Adjusted Executive Legislative
Approp. Request Approp.
2001-02 2002-03 2002-03 Change
STATE OPERATIONS
General Fund 203,858,600 197,754,000 197,754,000 0
Special Rev. Fed. 3,404,828,000 3,901,679,000 3,901,679,000 0
Special Rev. Other 347,062,900 393,934,000 393,991,000 57,000
Fiduciary 3,965,000 4,225,000 4,225,000 0
Enterprise 10,000 10,000 10,000 0
Total for Agency: 3,959,724,500 4,497,602,000 4,497,659,000 57,000
Total Contingency: 0 13,500,000 13,500,000 0
Total for
STATE OPERATIONS: 3,959,724,500 4,511,102,000 4,511,159,000 57,000
AID TO LOCALITIES
General Fund 6,973,180,000 6,769,917,000 6,476,758,000 (293,159,000)
Special Rev. Fed. 18,118,904,000 19,069,313,000 19,069,313,000 0
Special Rev. Other 1,855,433,000 3,270,164,000 3,675,264,000 405,100,000
Total for Agency: 26,947,517,000 29,109,394,000 29,221,335,000 111,941,000
Total Grants In Aid: 0 0 21,306,768 21,306,768
Total Contingency: 850,000,000 950,000,000 950,000,000 0
Total for
AID TO LOCALITIES: 27,797,517,000 30,059,394,000 30,192,641,768 133,247,768
CAPITAL PROJECTS
Capital Projects Fund 115,259,000 156,800,000 156,800,000 0
Total for
CAPITAL PROJECTS: 115,259,000 156,800,000 156,800,000 0
LEGISLATIVE ACTION
The Legislature provides $33,897,100,768 for the Department of Health on an All
Funds basis, an increase of $133,304,768 from the Executive budget submission. The
increase reflects restorations and enhancements to the State's Medical Assistance
Program (Medicaid), as well as to various general public health programs.
Legislative Reductions
Department of Health General Fund reductions total $397,100,000, including a loan
of $200,000,000 from the Health Care Reform Act of 2000 (HCRA 2000) to offset
Medicaid General Fund spending, including but not limited to Disaster Relief
Medicaid expenditures. Article VII language provides that in the event that the
Commissioner of Health and the Director of the Budget determine prior to June 30,
2003, that additional funds are required to meet obligations set forth in HCRA
2000, up to $200,000,000 will be transferred from the State General Fund to the
Health Care Initiatives Pool and the Tobacco Control and Insurance Initiatives
Pool in HCRA 2000. Article VII language further provides that the Commissioner of
Health shall ensure that the transfer shall in no event impede, limit, or
otherwise impair the implementation of, or the time frames or levels of financial
distributions for, any programs financed in HCRA 2000.
Article VII language also authorizes the Commissioner of Health to borrow any
existing cash balances in HCRA 2000 for the purposes of meeting any funding
obligations set forth in HCRA 2000, provided that such authorization shall in
no event extend beyond December 31, 2005. The provision further provides that,
commencing with the effective date of such provision, reports of cash transfers
made pursuant to such provision shall be submitted on a semi-annual basis to the
Director of the Budget, the Temporary President of the Senate, and the Speaker
of the Assembly.
The remaining $197,100,000 in Department of Health General Fund reductions also
results from actions that relieve Medicaid General Fund spending. These actions
include transfer from the General Fund to the Health Care Reform Act of 2000 of
$124,100,000 for payment of the State share of Medicaid expenditures related to
the City of New York and $73,000,000 for payment of the State share of Medicaid
expenditures for pharmaceutical services.
Legislative Changes
The Legislature adds $65,304,768 in additional appropriations to the Department
of Health for State Fiscal Year (SFY) 2002-03. Of this amount, the Legislature
provides $30,880,000 in additional funding to support the State share of Medicaid
for the following:
-- $22,000,000 in SFY 2002-03, approximately $75,000,000 on an annualized
basis, to exempt Medicare revenues from the 6 percent assessment on nursing homes,
effective October 1, 2002;
-- $3,856,000 in SFY 2002-03 to increase Medicaid rates of payment by three
percent for services provided on and after December 1, 2002 for the purpose of
supporting the recruitment and retention of non-supervisory workers or supervisory
workers who provide direct patient care in Certified Home Health Care Agencies
(CHHAs), Long-Term Home Health Care Programs (LTHHCPs), Hospice, Private Duty
Nursing, Early Intervention, Limited Substance Abuse Diagnostic and Treatment
Centers (D&TCs), Freestanding Methadone Maintenance Treatment Programs (MMTP),
and AIDS Adult Day Programs.
