409 1410 GF 5 0 0 0 91 91 182 GF TOTAL 0 0 0 91 91 182 Agency Management 0 0 0 91 91 182 4,262 4,577 8,839 4,577 4,577 9,154 1411 1412 1413 HOME VISITING David Godfrey - Senate Fiscal Analysis John Walz House Fiscal Analysis 6/26/2007, 3:26 PM Tab 1: Page 14 of 19 HEALTH and HUMAN SERVICES BUDGET NET FISCAL IMPACT OF PROPOSALS 2007FINALHHS.xls Working Group Agreement - HF 1078 Trkg.a Gov Rec Line m / Bill Ref Fund BACT 1414 13 FY 2008 DESCRIPTION TANF Total 1415 TANF 1 Community and Family Health Promotion - Increase Home Visiting Gr 1416 TANF 4 Minority and Multi-cultural Health - Increase Home Visiting Grants FY 2009 FY 08-09 FY 2010 FY 2011 FY 10/11 9,154 4,262 4,577 8,839 4,577 4,577 4,000 4,000 8,000 4,000 4,000 8,000 262 577 839 577 577 1,154 1417 1418 Restore 2003 Family Planning Grant Reductions 1419 1,156 1,156 2,312 1,156 1,156 2,312 TANF TOTAL GF TOTAL 1,156 1,156 2,312 1,156 1,156 0 0 0 0 0 2,312 0 1 Community and Family Health Promotion 1,156 1,156 2,312 1,156 1,156 2,312 1 Community and Family Health Promotion 0 0 0 0 0 0 (220) (220) (440) (220) (220) (440) 0 0 0 0 0 1420 1421 TANF GF 1422 1423 1424 1425 MnENABLE 1426 1427 15 1428 TANF GF 1429 1430 1 1 TANF Total GF TOTAL (220) (220) (440) (220) (220) 0 (440) Community and Family Health Promotion - Maintain MnENABL Grants Community and Family Health Promotion - MnENABL Grants (220) (220) (440) (220) (220) (440) 0 0 1431 1432 Reduce Positive Alternative Grants 1433 1434 GF 1435 1 0 0 0 0 0 0 GF TOTAL 0 0 0 0 0 0 Community and Family Health Promotion - reduce grants by 50% 0 0 0 0 0 0 1436 1437 Fetal Alcohol Spectrum Disorders 1438 16 1439 GF 1440 1 500 500 1,000 500 500 1,000 GF TOTAL 500 500 1,000 500 500 1,000 Community and Family Health Promotion - expand Fetal Alcohol prevention 500 500 1,000 500 500 1,000 0 0 0 400 400 800 0 0 0 0 0 0 0 0 400 400 0 0 0 0 0 0 800 0 400 400 800 1441 1442 Loan Forgiveness Increase/Consolidation 1443 17 GF TOTAL SGSR TOTAL HCAF TOTAL 1444 1445 1446 GF SGSR HCAF 1447 1448 1449 1 Community and Family Health Promotion - Loan Forgiveness - consolidation 0 2 Community and Family Health Promotion - Loan Forgiveness - consolidation 0 1 Community and Family Health Promotion - Loan Forgiveness - consolidation/increase 0 0 0 1450 1451 1452 SF 678 HIV Information and Referral 1453 0 0 0 0 0 0 GF TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 80 80 160 80 80 160 (80) (80) (80) (80) 1 Community and Family Health Promotion 1455 GF GF 3 Health Protection 1456 GF 3 GOVERNOR'S VETO 1454 (160) (160) 1457 1458 SF 1320 Hearing Aid and Instrument Loan Bank 1459 GF 1460 1 70 70 140 70 70 140 GF TOTAL 70 70 140 70 70 140 Community and Family Health Promotion 70 70 140 70 70 140 1461 1462 Deaf and Hard of Hearing Loss Supports 1463 1464 GF 1465 1 199 0 199 0 0 0 GF TOTAL 199 0 199 0 0 0 Community and Family Health Promotion 199 199 0 1466 1467 1468 Heart Disease and Stroke Prevention 1469 GF TOTAL 1470 GF 1 Community and Family Health Promotion 1471 GF 1 GOVERNOR'S