JAC Agency Hearings JAC Index 12-12-17pm1 Tuesday December 12, 2017 Agenda: PM 048 – Department of Health 12/12/2017 1:20:46 PM Forslund: external cost adjustment, pg. 218 recent histories Hastert: preschool question, child count, 20% increase in school districts, pg. 217 McVickers: pg. 221, state respite program, pg. 224, Life resource center, pg. 229, equipment replacement, pg. 232/233 aging division, pg. 240, unit 5003, pg. 243, unit 5004, elder rights, pg. 245, senior volunteer, pg. 248, pg. 251, pg. 255, unit 5040, Pioneer Home Forslund: pg. 255, Pioneer Home, privatization consideration, low priority for monies spent, bang for buck, built in ‘40s, no long term care facilities – safety net, if we have to make further cuts this is being considered, consider contracting for operations as PH is in a park, 31 FTE’s , no capital construction or replacement money, need a year to explore contracts and marketing for possible running, 320 impacts, heavily subsidized by the state, far behind, charging below market rates, interest from contractors, rates could go up, efficiency committee look, facilities have outlived their original purpose, half the cost of comparable private facilities, 61 clients not all are low income, less government, this will effect residents, push back from administration, Gov’s rec is to deny doing this, recommendation is to cut from director, pg. 265, Veterans Home, Buffalo, pg. 270, Wyoming Retirement Home in Basin, recommend leasing or selling for privatization, all 3 facilities are narrow on who can live there, no restrictions based on income for retirement center and PH, vets home – must be a vet, room in Buffalo to expand, demographics have changed for facilities in communities 12/12/2017 1:57:19 PM Break 12/12/2017 2:02:51 PM DOH question; DD and providers Johansen: Medicine donation program, Medicaid area, see a significant return on investment, doesn’t come back to DOH, Over 2,000 folks received donated meds, numbers increasing, re-dispensed meds$2.3M savings, 88% compliance with meds and refills, $1 spent $9 return in program, 30 site donations, expand central office Forslund: DD providers both house and Senate DOH to undertake a great rebasing effort, task force created, preliminary info in, estimated cost additional $33M a biennium, economic viability 12/12/2017 2:16:50 PM 049 – Department of Family Services Tom Forslund, Director, Korin Schmidt, Acting Senior Administrator, introduced others on staff Forslund: 17/18 and 19/20 budget, exception requests and 320 reductions, appointed June 1, 2017 overview of DFS and divisions; not filled directors slot yet, DFS 3rd largest budget, 2nd number employees, pg. 10 organization chart, $268M budget, 402 positions, 26 field offices across state, budget increase , issues impacting department, $6M overrun for 17/18 Larsen: reducing payments to providers, etc. Schmidt: 600 series services, open cases with DFS Forslund: not enough money in budget, residential treatment center Schmidt: Nuclear options, court decision, look at local services Forslund: 17/18 reorg, unit fund converted to one time use, 4E update, no windfall, explained h/o 079 Nicholas: what happens when agencies do not institute cuts as per directed by legislature Richards: not aware of any Forslund: cuts impacting providers Wilson: supplemental request information, 2% reduction, math re-done? Schmidt: not sure why rate reductions not made, have funds to cover $1M Forslund: continue explanation of handout 079, TANF grant limited to 15%, in excess 12/12/2017 2:58:58 PM Break 12/12/2017 3:08:00 PM McVickers: pg. 12 ER LIEAP, moved to one time spending, pg. 17, Boys school – Worland, 320 cut, vacant position, pg. 23, unit 5802, ER and 320 reduction, girls school – Sheridan, ratio difference in staff, population lower, follow up Schmidt: 320 cut, service providers Forlslund: eliminating frozen position Larsen: wrap around services update Schmidt: care management – Medicaid program, referrals, MOU at boys school Nicholas: one pager what cuts were made? McVickers: pg. 31, ER, 320 reduction, computers, pg. 39, 2 ER’s Walters: pg. 40 2 #4’s ER, error Wilson: pg. 40 funding source Hibbert: 1001 FF, rest are different grants Schmidt: preliminary estimate, $10 - 50M, vendor spread, some fed match, relook and bare bones, McVickers: pg. 44, 320 reduction, 5% crisis bed, pg. 47, correct budget error Schmidt: special revenue fund Wilson: who spent them? Schmidt: pg. 48 McVickers: pg. 52 Nicholas: question bottom of pg. 50 between base and standard budget McVickers: pg. 52, child abuse trust, pg. 56, pg. 58, SNAP, pg. 62, 63, 64, 67, 2ERs, $900K could come back, block grant matching, pg. 72, 76, ER, pg. 80, ER; $10M exception request, 320 reduction, pg. 84 Wilson: pg. 83 Schmidt: reorganization shifted everything, not sure of historical data, $5M short this biennium Burns: pg. 81, paid thru tobacco or GF? Richards: pg. 88, tobacco funds $1M Schmidt: revenue is down/unpredictable; dollars coming variable, expended $9M to date, acct balance $7M, submitted September, new projections coming Sommers: pg. 83 not funding total $10M or only half, Gov’s rec $5M one time, get out of hole for 17/18, $5M keeps up with 19/20; reimbursement Forslund: rate cut to providers, $5M, 36% reduction spending/monthly, rates variable Schmidt: $5M shortfall Forslund: pg. 85, vehicles, pg. 86, 320 reduction Sommers: BOCES rates Forslund: information forthcoming, 3 years cost average $240/day paid $175/day (RTC) McVickers: pg. 89 Tribes, ER, continue programs on the reservation Forslund: continuing fund Larsen: group homes in rural areas, funded differently, 11/12 funding model, Schmidt: not the kiss of death but have an impact on providers 12/12/2017 3:53:48 PM Completed DFS