-- $4,912,000 for supplemental payments to clinics to assist in the transition
to a managed care environment;
-- $112,000 for uncompensated care and payments to dental clinics sponsored by
dental schools.
The Legislature further provides funding to increase Occupational Health Clinic
services by three percent, effective on and after December 1, 2002, for the
purpose of workforce recruitment and retention.
The Legislature appropriates the remaining $34,424,768 for various public health
programs. The Legislature restores $6,179,000 to AIDS-related programs not funded
by the Governor and provides for an additional $4,000,000 for HIV/AIDS communities
of color initiatives. In addition, the Legislature restores $4,000,000 for the
adult care facility Quality Incentive Payment Program. The Legislature further
provides additional funding for various statewide public health programs, including
additional support for Alzheimer's disease, breast cancer, traumatic brain injury,
arthritis, school-based health centers, migrant health clinics, rape crisis, family
planning, and health screenings for World Trade Center volunteers.
The Legislature denies the Governor's proposal in the Elderly Pharmaceutical
Insurance Coverage (EPIC) Program to supplant State funding with Federal funding,
and to transfer the resultant State savings into the Health Care Reform Act of
2000 (HCRA 2000).
Article VII
The Legislature accepts Article VII Legislation which:
-- authorizes various technical corrections to the Health Care Workforce
Recruitment and Retention Act (Chapter 1 of the Laws of 2002);
-- authorizes the transfer of the Working Disabled 1619 programs from the
General Fund to the Health Care Reform Act of 2000 (HCRA 2000). The scheduled
allocation amounts are $6,400,000 in Calendar Year (CY) 2002 and $4,300,000
from January 1, 2003 to June 30, 2003, from the HCRA 2000 Tobacco Control and
Insurance Initiatives Pool;
-- authorizes the transfer of the Medicaid Physicians Services Program from
the General Fund to the Health Care Reform Act of 2000 (HCRA 2000). The scheduled
allocation amounts are $52,000,000 in CY 2002 and up to $43,000,000 from January
1, 2003 to June 30, 2003, from the HCRA 2000 Tobacco Control and Insurance
Initiatives Pool;
-- increases the HCRA 2000 allocations by $15,700,000 for the period January
1, 2002 to December 31, 2002 and $9,000,000 for the period January 1, 2003 to
June 30, 2003, for the Elderly Pharmaceutical Insurance Coverage (EPIC)
Program; and
-- directs receipts from the cigarette tax increase, enacted by Chapter 1
of the Laws of 2002, into the HCRA 2000 Tobacco Control and Insurance
Initiatives Pool, as well as $124,100,000 related to an increase in the
cigarette tax imposed by the City of New York.
The Legislature adds new Article VII language which:
-- excludes Medicare revenues from the 6 percent gross receipts assessment
on nursing homes, effective October 1, 2002;
-- provides for a re-allocation of workforce recruitment and retention
funds provided in the Health Care Workforce Recruitment and Retention Act
(Chapter 1 of the Laws of 2002) to include the 25 residential health care
facilities unintentionally excluded because these facilities had not submitted
1999 RHCF-4 cost reports or 1999 institutional cost reports;
-- increases Medicaid rates for payment by three percent for services
provided on and after December 1, 2002, for the purpose of supporting the
recruitment and retention of non-supervisory workers or supervisory workers who
provide direct patient care in Certified Home Health Care Agencies (CHHAs),
Long-Term Home Health Care Programs (LTHHCPs), Hospice, and Private Duty Nursing;
-- increases early intervention services by three percent for the purpose of