VETO 0 0 0 0 0 0 0 0 0 0 0 0 200 0 200 0 0 0 (200) (200) 1472 Bright Smiles Pilot Project 1473 GF TOTAL 1474 GF 1475 1 0 0 0 0 0 0 0 0 0 0 0 0 Community and Family Health Promotion 0 0 1476 1477 Suicide Prevention 1478 1479 GF 1480 1 335 145 480 145 145 290 GF TOTAL 335 145 480 145 145 290 Community and Family Health Promotion 335 145 480 145 145 290 1,500 1,500 3,000 1,500 1,500 3,000 1,500 1,500 3,000 1,500 1,500 0 0 0 0 0 3,000 0 1481 1482 1483 SF2 FQHC Subsidies GF Total HCAF TOTAL 1484 1485 HCAF GF 1486 1487 2 2 Health Care Grants Policy and Compliance 0 0 0 0 0 0 1,500 1,500 3,000 1,500 1,500 3,000 7,000 7,000 14,000 0 0 0 0 0 0 0 0 7,000 7,000 14,000 0 0 0 0 3,500 3,500 7,000 0 0 0 3,150 3,150 6,300 0 0 0 0 0 0 0 0 0 350 350 700 0 0 0 6,250 6,250 12,500 2,000 2,000 4,000 6,250 6,250 12,500 2,000 2,000 0 0 0 0 0 4,000 0 1488 1489 1490 SF 2 E-Health Grants GF TOTAL HCAF TOTAL 1491 1492 1493 1494 1495 1496 1497 HCAF HCAF HCAF HCAF GF 2 2 2 2 2 Policy Quality and Compliance - Matching Grants to Rural and Unders Policy Quality and Compliance - E-Records Revolving Loan Fund Grants to Support Implementation of Mn Public Health Information ne Technical Support and Assistance Revolving Loan Programs 1498 1499 1500 32 MERC Federal Compliance GF Total HCAF TOTAL 1501 1502 1503 1504 HCAF GF 2 2 Policy Quality and Compliance - Offset Federal funding changes Policy Quality and Compliance - Offset Federal funding changes 0 0 0 0 0 0 6,250 6,250 12,500 2,000 2,000 4,000 1505 1506 1507 Healthy Connections 1508 1509 1510 1511 HCAF GF 2 2 0 0 0 0 0 0 GF Total HCAF TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 Policy Quality and Compliance - Offset Federal funding changes Policy Quality and Compliance - Offset Federal funding changes 0 0 0 0 0 0 0 0 0 0 0 0 600 0 600 600 0 600 600 0 600 600 0 600 1512 1513 1507 39 1508 Health Care Access Survey HCAF TOTAL David Godfrey - Senate Fiscal Analysis John Walz House Fiscal Analysis 6/26/2007, 3:26 PM Tab 1: Page 15 of 19 HEALTH and HUMAN SERVICES BUDGET NET FISCAL IMPACT OF PROPOSALS 2007FINALHHS.xls Working Group Agreement - HF 1078 Trkg.a Gov Rec Line m / Bill Ref Fund HCAF 1509 BACT 2 FY 2008 DESCRIPTION Policy Quality and Compliance - Health Insurance Survey FY 2009 FY 08-09 FY 2010 FY 2011 FY 10/11 600 0 600 600 0 600 0 0 0 0 0 0 0 0 0 0 0 0 1510 1511 1512 SF 485 Health Plan Purchasing Study Workgroup HCAF TOTAL 1513 HCAF 1514 2 Policy Quality and Compliance - Absorb 0 0 1515 1516 1517 SF2 Administrative Costs for Uniform Billing and HITI Advisory Cou GF TOTAL HCAF TOTAL 1518 1519 GF HCAF 1520 1521 2 2 Administrative - 1.5 FTEs Administrative - 1.5 FTEs 146 146 292 146 146 292 0 0 0 146 146 292 146 146 292 0 0 0 0 0 0 146 146 292 146 146 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1522 1523 1524 SF 857 Administrative Costs for Health Insurance Premium Caps HCAF TOTAL 1525 HCAF 1526 2 Administrative - 1 FTE 0 0 1527 1528 1529 Administrative Reduction 0 0 0 0 0 0 1530 HCAF TOTAL 0 0 0 0 0 0 HCAF HCAF 