Appropriates money to the office for people with developmental disabilities for the funding of various programs.
TITLE OF BILL: An act making an appropriation to the office for people with developmental disabilities for the purpose of providing additional services and expenses for community programs for people with developmental disabilities
Summary of provisions: This bill appropriates $90 million or such amount thereof as may be necessary for the purpose of funding OPWDD nonprofit services. The amount of the appropriation shall be based on a recommendation developed by the workgroup appointed pursuant to chapter 53 of the laws of 2013. The workgroup shall develop its recommendation after evaluating the extent to which the savings plan it developed pursuant to budget language restores the $90 million reduction enacted in the final budget. To the extent that funding falls short of fully restoring the $90 million reduction the director of the budget shall deposit sufficient funds to make up for such shortfall to the credit of the general fund for the purpose of funding services through OPWDD.
Justification: The final FY 13-14 budget for not-for-profit services to the Office of People with Developmental Disabilities was cut by a state share amount of $90 million or 4.5% With added federal funds this will amount to a $180 million reduction.
Advocates, people with developmental disabilities and their families believe that given the years of consecutive cuts to the developmental disabilities system, it is essential to eliminate the entire $90 million cut. This is especially true because of the enormous demands on the system of developmental disabilities services from waves of new regulations, the transition to managed care and a "transformational" agenda aimed at moving people to least restrictive environments
To begin the process of minimizing the $90 million cut, language in the final budget directed a workgroup to develop a savings plan. The savings plan was finalized by the workgroup at the end of March. While initial assessments of the savings plan are positive, it is unclear exactly to what extent it reduces the 4.5% cut.
This bill requires that the impact of the savings plan be reevaluated at future date by the workgroup so that an accurate assessment of the savings plan's impact will be possible,, To the extent that the savings plan does not provide sufficient savings to eliminate the impact of the $90 million cut, this bill would appropriate the shortfall to OPWDD and make good on the Legislature's promise for full restoration but only after every effort was made to achieve full restoration without resorting to new appropriations. While savings plan reductions such as supplemental room and board costs and certain administrative costs are consistent with the most efficient use of funds, associated funding must remain to support system transition and unmet needs.
This approach to full restoration is responsible, cost effective and fair to the State, people with developmental disabilities and their families and providers.
Prior history: None
Fiscal implications: To be determined
Effective date: This act shall take effect immediately
STATE OF NEW YORK ________________________________________________________________________ 4777 2013-2014 Regular Sessions IN SENATE April 23, 2013 ___________Introduced by Sen. GOLDEN -- read twice and ordered printed, and when printed to be committed to the Committee on Finance AN ACT making an appropriation to the office for people with develop- mental disabilities for the purpose of providing additional services and expenses for community programs for people with developmental disabilities THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. The sum of ninety million dollars ($90,000,000), or so much thereof as may be necessary, is hereby appropriated to the office for people with developmental disabilities out of any moneys in the state treasury in the general fund, not otherwise appropriated, and made imme- diately available, for the purposes of this act: The amount of such monies necessary shall be determined by the commis- sioner of developmental disabilities and director of the budget and shall be based on a recommendation developed by the workgroup appointed pursuant to chapter 53 of the laws of 2013. The workgroup shall develop its recommendation upon evaluating the extent to which the savings plan it developed pursuant to budget language included in chapter 53 of the laws of 2013 maintains rates of payment for Medicaid services at levels no less than those in effect on March 31, 2013 and reimbursement levels for any other OPWDD funded programs and services in effect on March 31, 2013. However to the extent that any additional federal funds or other funds are made available for this purpose those funds may be used to offset the requirement to use the full ninety million dollars. To the extent that funding falls short of the amount necessary to fulfill the proposes of this act, no later than December 31, 2013 the director of the budget shall deposit sufficient funds to make up for such shortfall to the credit of the general fund. The commissioner of developmental disabilities and director of the budget may also take into accountEXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD10185-04-3 S. 4777 2
greater efficiencies which do not diminish or impair services or the quality of care as reflected in the recommendations of the workgroup. Ninety million dollars ($90,000,000) or such amount as determined pursuant to this act shall be made available to the office for people with developmental disabilities immediately for the purpose of providing additional services and expenses for community programs for people with developmental disabilities pursuant to article 41 of the mental hygiene law, and/or chapter 620 of the laws of 1974, chapter 660 of the laws of 1977, chapter 412 of the laws of 1981, chapter 27 of the laws of 1987, chapter 729 of the laws of 1989, chapter 329 of the laws of 1993 and any other provisions of the mental hygiene law. Notwithstanding any inconsistent provision of law, the appropriation shall be net of refunds, rebates, reimbursements, and credits. Notwithstanding any inconsistent provision of law, the director of the budget is authorized to make sub-allocations from this appropriation up to $90,000,000 to the department of health medical assistance program for the state share of additional medical assistance services expenses incurred by the department of health for the provision of medical assistance to people with developmental disabilities. Notwithstanding any other provision of law, advances and reimbursement made pursuant to subdivision (d) of section 41.15 and section 41.18 of the mental hygiene law shall be allocated pursuant to a plan and in a manner prescribed by the commissioner of developmental disabilities and approved by the director of the budget. No expenditure shall be made from this appropriation until a certificate of allocation has been approved by the director of the budget and copies thereof filed with the state comptroller, and the chairs of the senate finance and assembly ways and means committees. The moneys hereby appropriated are available to reimburse or advance localities and voluntary non-profit agencies for expenditures made during local fiscal periods commencing January 1, 2013, April 1, 2013 or July 1, 2013, and for advances for the 3 month period beginning January 1, 2014. Such moneys shall be payable on the audit and warrant of the comp- troller on vouchers certified or approved by the commissioner of devel- opmental disabilities in the manner prescribed by law. S 2. This act shall take effect immediately.