workforce recruitment and retention, effective on and after December 1, 2002;
-- increases Limited Substance Abuse Diagnostic and Treatment Centers (D&TC)
services by three percent for the purpose of workforce recruitment and
retention, effective on and after December 1, 2002;
-- increases Freestanding Methadone Maintenance Treatment Program (MMTP)
services by three percent for the purpose of workforce recruitment and retention,
effective on and after December 1, 2002;
-- increases AIDS Adult Day Health Care services by three percent for the
purpose of workforce recruitment and retention, effective on and after December
1, 2002;
-- provides $9,824,000 in the aggregate for supplemental payments to
community-based health care providers to assist such clinics in transitioning
from a fee-for-service reimbursement system to a managed care environment;
-- provides $224,000 in the aggregate for uncompensated care payments to
dental clinics sponsored by dental schools;
-- includes a technical change to include SUNY dental clinics as eligible
to receive workforce recruitment and retention dollars allocated in the Health
Care Workforce Recruitment and Retention Act (Chapter 1 of the Laws of 2002);
-- continues the per-diem rate setting approach for medical rehabilitation
inpatient services;
-- extends the payment of Medicare Part B premiums for Qualified Medicare
Beneficiaries (QMBs), until December 31, 2004;
-- authorizes the transfer of the State share of Medicaid expenditures for
pharmaceutical services from the General Fund to the Health Care Reform Act
of 2000. The scheduled allocation amounts are $38,800,000 in CY 2002 and
$77,500,000 from January 1, 2003 to June 30, 2003 from the HCRA 2000 Tobacco
Control and Insurance Initiatives Pool;
-- authorizes the transfer of the State share of Medicaid expenditures
related to the City of New York from the General Fund to the Health Care
Reform Act of 2000. The scheduled allocation amounts are $82,700,000 in CY
2002 and $67,500,000 from January 1, 2003 to June 30, 2003 from the Tobacco
Control and Insurance Initiatives Pool;
-- recognizes for certain health care providers located in Erie and
Niagara counties, a change of ownership of assets, effective November 24, 1997;
-- authorizes the Commissioner of Health, with the approval of the
Director of the Budget, to borrow $200,000,000 from the Health Care Initiatives
Pool and the Tobacco Control and Insurance Initiatives Pool in the Health Care
Reform Act of 2000 (HCRA 2000) to offset Medicaid General Fund spending,
including, but not limited to, Disaster Relief Medicaid (DRM) expenditures.
In the event that the Commissioner of Health and the Director of the Budget
determine prior to June 30, 2003, that additional funds are required to meet
obligations set forth in HCRA 2000, up to $200,000,000 will be transferred
from the State General Fund to the Health Care Initiatives Pool and the Tobacco
Control and Insurance Initiatives Pool. Language further provides that the
Commissioner of Health and Director of the Budget shall ensure that the
authorizations contained in such section shall in no event impede, limit or
otherwise impair, in any way, the implementation of, or the time frames or
levels of financial distributions for, any of the initiatives financed in HCRA
2000;
-- authorizes the Commissioner of Health to borrow any existing cash balances
in HCRA 2000 for the purposes of meeting any funding obligations set forth in
HCRA 2000, provided that such authorization shall in no event extend beyond
December 31, 2005. Language further provides that, commencing with the effective
date of such section, reports of cash transfers made pursuant to such section