1531 1532 2 2 Health Care Cabinet - 1 FTE Information Clearinghouse - .8 FTE 0 0 1533 1534 1535 Health Care Transformation Task Force 1536 HCAF TOTAL GF TOTAL 1537 GF HCAF 1538 1539 170 0 170 0 0 170 0 170 0 0 0 0 0 0 0 0 0 0 2 Policy and Compliance 0 0 0 0 2 Policy and Compliance 170 0 170 0 1540 1541 SF964 Community Initiatives to Cover Uninsured and Underinsured 1542 GF 1543 2 300 0 300 0 0 0 GF TOTAL 300 0 300 0 0 0 Policy and Compliance 300 0 300 0 1544 1545 Long Term Care and Alternatives 1546 41 1547 SGSR 1548 2 411 411 822 411 411 822 SGSR 411 411 822 411 411 822 Policy Quality and Compliance - background checks, consumer inform 411 411 822 411 411 822 0 0 0 0 0 0 0 0 0 0 0 0 134 134 268 134 134 268 (134) (134) (268) (134) (134) (268) (28) (28) (56) (28) (28) (56) (28) (28) (56) (28) (28) (56) 61 61 122 61 61 122 (89) (89) (178) (89) (89) (178) 1549 1550 Housing with Services Fee Adjustments 1551 42 SGSR 1552 1553 SGSR 2 1554 SGSR REV Policy Quality and Compliance - Maintain current services/consumer i Increase Fees to Housing with Services 1555 1556 Mortuary Science 1557 43 SGSR 1558 1559 SGSR 2 1560 SGSR REV Policy Quality and Compliance - Maintain current activities Increase Fees to Mortuary Science 1561 1562 Occupational Therapy Fee Reductions 1563 44 1564 SGSR REV 1565 48 58 106 48 58 106 SGSR 48 58 106 48 58 106 Reduce Fees to match biennial expenditures 48 58 106 48 58 106 1566 1567 Hearing Instrument Dispensing Fee Adjust 1568 45 1569 SGSR REV 1570 0 0 0 0 0 0 SGSR 0 0 0 0 0 0 Increase fees to match biennial expenditures 0 0 0 0 0 0 500 500 1,000 0 0 0 500 500 1,000 0 0 0 0 0 0 0 0 0 1571 1572 Pediatric Medical Home Project 1573 HCAF TOTAL GF TOTAL 1574 1575 1576 GF 2 Policy and Compliance 1577 HCAF 1 Community and Family Health Promotion 0 0 0 0 0 0 500 500 1,000 0 0 0 1578 1579 HF1074 Anotomical Gift Act 0 0 0 0 0 0 GF TOTAL 0 0 0 0 0 0 Policy and Compliance 0 0 0 0 0 0 Uncompensated Care Study 1580 1581 GF 2 1582 1583 1584 1585 1586 GF 2 0 0 0 0 0 0 GF TOTAL 0 0 0 0 0 0 Policy and Compliance 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1587 1588 1589 Health Tracking and Biomonitoring Other - Environment GF TOTAL 1590 1591 1592 GF 3 Health Protection 0 0 0 0 1593 OTH 3 Health Protection 0 0 0 0 1594 1595 1596 AIDS Prevention Initiative 1597 1598 GF 3 250 0 250 0 0 0 GF TOTAL 250 0 250 0 0 0 Health Protection 250 0 250 0 0 0 1599 1600 1601 Decabromodiphenyl Ether study 1602 1603 GF 3 0 0 0 0 0 0 GF TOTAL 0 0 0 0 0 0 Health Protection 0 0 0 0 0 0 1604 1605 1606 Radiation Emissions Report 1607 1608 1609 GF 3 0 0 0 0 0 0 SGSR GF TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 Health Protection 0 David Godfrey - Senate Fiscal Analysis John Walz House Fiscal Analysis 6/26/2007, 3:26 PM 0 0 Tab 1: Page 16 of 19 HEALTH and HUMAN SERVICES BUDGET NET FISCAL IMPACT OF PROPOSALS 2007FINALHHS.xls Working Group Agreement - HF 1078 Trkg.a Gov Rec Line m / Bill Ref Fund SGSR 1610 BACT DESCRIPTION 3 Health Protection FY 2008 FY 2009 0 FY 08-09 FY 2010 FY 2011 0 FY 10/11 0 1611 1612 Tuberculosis Prevention 1613 58 1614 GF 1615 3 400 0 400 0 0 0 GF TOTAL 400 0 400 0 0 0 Health Protection - TB testing, treatment and case management 400 400 0 1616 1617 Childrens Health Protection 1618 651 325 976 225 225 450 GF TOTAL 651 325 976 225 225 450 3 Health Protection Childhood Lead Standard And Assessment 551 225 776 225 225 450 3 Health Protection Arsenic Child Health Based Value 3 Healt h Protection Contaminents in Water 3 1619 GF GF GF GF GF GF 1620 1621 1622 1623 1624 1625 0 0 0 100 100 200 0 0 0 Health Protection Phthalates in Childrens Products 0 0 0 0 0 0 3 Health Protection Lead Hazrd Reduction 0 3 DHS - MA Costs 0 0 0 0 0 0 0 0 1626 1627 PFC Water Treatment Point of use Evaluation 1628 1629 GF 1630 3 40 0 40 0 0 0 GF TOTAL 40 0 40 0 0 0 Health Protection 40 40 0 1631 1632 Environmental Justice Mapping 1633 1634 GF 1635 3 0 0 0 0 0 0 GF TOTAL 0 0 0 0 0 0 Health Protection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1636 1637 1638 SF 772 Birth Defects Information System GF TOTAL 1639 GF GF 1640 1641 3 Health Protection 1 Community and Family Health Promotion - Loan Forgiveness - consolidation 0 0 1642 1643 1644 1645 State Well Program Maintenance 1646 56 SGSR 1647 SGSR REV 1648 0 (600) (600) (600) (600) (1,200) 0 (600) (600) (600) (600) (1,200) (600) (600) (600) (600) (1,200) Increase fees to match biennial expenditures 1649 1650 Public Health Laboratory Operations 1651 60 558 681 1,239 681 681 1,362 GF TOTAL 558 681 1,239 681 681 1,362 3 Health Protection - Increase lease costs and operations 558 681 1,239 681 681 1,362 3 Health Protection - Increase lease costs and operations 1652 GF GF 1653 1654 0 0 1655 1656 Newborn Screening & Infant Hearing 1657 62 SGSR 1658 (46) 433 387 433 433 (46) 433 387 433 433 866 866 Health Protection - Continue newborn screening program Health Protection - Hearing Screening Health Protection - Hearing Screening 1,890 2,350 4,240 2,350 2,350 4,700 (1,440) (1,440) (2,880) (1,440) (1,440) (2,880) 1661 SGSR 3 SGSR REV SGSR 3 1,390 1,409 2,799 1,409 1,409 2,818 1662 SGSR REV Increase Fees to Newborn Screening (1,886) (1,886) (3,772) (1,886) (1,886) (3,772) 1659 1660 1663 1664 Newborn Screening 1665 62 SGSR 1666 1667 SGSR 3 1668 SGSR REV 0 0 0 0 0 0 0 0 0 0 0 0 Health Protection - Continue newborn screening program 0 0 Increase Fees to Newborn Screening 0 0 1669 1670 Specimen Handling Fee Increase 1671 64 SGSR 1672 1673 SGSR 3 1674 SGSR REV Health Protection - reporting, postage and kit preparation costs Increase Fees for laboratory specimen handling 0 0 0 0 0 0 0 0 0 0 0 0 51 51 102 51 51 102 (51) (51) (102) (51) (51) (102) 1675 1676 SGSR Account Transfer 1677 1678 1679 1680 GF REV 1681 SGSR REV 0 0 0 0 0 0 SGSR GF TOTAL 7,200 0 7,200 0 0 (7,200) 0 (7,200) 0 0 0 0 Transfer from SGSR (7,200) 0 (7,200) 0 0 0 7,200 0 7,200 0 0 0 Transfer to GF 1682 1683 Pandemic Influenza Preparedness 1684 65 4,085 0 4,085 100 100 200 GF TOTAL 4,085 0 4,085 100 100 