shall be submitted on a semi-annual basis to the Director of the Budget, the
Temporary President of the Senate, and the Speaker of the Assembly.
Legislative Additions
The Legislature provides funding for the following:
MEDICAID: EXEMPT MEDICARE REVENUES FROM 6% ASSESSMENT. $22,000,000
MEDICAID: CLINIC TRANSITION FUNDING. $4,912,000
ADULT CARE FACILITY: QUALITY INCENTIVE PAYMENT PROGRAM. $4,000,000
MEDICAID: HOME CARE WORKFORCE RECRUITMENT AND RETENTION. $3,277,000
AIDS: COMMUNITIES OF COLOR INITIATIVE. $3,000,000
VARIOUS DEPARTMENT OF HEALTH PROJECTS. $3,000,000
AIDS: HIV/AIDS COMMUNITY SERVICE PROGRAM (CSPS). $1,518,000
AIDS: HIV/AIDS MULTI SERVICE AGENCIES (MSAS). $1,518,000
HEALTH AND SOCIAL SERVICES SEXUALITY RELATED PROGRAMS. $1,100,000
NORTH GENERAL HOSPITAL. $1,000,000
WORKPLACE WELLNESS PROGRAMS. $1,000,000
SCHOOL BASED HEALTH CLINICS. $893,000
AIDS SPECIALTY SERVICES. $625,000
AIDS: TREATMENT AND COMPLIANCE. $562,500
AIDS PERMANENCY PLANNING PROGRAM. $562,500
PRIMARY CARE DEVELOPMENT INITIATIVES. $525,000
FAMILY PLANNING SERVICES. $500,000
AIDS: HIV/AIDS COMMUNITIES OF COLOR INITIATIVES. $500,000
AIDS: HIV/AIDS COMMUNITIES OF COLOR INITIATIVES. $500,000
BREAST CANCER SUPPORT & EDUCATION SVCS. $500,000
SEVERE TRAUMATIC BRAIN INJURY QUALITY IMPROVEMENT PROG. $475,000
MIGRANT WORKER HEALTH CLINICS. $442,000
RAPE CRISIS SERVICES. $360,000
HEALTHCARE INFORMATION EXCHANGE: HIPPA COMPLIANCE INITIATIVE. $325,000
ALTAMONT PROGRAM. $300,000
EARLY INTERVENTION FEE INCREASE RECRUITMENT AND RETENTION. $300,000
AIDS: COMMUNITY SERVICE PROGRAM: PROGRAM SUPPLEMENT. $250,000
HEALTH SCREENINGS FOR VOLUNTEER WORKERS WORLD TRADE CENTER. $250,000
NYU: MOBILE DENTAL CLINIC. $250,000
AIDS: MULTI SERVICE AGENCIES: PROGRAM SUPPLEMENT. $250,000
HEALTH ACCOUNTABILITY FOUNDATION. $250,000
NATIONAL ARTHRITIS FOUNDATION. $250,000
NEW YORK STATE DONOR REGISTRY AWARENESS CAMPAIGN. $250,000
BREAST CANCER SUPPORT AND EDUCATION SERVICES. $223,000
ALZHEIMER'S DISEASE: EDUCATION, SUPPORT & SERVICES &
EARLY DIAGNOSIS. $200,000
MATERNITY AND EARLY CHILDHOOD FOUNDATION. $180,000
AIDS: NATIONAL BLACK LEADERSHIP COMMISSION ON AIDS. $179,000
ASTHMA MANAGEMENT PROGRAMS. $179,000
AIDS: HOMELESS HOUSING ASSISTANCE PROGRAM
OPERATING SUPPORT. $179,000
BREAST CANCER TREATMENT DEMONSTRATION PROGRAM. $175,000
MEDICAID: METHADONE CLINICS RATE INCREASE RECRUITMENT
AND RETENTION. $153,000
DOR YESHORIM GENETIC SCREENING. $152,000
CENTER FOR THE DISABLED WISH. $150,000
CENTER FOR HEALTH CARE ACCESS. $135,000
LEGAL SERVICES FOR NEW YORK CITY. $134,000
LEGAL AID SOCIETY OF NEW YORK CITY. $134,000
ARNOT OGDEN OCCUPATIONAL HEALTH CENTER. $125,000
LONG ISLAND NETWORK. $125,000
ACADEMIC DENTAL CLINICS. $112,000
PEER EDUCATIONAL PROG. FOR PHYSICIANS REGARDING HIV
REPORTING & TESTING. $100,000
GAY MEN'S HEALTH CRISIS. $89,000
AIDS: NEW YORK AIDS COALITION. $89,000
PUBLIC INTEREST LAW OFFICE OF ROCHESTER. $89,000
AIDS ADULT DAY HEALTH CARE RATE INCREASE. $84,000
NARAL/TORCH. $80,000
CALLEN LORDE COMMUNITY HEALTH CENTER. $75,000
NEW YORK STATE HEALTH ACCOUNTABILITY FOUNDATION. $60,000
UNION HEALTH CENTER. $58,000
OCCUPATIONAL HEALTH CLINICS FEE INCREASE
RECRUITMENT AND RETENTION. $57,000
ALZHEIMER'S DISEASE ASSISTANCE CENTERS (ADAC). $54,000
ALZHEIMER'S COMMUNITY ASSISTANCE PROGRAM. $51,000
SCHOOL BASED HEALTH COALITION. $50,000
LEUKEMIA RESEARCH/SLOAN KETTERING. $50,000
SICKLE CELL SCREENING. $50,000
LIMITED SUBSTANCE ABUSE CLINICS FEE INCREASE RECRUITMENT
AND RETENTION. $42,000
NURSING HOME COMMUNITY COALITION. $40,000
CENTER FOR THE DISABLED MENTAL HEALTH PROJECT. $30,000
WILLIAMSBURG CHILDREN PROTECTION & RESPONSIBILITY PROGRAM. $30,000
STEPHANIE JOYCE KAHN FOUNDATION. $25,000
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