200 3 Health Protection - prepare for pandemic influenza event 3,970 0 3,970 0 0 0 2 Policy and Compliance 3 Health Protection - Provide planning grants to local govts & tribes 3 Health Protection - Admin FTE 1685 GF GF GF GF 1686 1687 1688 1689 115 0 0 0 0 115 100 100 200 1690 1691 1692 SF 1015 Revolving Loan Fund for Window Lead Abatement GF TOTAL 1693 1694 GF 3 0 0 0 0 0 0 0 0 0 0 0 0 Health Protection 0 0 1695 1696 1697 Minority and Multicultural Health 1698 1699 GF 4 50 0 50 0 0 0 GF TOTAL 50 0 50 0 0 0 Minority and Multicultural Health 50 50 0 0 1700 1701 1702 94 Disease Surveillance 1704 1705 1706 1707 1708 2,000 0 2,000 0 0 0 2,000 0 2,000 0 0 0 0 0 0 0 0 0 0 SGSR HCAF TOTAL GF TOTAL 1703 HCAF SGSR GF 0 0 0 0 0 5 Administrative Support Services - develop and integrate state-wide system 0 0 0 0 0 0 5 Administrative Support Services - develop and integrate state-wide system 2,000 0 2,000 0 0 0 5 Administrative Support Services - develop and integrate state-wide system 1,003 2,037 3,040 2,037 2,037 4,074 1709 1710 1711 97 Compensation Adjustment David Godfrey - Senate Fiscal Analysis John Walz House Fiscal Analysis 6/26/2007, 3:26 PM Tab 1: Page 17 of 19 HEALTH and HUMAN SERVICES BUDGET NET FISCAL IMPACT OF PROPOSALS 2007FINALHHS.xls Working Group Agreement - HF 1078 Trkg.a Gov Rec Line m / Bill Ref Fund BACT 1712 1713 1714 GF GF GF GF GF SGSR SGSR SGSR HCAF HCAF 1715 1716 1717 1718 1719 1720 1721 1722 1723 1724 FY 2008 DESCRIPTION GF TOTAL SGSR TOTAL HCAF TOTAL FY 2009 FY 08-09 FY 2010 FY 2011 FY 10/11 1,588 2,066 420 391 794 1,185 794 794 509 1,033 1,542 1,033 1,033 103 210 313 210 210 150 304 454 304 304 17 35 52 35 35 70 183 372 555 372 372 744 1 Community and Family Health promotion 2 Policy Quality and Compliance 608 3 Health Protection 4 Minority and Multicultural Health 15 30 45 30 30 60 5 Administrative Support Services 26 53 79 53 53 106 1 Community and Family Health promotion 5 10 15 10 10 20 2 Policy Quality and Compliance 142 288 430 288 288 576 3 Health Protection 362 735 1,097 735 735 1,470 1 Community and Family Health promotion 34 70 104 70 70 140 2 Policy Quality and Compliance 69 140 209 140 140 280 1725 1726 1727 ** 1728 VETERANS HOMES BOARD 1729 1730 Repair and Betterments 1731 1732 GF 1733 1 3,250 3,250 6,500 0 0 0 GF TOTAL 3,250 3,250 6,500 0 0 0 Statewide repair and betterments for veterans homes 3,250 3,250 6,500 0 0 0 1734 1735 Agency Management Reduction 1736 1737 GF 1738 1 (50) 0 (50) 0 0 0 GF TOTAL (50) 0 (50) 0 0 0 Central Office (50) 0 (50) 0 0 0 1739 1740 Health Improvement Account/P4P Agency Initiative 1741 1742 GF REV 1743 50 0 50 0 0 0 GF TOTAL 50 0 50 0 0 0 Central Office 50 0 50 0 0 0 1744 1745 Maintain Current Service Levels 1746 1747 GF 1748 1 544 790 1,334 790 790 1,580 GF TOTAL 544 790 1,334 790 790 1,580 Supplement non-personnel costs 544 790 1,334 790 790 1,580 1749 1750 Compensation Adjustment 1751 1752 GF 1753 1 1,675 3,401 5,076 3,401 3,401 6,802 GF TOTAL 1,675 3,401 5,076 3,401 3,401 6,802 Increase for direct care personnel costs 1,675 3,401 5,076 3,401 3,401 6,802 217 191 408 162 162 324 217 191 408 162 162 324 25 10 35 10 10 20 10 10 20 10 10 20 30 59 89 30 30 60 12 12 24 12 12 24 90 90 180 90 90 180 55 15 70 15 15 30 (5) (5) (10) (5) (5) (10) 1754 1755 1756 1757*** 1758 HEALTH-RELATED BOARDS 1759 1760 1761 Operating Budget Increase SGSR TOTAL 1762 1763 1764 1765 1766 1767 1768 1769 SGSR 1 SGSR 2 SGSR 9 SGSR 10 SGSR 12 SGSR 14 SGSR REV Chiropractors Board Dentistry Board Pharmacy Board Physical Therapy Board Psychology Board Veterinary Medicine Board Veterinary Medicine Board - Fees 1770 1771 1772 Compensation Budget Increase SGSR TOTAL 1773 1774 1775 1776 1777 1778 1779 1780 1781 1782 1783 1784 1785 1786 1787 SGSR SGSR SGSR SGSR SGSR SGSR SGSR SGSR SGSR SGSR SGSR SGSR SGSR SGSR 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Chiropractors Board Dentistry Board Dietetics and Nutrition Practice Marriage and Family Therapy Board Board of Medical Practice Nursing Board Nursing Home Administrators Board Optometry Board Pharmacy Board Physical Therapy Board Podiatry Board Psychology Board Board of Social Work Veterinary Medicine Board 254 521 775 521 521 1,042 254 521 775 521 521 1,042 11 23 34 23 23 46 22 44 66 44 44 88 2 4 6 4 4 8 3 6 9 6 6 12 51 105 156 105 105 210 66 135 201 135 135 270 14 28 42 28 28 56 2 5 7 5 5 10 31 63 94 63 63 126 5 11 16 11 11 22 1 3 4 3 3 6 18 36 54 36 36 72 24 49 73 49 49 98 4 9 13 9 9 18 1788 1789 1790 Retirement Payout 1791 1792 1793 1794 1795 SGSR SGSR SGSR SGSR 3 4 8 11 0 51 51 0 0 0 SGSR TOTAL 0 51 51 0 0 0 Dietetics and Nutrition Practice Marriage and Family Therapy Board Optometry Board Podiatry Board 0 14 14 0 0 0 0 17 17 0 0 0 0 13 13 0 0 0 0 7 7 0 0 0 1796 1797 1798 Contested Case - Legal Costs 1799 1800 SGSR 5 500 0 500 0 0 0 SGSR TOTAL 500 0 500 0 0 0 Board of Medical Practice 500 0 500 0 0 0 1801 1802 1803 Additional Staff to Address Workload 1804 1805 SGSR 6 347 364 711 364 364 728 SGSR TOTAL 347 364 711 364 364 728 Nursing Board 347 364 711 364 364 728 1806 1807 1808 Bd of Pharmacy - Increase Facility Inspections 1809 1810 SGSR 9 170 176 346 176 176 352 SGSR TOTAL 170 176 346 176 176 352 Pharmacy Board 170 176 346 176 176 352 (83) (8) (91) (8) (8) (16) (83) (8) (91) (8) (8) (16) 82 65 147 65 65 130 (165) (73) (238) (73) (73) (146) 1811 1812 1813 Bd of Physical Therapy - license Physical Therapist Assistants SGSR TOTAL 1814 1815 1816 SGSR 10 SGSR REV Physical Therapy Board Fees 1817 1818 David Godfrey - Senate Fiscal Analysis John Walz House Fiscal Analysis 6/26/2007, 3:26 PM Tab 1: Page 18 of 19 HEALTH and HUMAN SERVICES BUDGET NET FISCAL IMPACT OF PROPOSALS 2007FINALHHS.xls Working Group Agreement - HF 1078 Trkg.a Gov Rec Line m / Bill Ref Fund BACT FY 2008 FY 2009 FY 08-09 FY 2010 FY 2011 FY 10/11 (312) (312) (624) (312) (312) (624) SGSR TOTAL (312) (312) (624) (312) (312) (624) Bd of Behavioral health Increase fees (279) (279) (558) (279) (279) (558) (33) (33) (66) (33) (33) (66) (400) DESCRIPTION Bd of Behavioral Health & Therapy - Align Budget w/ Workload 1819 1820 SGSR 15 SGSR REV 1821 1822 1823 1824 1825 1826 * 1827 1828 EMERGENCY MEDICAL SERVICES BOARD 1829 1830 Open and Standing Appropriation for Awards Made Direct and 1831 1832 GF GF 1833 1834 2 1 (200) (200) (400) (200) (200) GF TOTAL (200) (200) (400) (200) (200) (400) EMS Board - Eliminate Open and Standing Appropriation EMS Board - Direct Appropriation (900) (900) (1,800) (900) (900) (1,800) 700 700 1,400 700 700 1,400 0 0 0 1835 1836 Transfer from EMS Board Bonus Account 1837 1838 1839 GF REV SGSR REV 1840 1841 0 0 0 GF TOTAL SGSR TOTAL (800) 0 (800) 0 0 800 0 800 0 0 0 0 EMS Board Health Professional Services Program (800) 0 (800) 0 0 0 800 0 800 0 0 0 1842 1843 State EMS Medical Director 1844 1845 GF 1846 1 50 50 100 50 50 100 GF TOTAL 50 50 100 50 50 100 EMS Board - part time medical director 50 50 100 50 50 100 0 0 0 0 0 0 0 0 0 0 0 0 1847 1848 Emergency Preparedness Coordinator 1849 GF TOTAL 1850 GF 1851 1 EMS Board - full time Coordinator 0 0 1852 1853 Regional EMS Programs 1854 1855 GF 1856 1 400 400 800 0 0 0 GF TOTAL 400 400 800 0 0 0 EMS Board - staffing 400 400 800 0 0 0 1857 1858 Compensation Adjustment 1859 1860 1861 GF SGSR 1862 1863 1 1 44 90 134 90 90 180 GF TOTAL SGSR TOTAL 28 57 85 57 57 16 33 49 33 33 114 66 EMS Board Health Professional Services Program 28 57 85 57 57 114 16 33 49 33 33 66 1864 1865 Health Professional Services Program - Case Manager 1866 1867 SGSR 1868 1 75 75 150 75 75 150 SGSR TOTAL 75 75 150 75 75 150 HPSP - Full-time case manager 75 75 150 75 75 150 1869 1870 1871 * 1872 1873 COUNCIL ON DISABILITY 1874 1875 1876 SF 34 Disabled Persons Assistive Technology Appropriation 1877 GF GF 1878 1879 1 1 300 0 300 0 0 0 GF TOTAL 300 0 300 0 0 0 Loans Collaborative 200 0 200 0 0 0 100 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1880 1881 Options Too Disability Service 1882 GF TOTAL 1883 GF GF 1884 1885 1 1 1886 1887 Elimination of Agency Sunset 1888 1889 GF 1890 1 500 500 1,000 500 500 1,000 GF TOTAL 500 500 1,000 500 500 1,000 Fund Base 500 500 1,000 500 500 1,000 1891 1892 Compensation Adjustment 1893 1894 GF 1895 1 12 24 36 24 24 48 GF TOTAL 12 24 36 24 24 48 Compensation Adjustment 12 24 36 24 24 48 1896 1897 1898*** 1899 OMBUDSMAN FOR MENTAL HEALTH AND MENTAL RETARDATION 1900 1901 Maintain Current Services 1902 1903 GF 1904 1 79 106 185 106 106 212 GF TOTAL 79 106 185 106 106 212 Maintain Current Services 79 106 185 106 106 212 1905 1906 Compensation Adjustment 1907 1908 GF 1909 1 43 87 130 87 87 174 GF TOTAL 43 87 130 87 87 174 Compensation Adjustment 43 87 130 87 87 174 1910 1911 1912*** 1913 OMBUDSMAN FOR FAMILIES 1914 1915 1916 Compensation Adjustment 1917 1918 GF 1 10 20 30 20 20 40 GF TOTAL 10 20 30 20 20 40 Compensation Adjustment 10 20 30 20 20 40 1919 1920 1921*** David Godfrey - Senate Fiscal Analysis John Walz House Fiscal Analysis 6/26/2007, 3:26 PM Tab 1: Page 19 of 19
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